15 coder 3 jobs found

Job Description Job Description Certified Professional Coder / Bill Review Expert Location: Remote- Anywhere in US Responsibilities: Review medical bills submitted by insurance companies related to MVA injuries sustained for NJ and or NY-covered insureds Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes Assign proper CPT, HCPCs codes based on the review outcome Review CPT codes for unbundled services Review billed modifiers for accuracy of use Crosswalk CPT codes per regulatory requirements to ensure correct reimbursement Interpret fee schedule guidelines and apply those guidelines in daily reviews Document review outcomes for customers in a professional easy to understand manner Use various resources, IE: eBooks, 3M software to support reviews Participate in conference calls as needed with customers and/or attorneys Participate in virtual and in-person...

Remote Senior Inpatient Coder Specialist Remote Senior Inpatient Coder Specialist is the coding and reimbursement expert for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex inpatient acute care discharges. This person possesses a strong foundation in coding conventions, instructions, Official Guidelines for Coding and Reporting, and Coding Clinics. Utilizes technical coding expertise to assign appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types. Thoroughly reviews the provider notes within the health record and clinical documentation. Efficiently review documentation and select or assign ICD-10-CM/PCS codes using autosuggestion or annotation features. Review Discharge Planning and nursing documentation to validate and correct when necessary. Collaborate with CDI on discharges regarding the final MS or APR DRG and comorbidity diagnoses. Educates CDI on regulatory guidelines, Coding Clinics, and conventions to report appropriate...

Surgical Coder & Billing Specialist FT Days Englewood Health, a leading healthcare system comprising Englewood Hospital and the Englewood Health Physician Network, is committed to delivering exceptional patient care across northern New Jersey. We are dedicated to fostering a supportive and inclusive work environment where every team member can bring their skills, creative ideas, positive approaches, and a commitment to excellence. Join our dynamic team and contribute to our mission of transforming the lives of the patients and communities we serve. Job Summary: Billing and Coding Specialist interacts daily with internal and external clients, including surgeons, physicians and advanced practitioners; provides primary diagnosis and procedural coding for surgeries and other procedures to ensure maximum reimbursement; reconciles all surgical cases performed; focuses on physicians' chart abstraction, serving as an on-site liaison to providers for clarification of documentation...

Inpatient Coder II The Inpatient Coder II is the second level coding position in a 3-tier career ladder. Inpatient Coder IIs will evaluate inpatient medical records and accurately assign the appropriate ICD-10 CM/PCS codes, Present on Admission (POA) indicators, and relevant DRGs. The Coder II must be skillful in the identification and assignment of all diagnoses and procedures in accordance with nationally recognized coding guidelines, as well as researching opportunities to improve documentation. Primary Job Responsibilities: Assigns appropriately sequenced and compliant ICD-10 CM/PCS codes as documented in the electronic medical record (EMR). Applies definition of principal diagnosis for proper assignment of MS-DRGs, APR-DRGs, and POA indicators using a designated encoder/grouper, while ensuring compliance with nationally established coding guidelines. Utilizes selected encoder and/or computer-assisted coding software (CAC) set forth by client and Accuity. Abstracts...

Coder III Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology or Interventional Radiology and Surgery to support Revenue Cycle goals for timely billing. 3-5 years required Inpatient coding preferred High School Diploma/GED One or more of the following required: RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and/or any of the Core Credentials or specialty credential of AAPC or AHIMA USD $29.00 USD $50.00

Job Description:n n n Job Detailsn n n Descriptionn n n nnnn Position Summary: Review and code patient records for both inpatients and outpatients. Assign appropriate ICD-10-CM and ICD-10-PCS codes. Verify CPT-4 codes, DRGs, and APCs. n Experiencen Preferred: 1-3 years acute care codingnnnnn Educationn Preferred: Associates in Health Information Technologynnnnn License and Credentials n Required: RHIA, or RHIT, or CCS, or CCAnnnnn Skillsn Required: Knowledge of anatomy and physiology, medical terminology, pathology of disease, ICD-10 CM, ICD-10-PCS, CPT-4nnnnn Bi-Weekly Hours: 80n Work Schedule: 8:30am - 5pm M-Fn n The minimum starting rate for this position is $21.44n When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity).n At Deborah, healthcare is still about caringfor patients and team members. That is why we offer an outstanding benefits package, which...

Job Details Description Position Summary: Review and code patient records for both inpatients and outpatients. Assign appropriate ICD-10-CM and ICD-10-PCS codes. Verify CPT-4 codes, DRGs, and APCs. Experience Preferred: 1-3 years acute care coding Education Preferred: Associates in Health Information Technology License and Credentials Required: RHIA, or RHIT, or CCS, or CCA Skills Required: Knowledge of anatomy and physiology, medical terminology, pathology of disease, ICD-10 CM, ICD-10-PCS, CPT-4 Bi-Weekly Hours: 80 Work Schedule: 8:30am - 5pm M-F The minimum starting rate for this position is $21.44 When determining a team members base rate, several factors may be considered as applicable (e.g., years of recent relevant experience, education, credentials, and internal equity). At Deborah, healthcare is still about caringfor patients and team members. That is why we offer an outstanding benefits package, which includes healthcare coverage for team members in regularly budgeted...

Position Summary The Billing Manager will oversee all aspects of the practice’s revenue cycle and accounts receivable, ensuring accuracy, timeliness, and compliance. This role requires strong knowledge of both cosmetic and insurance-based billing processes, plastic surgery coding, excellent communication skills, and the ability to work closely with patients, providers, insurance companies, and internal team members.  Knowledge and understanding of the Federal IDR process and the NSA (No Surprises Act) is required.  Interfacing with attorney firms specializing in physician advocacy litigation and the IDR process is a significant part of this role. Key Responsibilities Insurance & Authorization Management Verify eligibility and benefits Run prior authorizations for procedures and services Initiate pre-determinations as needed Update surgical insurance status forms Gather all supporting documents necessary for claims and approvals...

Join to apply for the Coder role at CarePoint Health System Continue with Google Continue with Google 2 months ago Be among the first 25 applicants Join to apply for the Coder role at CarePoint Health System About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. About Us CarePoint Health is one of New Jersey's leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and...

About Us CarePoint Health is one of New Jersey’s leading health care systems comprised of three long-standing and highly-regarded hospitals – Christ Hospital in Jersey City, Hoboken University Medical Center and Bayonne Medical Center. CarePoint united three area hospitals to provide 360-degree-coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing Remote Senior...

Job Type: Officer of Administration Regular/Temporary: Regular Hours Per Week: 35 Standard Work Schedule: Monday-Friday Salary Range: $66,300- $75,000 The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions. The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting. Position Summary The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance...

About Us Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the‑art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. Advanced Emergency Services - 24/7 emergency departments across all four hospitals Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems Neurosurgery & Spine Care...

A leading healthcare provider is seeking a Remote Senior Inpatient Coder Specialist to handle coding and reimbursement for complex inpatient discharges. This role requires at least 3 years of inpatient coding experience and credentials like RHIA, RHIT, or CCS. Candidates should have a solid understanding of ICD-10 coding and experience in reviewing clinical documentation. The position offers competitive compensation and supports professional growth along with comprehensive benefits. #J-18808-Ljbffr

Job Description Job Description Medical Collector – Accounts Receivable Department Location: East Hanover, NJ (In-Office) Schedule: Full-Time | Monday–Friday, 8:30 AM–4:30 PM About Us: Join our professional yet family-oriented team at SportsCare Institute, Inc., where we are dedicated to delivering exceptional service and maximizing revenue outcomes. We foster a supportive environment that values collaboration, accountability, and growth. Position Overview: We are seeking an enthusiastic and resourceful Medical Collector with a minimum of 3 years of experience in medical billing and collections. The ideal candidate is dependable, has strong communication skills, and brings an assertive, results-driven approach to collecting outstanding balances. Responsibilities: Research and resolve unpaid claims using monthly aging reports and multiple systems and payer portals. Manage assigned accounts and oversee the full collection cycle to reduce aging balances....

Job Description Description: The DEA Compliance Auditor will maintain all compliance regulations and laws that are required by the U.S. Drug Enforcement Administration as specified by (21 CFR 1300 to 1321.01) for Amneal's assigned facilities. Essential Functions: Execute DEA documents which include, but are not limited to: Registration applications, renewals, and updates. Drug code additions. Import and export permit application forms. DEA 222 order forms for procurement of API, USP standards, RLDs, etc. Ensure that periodic inventories and reports required by the Drug Enforcement Administration and various state reports are accurate and submitted to the Director DEA Compliance promptly. These reports include "ARCOS", Biennial inventory, and Year End Reports. Ensure effective control measures and Compliance SOP guidelines are being followed at all facilities. Coordinate destruction of scheduled materials, waste, or by products. Conduct periodic audits and...