24 coder 3 jobs found

Coding Specialist Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is...

Employment Type: Full time Shift: Day Shift Description: Reviews all assigned charge review errors and claim edits for hospital-based services, including surgical procedures. Ensures correct charge capture and coding with proper CPT, HCPCS, and ICD-10 codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, selecting the surgical/procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing charge entry; and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and physicians/ clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders in new specialties. Position Summary:...

Clinical Supervisor Medical Assistant - Family Practice - Spring Ridge Location: US:PA:Wyomissing | Medical Assistant | Full Time The Clinical Supervisor is responsible for overseeing the daily work of the clinical staff to ensure the smooth efficient operation of the office. They are to ensure the following of established nursing and practice procedures. Minimum Qualifications: Currently credentialed as a Certified Medical Assistant required. Three (3) years of clinical experience required. Preferred Qualifications: Prior experience supervising medical staff preferred. Penn State Health offers an exceptional benefits package including medical, dental and vision with no waiting period as well as a Total Rewards Program that highlights a few of the many additional offerings below: Be Well with Employee Wellness Programs, and Fitness Discounts (University Fitness Center, Peloton). Be Balanced with Generous Paid Time Off, Personal Time, and Paid Parental Leave. Be...

Medical Coder Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include: Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations. Maintains a 95% threshold for coding accuracy. Receives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or unclear. Queries...

Professional Medical Coder II - Remote Position, Must Reside in South Carolina $5,000 Sign-on Bonus Coding Full Time AM Shift 8 a.m. to 5 p.m Sign-On Bonus: 5,000 Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region's third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. Its postgraduate medical education programs include family medicine and transitional year residencies. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from...

Medical Billing And Coding Specialist Trajectory RCS joined the MedHQ family in 2024 after enjoying 10 years as a well-established revenue cycle company with an annual growth rate of 40% to 50% and 150 employees. Together they now serve small hospitals, physician groups, ambulatory surgery, and outpatient centers nationwide by optimizing healthcare cash flow through integration of both business office processes and clinical documentation. MedHQ, LLC, is a fast growing, leading provider of consulting and technology enabled expert services for outpatient healthcare. With a 97% long-term, client retention rate spanning over 20 years, MedHQ serves Ambulatory Surgery Centers (ASCs), Surgical Hospitals, Physician Practices, and Hospital and Healthcare Outpatient Facilities nationwide. The MedHQ RITE Values: Respect, Innovation, Trust, and Energy, permeate all service line offerings with a unique personalized approach balancing exceptional transactional and emotional intelligence, and...

Job Title This is a 100% remote position. Responsibilities The Coder is responsible for the accurate, timely, and accountable coding of the providers' clinics charges. Responsible for insuring all clinics charges are captured and billed in a timely manner. Provides education and assistance to all employees with respect to correct coding. Works with practice manager to insure all coding/billing references are current and accurate. Qualifications High School diploma, Certified Professional Coder (CPC) certification or Certified Coding Specialist, Physician-Based (CCS-P) preferred. Minimum 3 year's ENT coding experience preferred. Proficient computer skills; excellent communication and English Grammar skills; proficient at spreadsheet development and maintenance; extensive knowledge of practice management system file maintenance. Experience with clinic coding preferred.

Physician Coding Auditor Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW....

Medical Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). Medical Coders are responsible for review and submission of 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, monitoring and hospital services daily. Must be comfortable with discussing coding and guidelines with providers in a collaborative and professional manner. This position will assist with work que evaluation and update of pending encounter status and service lines. Will work with leadership on projects for coding as needed to assist with workflows. Medical coding of...

Physician Coder The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistics into specialty-specific databases. Works with Medical Records, Finance, and Physician Billing to ensure appropriate flow of information. Job Duties and Responsibilities: Codes and abstracts professional fee hospital services performed by SLPG physicians from medical records according to ICD-9/ICD-10, CPT-4, HCPCS II, and CMS guidelines. Utilizes 3M Encoder for validation of RVUs and CPT-4 procedure unbundling. Maintains a 95% coding accuracy rate as measured through quality reviews. Maintains daily productivity as outlined. Responsible for maintaining up-to-date knowledge of coding guidelines as they relate to physician services for hospital inpatient, observation, consultant, surgical, critical care, and E...

Coding Specialist St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Assist the coding manager with all activities related to hospital coding including but not limited to the coding professionals for the assignment of appropriate diagnosis and procedure codes to individual patient medical records for data retrieval, analysis and claims processing. Codes and abstracts all pertinent medical information according to guidelines. Abstracts patient information into Network's health information computer system. Collaborates with multiple departments...

Certified Specialty Coder Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs MondayFriday, 8:00 AM4:30 PM, with the potential for work-from-home flexibility after training Responsibilities: Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Perform all coding functions, based on staffing needs and/or department requirements. Refer problem accounts to appropriate coding or management personnel...

Job Opportunity At Children's Children's is one of the nation's leading children's hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We're committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's. Job Description Provides accurate and timely assignment of appropriate ICD-10 diagnostic and PCS procedural codes on the medical records for the purpose of collecting and indexing quality health information for inpatient hospital encounters. Experience 3 years of experience in a hospital inpatient setting Preferred Qualifications No preferred qualifications Education High school diploma or equivalent Certification Summary Minimum of one of the following: Registered Health Information Technologist (RHIT) Registered Health...

Coder II- Profee UPMC Corporate Revenue Cycle is hiring a Coder II- Profee to join our team! This position will be a work-from-home position working Monday through Friday during business hours. This role will have the same responsibilities as a Coder I. The position will review all pertinent physician, nursing, and ancillary documentation. Depending on the type of service and place of service, you will determine the level of acuity, procedure(s) performed, billable supplies, and diagnosis to substantiate medical necessity. As well as review and sequence all codes to maximize reimbursement and address any potential bundling issues. The Coder II will apply modifiers as needed. The position will also handle LMRP/CCI edit and coding denial resolution. We are looking for coders with prior experience in cardiology coding to join the team. If you are ready to take the next step in your coding career, look no further! Responsibilities: Utilize computer applications and resources...

Allegheny Health Network Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in accordance with federal and state regulations and...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager, the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

Inpatient Coder One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals Department. This...

General Summary Performs clinical documentation audits, evaluations and other reviews for the System to ensure and assess compliance with applicable laws and regulations. Prepares and presents written and oral reports summarizing audit work, issues identified and recommendations to correct issues to management. Develops and disseminates education and training programs to employees. Duties and Responsibilities Essential Functions: Performs proactive or reactive coding compliance reviews as needed to identify or quantify potential issues. Investigates and recommends action to be taken when compliance issues are found. Monitors implementation of recommended corrective action and performs follow up reviews where necessary. Assists with coding compliance implementation throughout the WellSpan. Assists in the development and dissemination of education and training processes for the employees regarding coding compliance related activities. Assists...

Penn State Health - Community Medical Group Location: US:PA:Robesonia Work Type: Full Time FTE: 1.00 Shift: Varied Hours: Varied Recruiter Contact: Briana Kissell at bkissell@pennstatehealth.psu.edu SUMMARY OF POSITION: Looking to Lead in the Berks County area? Look no further than Penn State Health Family Practice Robesonia! Situated on East Penn Avenue, the FP Robesonia office sees on average 120-150 patients/day, with Monday and Thursday being heavier patient flow days. As the Clinical Supervisor (Medical Assistant) for this office, you will be expected to handle both front and back-office duties. At the front, you will be responsible for the scheduling of administrative staff, ordering all supplies, and tending to patient inquiries and questions. You will also be handling the weekly/daily cash deposits for the office. In the back of the office, you will be expected to schedule clinical staff, perform Point-of-Care testing and quality...

Company : Allegheny Health Network Job Description : *This role will cover Inpatient Auditors and will require Inpatient (AHIMA) credentials. GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants...

Job Description Job Description Description: JOB SUMMARY: The Medical Coding Specialist, Family Med Professional Fee is responsible for accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives. Performs data entry of required abstracted patient information into the client’s information system. Queries physicians when appropriate and interacts with Clinical Documentation staff as per account requirements. Maintains consistent coding accuracy rate of 95% or better while also meeting productivity standards. ESSENTIAL DUTIES AND RESPONSIBILITIES: Assign appropriate ICD-10-CM, E/M, CPT, HCPCS codes and modifiers to professional fee accounts as per designated workflow. Evaluation and management as well as surgical procedures may be assigned Abstract and enter coded data and/or charges for physician...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...