22 coder 4 jobs found

Clinical Coder Level I HIM Impatient Specialist (Full-Time, Remote) Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work? Location: Lancaster, PA Remote position. ONLY candidates residing in NJ, PA and Delaware will be considered or willing to relocate to one of these three states. Hours: Full-time, Monday through Friday - flexible start and end time/ 40 hours per week. Position Summary: Codes and abstracts information from inpatient and outpatient records by careful analysis and...

Job Title Penn State Health - Penn State Health Corporation Location: US:PA:Camp Hill Work Type: Full Time FTE: 1.00 Shift: Day Hours: Monday - Friday, 8:00a - 4:30p Summary Of Position Responsible to review the health record, electronic reports, and other reporting tools to identify conditions treated and the services provided to each patient. Utilize the appropriate coding systems (ICD-10-CM, CPT, HCPCS) to accurately code diagnoses, services, and procedures performed by providers performing billable services. Performs the necessary functions to bill, collect, analyze, and adjudicate ambulance and medical transportation billing and collection functions for Emergency Medical Service (EMS) service lines. Validates insurance eligibility and benefits verification. Obtains insurance authorizations as needed. Responsible for the resolution and collection of an assigned group of accounts, performing follow-up, adjustments, refunds, and administrative duties as assigned. Has the...

Coding Auditor Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. POSITION OVERVIEW Coder Certification Required. The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and...

Revenue Cycle Outpatient Coder The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Performs ICD-10-CM and CPT-4 coding and data abstraction within established minimum accuracy and productivity rates. Attends mandatory staff education sessions and department meetings. Refers coding issues to supervisor in a timely manner for determination and guideline development. Complete and submit a weekly productivity log. Minimum Qualifications 3 years experience coding outpatient medical records. Knowledge and ability to translate...

Job Details The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Description Summary The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson Performs ICD-10-CM and CPT-4...

Revenue Cycle Outpatient Coder The Revenue Cycle Outpatient Coder is a Health Information Management Professional responsible for ICD-10-CM and CPT-4 code assignment and abstracting of outpatient episodes of care according to ICD-10-CM and CPT-4 Coding Guidelines and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution. Job Duties Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson. Performs ICD-10-CM and CPT-4 coding and data abstraction within established minimum accuracy and productivity rates. Attends mandatory staff education sessions and department meetings. Refers coding issues to supervisor in a timely manner for determination and guideline development. Complete and submit a weekly productivity log. Minimum Qualifications 3 years experience coding outpatient medical records. Knowledge and ability to...

Responsibilities Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. To learn more about IPM visit Physician Services - Independence Physician Management - UHS. POSITION OVERVIEW Coder Certification Required .The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage...

Job Title Medical Coding Specialist Job Description Collects, reviews, retrieves and codes Evaluation & Management codes, and major procedures (surgical procedures, anesthesia reports, radiology reports/procedures) and other services for Medicine/Surgical practices, based on data from medical records and reports for quality assessment, audit and billing purposes. Responsibilities Duties and Responsibilities Essential Functions: Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10), procedure codes (CPT-4), and other services (HCPCS) for final billing. Research and process invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers. Meets...

Penn Medicine, University of Pennsylvania Health System is seeking a Coding Specialist to code and abstract inpatient and outpatient records. This role ensures compliance and accuracy while adhering to coding standards. The candidate should have a high school diploma, CCS certification, and experience in ICD-10-CM PCS and CPT-4 coding. This full-time position offers flexible hours and remote work options. #J-18808-Ljbffr

Universal Health Services, Inc. seeks a Coding Auditor to determine ICD-10, CPT-4, and HCPCS coding alignment with clinical documentation and to validate medical necessity per LCDs. The role requires CPC certification and experience in professional billing, auditing, and the revenue cycle. The position involves reviewing documentation, educating providers on coding requirements, and ensuring timely, accurate audits across IPM services. #J-18808-Ljbffr

Position Overview Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi‑specialty physician networks and urgent care clinics that align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continued growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve. Coder Certification Required . The Coding Auditor is responsible for determining that ICD‑10, CPT‑4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). The role applies working knowledge of medical terminology, anatomy, CPT‑4 and ICD‑10 codes and coding...

Independence Physician Management (IPM), a UHS subsidiary, seeks a Coding Auditor to ensure ICD-10, CPT-4 and HCPCS coding is supported by medical records and meets CMS LCD guidelines. The role requires CPC certification, auditing experience, and strong knowledge of coding policies; you will review documentation, educate providers, and support front-end coding accuracy. IPM offers comprehensive benefits and opportunities within a national health system; on-site in Wayne, PA with collaboration #J-18808-Ljbffr

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. 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...

General Summary Collects, reviews, retrieves and codes Evaluation & Management services, Pathology, and minor procedures based on documentation in the medical record and reports for quality assessment, audit, and billing purposes. Duties and Responsibilities Essential Functions: Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) and procedure codes (CPT) for final billing. Researches and processes invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers. Adheres to WellSpan Coding Compliance Guidelines. Common Expectations: Maintains job specific standards and expectations relative to productivity...

OVERVIEW Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. SUMMARY OF JOB The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, UHDDS sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMA’s publication CPT Assistant....

Professional Coding Auditor And Educator - Remote This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing.In addition, this role focuses on performing the following Health Information Management duties:Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information.An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a hands on environment.The majority of time is spent in the delivery of support services or activities, typically under supervision.An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education.Works under moderate supervision, problems are typically of a routine nature, but may at times require interpretation or...

Job Description Job Description Description: The Medical Coding Specialist will analyze, code, and abstract medical records of patients, and will communicate with client/facility staff and physicians as needed to address deficiencies in both billing and documentation. The Medical Coding Specialist must be able to handle multiple, simultaneous tasks effectively and efficiently and is expected to demonstrate ENCORE in all communications. Essential Duties and Responsibilities Proficient in CPT, ICD-10, and HCPCS coding with in-depth experience. Maintain a minimum coding productivity of 30 CPT units per hour. Ensure an average error rate of less than 2%. Stay updated on changes to CPT, HCPCS, and ICD-10 codes, as well as payer policy coding requirements. Apply working knowledge of oncology-specific codes and plan rules for commercial, Medicare, Medicare Advantage, and Medicaid plans. Utilize expertise in ICD-10, CPT, and HCPCS codes, including rules for...

Job Description Job Description Lead Medical Billing Specialist Griffith Eye Center has an immediate opening for an experienced Medical Billing Specialist to join our busy ophthalmology/optometry practice in Erie. The ideal candidate is a knowledgable, detailed-oriented billing professional who thrives in a fast-paced environment and enjoys sharing their expertise with others. Candidate has proven medical billing experience and a strong understanding of ophthalmology/optometry billing, surgical billing and vision plans. We offer competitive pay and benefits, an exceptional, patient-focused team work environment and a small practice setting. Position is full-time. Salary commensurate with experience . Required skills & abilities Several years of experience in medical billing Strong knowledge of medical terminology, ICD-10 diagnosis codes and CPT-4 procedure codes  Deep understanding of insurance eligibility and authorizations, benefits and...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient 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 goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

Coding Auditor The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested. Key responsibilities include: Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation in the medical record. Meets or exceeds established performance targets (productivity and quality) established by the Manager, Coding. Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Meets or exceeds established performance...

Coding Auditor The Coding Auditor is responsible for determining that ICD-10, CPT-4, and HCPCS coding is supported by the clinical documentation in the medical record as well as validating medical necessity per CMS Local Coverage Determination (LCD). Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate audits of clinical documentation as requested. Key Responsibilities include: Performs accurate and timely review of clinical documentation as requested to ensure that ICD-10, CPT-4 and HCPCs coding is supported by the clinical documentation in the medical record. Reviews audit samples following CBO IPM policy and utilizing established protocols, audit tools and worksheets to report accurate and timely findings to the Coding Manager. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being...