67 coder assistant jobs found

E&M/Specialty Coder Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Review Medical Records to identify diagnoses/procedures. Under supervision, codes all diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems. Verifies and abstracts all medical...

Coding Compliance Auditor In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems...

Coding Compliance Auditor - Coding Services - Full Time 8 Hour Days (Non-Exempt) (Non-Union) In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD‑10‑CM, and HCPCS assignments and accuracy and completeness of all codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation within the medical record and must comply with federal coding regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Auditors also provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics regarding coding accuracy rates, compliance rates, denial analytics, etc. The Auditor recommends education topics based on audit findings and assists in the continuing education of professional coders and providers. Keeps coding systems such as Cerner,...

In accordance with current federal coding compliance regulations and guidelines, the Coding Compliance Auditor performs 2nd level review of previously coded accounts to ensure appropriate CPT, ICD-10-CM, and HCPCS assignments - and accuracy and completeness of all ICD-10-CM, CPT, and HCPCS codes assigned by professional revenue coders and providers. All assigned codes must be supported by professional documentation contained within the medical record and must be in compliance with federal coding compliance regulations, Official Coding Guidelines, AHA Coding Clinic, and CPT Assistant. The Coding Compliance Auditor will also, provide detailed reports, Excel spreadsheets, coding audit summary analysis, and data analytics Re: coding accuracy rates, compliance rates, denial analytics, etc. Recommend education topics based on audit findings and assist in the continuing education of professional coders and providers. Understands coding/billing computer systems such as Cerner, MediTech,...

Job Summary Under direct supervision, the Hospital Outpatient Coder is responsible for the accurate coding and abstracting of diagnoses, conditions and procedures from medical record documentation for Hospital Ambulatory Surgery (HAS), Home Health/Hospice (if applicable), Observation (OBS) and Hospital complex Outpatient Visit (CHOY) including capture of codes for outpatient services that require monitored anesthesia and conscious sedation. Working from appropriate documentation, assign the appropriate codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. Under direct supervision, the Hospital Outpatient Coder is responsible for the accurate coding and abstracting of diagnoses, conditions and procedures from medical record documentation for Hospital Ambulatory Surgery (HAS), Home Health/Hospice (if applicable), Observation (OBS) and Hospital complex Outpatient Visit (CHOY) including capture of codes for outpatient services that require monitored anesthesia and conscious...

4 days ago Be among the first 25 applicants This range is provided by PrismHR. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $2,428.00/hr Direct message the job poster from PrismHR Huntington Valley Healthcare Center is a 140-bed facility centrally located in Huntington Beach, CA. We are seeking an experienced Medical Biller with a background in Skilled Nursing Facility (SNF) billing. About the Role Responsibilities Process and submit claims for Skilled Nursing Facility services Manage billing for Cal Optima, Medi-Cal, Medicare, and HMO plans Follow up on claims to ensure timely reimbursement Resolve billing discrepancies and denials Verify patient insurance eligibility and benefits Maintain compliance with industry regulations and payer guidelines Work closely with facility staff and insurance providers to ensure accurate billing Qualifications Must have experience in SNF billing (applications...

Assistant Coding Manager 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. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $60,431.00 - $84,603.00 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,...

Description Venice Family Clinic is a leader in providing comprehensive, high-quality primary healthcare to people in need with compassion, dignity, and respect. In November 2021, Venice Family Clinic merged with South Bay Family Health Care, uniting more than a century of experience helping patients regardless of their income, insurance or immigration status. The organization now has more than 500 staff who serve 45,000 people from the Santa Monica Mountains through the South Bay. We have 17 locations, plus two mobile clinics, and an extensive street medicine program for individuals experiencing homelessness. Read more about us at venicefamilyclinic.org Under the direction of the Revenue Cycle Director, this position: Codes, diagnoses, and procedures for a multi-specialty group. In performing the coding requirements, this position is required to utilize knowledge of AHA-Coding Clinic and AMA - CPT Assistant guidelines, medical terminology, anatomy and physiology, and...

Job Summary: Under direct supervision, the Inpatient Coder is responsible for the accurate coding and abstracting of inpatient cases or services (diagnosis, conditions and procedures) from medical record documentation. Assign codes and modifiers using the appropriate version of ICD-CM, ICD-PCS, CPT and HCPCS as well as other specialty systems as required by diagnostic category. The Inpatient Coder is expected to code and abstract Observation (OBS), Hospital Ambulatory Surgery (HAS), Emergency Department (ED), and complex Hospital Outpatient Visit (CHOY) services when needed. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, ICD-PCS, CPT and HCPCS code book, CPT Assistant, NCCI Edits, CMS, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Coding...

Job Summary: Under direct supervision, the E&M/Specialty Coder is responsible for accurate coding of professional services (diagnoses, conditions and procedures) from medical record documentation in a hospital setting. Working from appropriate documentation in the medical record, assigns codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work is performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Review Medical Records to identify diagnoses/procedures. Under supervision, codes all diagnostic and operative information from the medical record using ICD-CM, CPT and HCPCS coding classification systems. Verifies and abstracts all medical data...

Job Summary: Under direct supervision, the Hospital Outpatient Coder is responsible for the accurate coding and abstracting of diagnoses, conditions and procedures from medical record documentation for Hospital Ambulatory Surgery (HAS), Home Health/Hospice (if applicable), Observation (OBS) and Hospital complex Outpatient Visit (CHOY) including capture of codes for outpatient services that require monitored anesthesia and conscious sedation. Working from appropriate documentation, assign the appropriate codes and modifiers with ICD-CM, CPT and HCPCS Level II codes. All work must be performed in accordance with the rules, regulations and coding conventions of ICD-CM Official Guidelines for Coding and Reporting, Coding Clinic published by the American Hospital Association, the ICD-CM, CPT and HCPCS code book, CPT Assistant, NCCI Edits, OSHPD and Kaiser Permanentes organizational and institutional coding guidelines. Essential Responsibilities: Review Medical Records to...

Job Description Align yourself with an organization that has a reputation for excellence! Cedars-Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We also were awarded the Advisory Board Company’s Workplace of the Year. We provide an outstanding benefit package that includes healthcare, paid time off and a 403(b). Join us! Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What Will I be Doing in this Role? Under the general direction of the HID Audit Supervisor, the role operates as a Coding Auditor and shall:  Monitor coding compliance through prebill and retrospective reviews or audits of ICD and/or CPT codes assigned by coding staff. Monitor coding compliance by performing focused audits on high-risk areas identified by the Office of Inspector General (OIG) and the Centers of Medicare and Medicaid Services (CMS)....

HRC Fertility Clinic and Klassic Recruiting have partnered together in a search for a Charge Poster / Medical Data Entry role in Pasadena, California. Work Expectations: Excellent communication and organizational skills; ability to interface with the team members, nurses, physicians, patients and managers. Work Schedule: 80 hours per pay period, 8-hour workday Job Description Note: This document is intended to describe the general nature and level of work performed. It is not intended to serve as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. JOB FUNCTIONS AND RESPONSIBILITIES: Adhere to HRC Policies and Procedures. Perform the charge entry of Superbills for the various offices as assigned by the Billing Supervisor. Perform reconciliation of billed services. Assist the Billing Supervisor in conducting any research projects, audits and any other special projects. Other duties as assigned which may include preparing...

Clinica Sierra Vista Job Opportunity Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We're honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don't inquire about immigration status because we simply don't need to know. If you come to us, we will treat you like any other patient. As we grow our team, we are looking for individuals who believe the patient is always #1. Why work for us? Competitive pay which matches your abilities and experience Health coverage for you and your family A generous number of vacation days per year A robust wellness plan and health club discounts Continuing education assistance to grow and further your talents 403(B) plan with company matching Intrigued? We'd love to hear from you! Please...

Professional Surgical Coder At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Qualifications 1. Education: High School...

Openings in two different locations - Templeton and San Luis Obispo Description Reviews, analyzes and coordinates charge master activities. Performs various complex functions related to the revenue cycle operations. Enters outpatient charges accurately into the billing system. Works on routine assignments within defined parameters, established guidelines and precedents. Follows established procedures and receives daily instructions on work. Collaborates with department to code billable items for reimbursement. Collaborates with appropriate staff to secure information for billable items.Balances charge summary to encounter forms keyed before updating charges. Keeps supervisor apprised of matters regarding charge entry.Analyzes content of reports and software edits to facilitate revisions with appropriate departments.Coordinates projects and audits to improve processes related to revenue cycle, efficiency of charging and billing, and collection efforts.Performs other...

Associate Director- Medical Science Liaison (Rheumatology: CA, NV, OR, WA, AK, HI) At Lilly, we unite caring with discovery to make life better for people around the world. We are a global healthcare leader headquartered in Indianapolis, Indiana. Our employees around the world work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to our communities through philanthropy and volunteerism. We give our best effort to our work, and we put people first. We're looking for people who are determined to make life better for people around the world. Purpose: Scientific and clinical experts (SEs/CEs) are individuals who are noted for their expertise in a therapeutic area and as a result have special needs for in-depth and cutting-edge information, because they treat patients, design and implement novel research, and educate colleagues and students. The Medical Science Liaison (MSL) program is...

Codes and abstracts documents such as patient charts and pathology reports utilizing diagnostic codes. Enters data into computer system(s). Essential Duties: Abstracts and assigns accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic). Reviews and edits previously submitted charges as needed due to identified billing errors and/or insurance requirement changes. Provides completed patient data to billing staff or designated personnel. Answer incoming calls from billers, front desk staff and clinical staff as needed assisting in what may be necessary to satisfactory resolution of the issues. Review and resolve insurance denials by examining the provider documentation. Consults with medical providers to clarify missing or inadequate record information and to determine...

Billing Medical Coder One Community Health Sacramento Paid Range: $29.00/hr - $37.00/hr (Based on skills and experience) Location: Midtown Sacramento, CA (95811) Schedule: Hybrid 12 days per week onsite. Training Period: 46 weeks onsite, 5 days per week. Job Description The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs, including Medicare, Medi?Cal, managed care and private insurance. Essential Functions Review and adjudicate coding of services from documentation in a timely manner. Code physician/provider visit procedure notes to identify appropriate ICD?10 and CPT/HCPCS codes for charge processing. Ensure all diagnosis ICD?10 codes and procedure CPT/HCPCS codes are identified, sequenced, and coded accurately. Assign Evaluation and Management codes and key concepts documented in the patient note, following coding guidelines applicable...

Billing Medical Coder Insight Global's client within the healthcare industry is looking to hire a Billing Medical Coder for a direct hire, hybrid role onsite in Sacramento, CA. The Billing Medical Coder is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medi-Cal, managed care and private insurances. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any...

Job Description Job Description Position Purpose: The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy....

A healthcare provider in Sacramento seeks an experienced Medical Coder and Biller for vascular procedures. The ideal candidate must have a minimum of 3-5 years in medical coding and 2+ years in surgical coding, with strong organizational and communication skills. Responsibilities include ensuring accurate coding for medical procedures, assisting medical staff with documentation, and maintaining compliance with regulations. This position offers competitive salary and the potential for remote work. #J-18808-Ljbffr

Job Summary:We are looking for someone who is detail-oriented, analytical and inquisitive with good communication skills and ability to multi-task well.  This role will contribute to all aspects of the billing and collections process to ensure timely claims submission and optimized reimbursement. This position must work in the office. This is not a remote position.Job Duties include, but are not limited to:Prepare and submit clean claims for provider charges to various insurance companies electronicallyReview physician chart notes for accuracy with the charges being billedCall insurance companies on old claims that have not yet been paidAnswer  questions from patients and insurance companies about patient billsIdentify and resolve patient billing complaintsPerform various collection actions including contacting patients by phone; correct and resubmit claims to third-party payersProcess payments from insurance companies and prepare a daily depositEnter demographic and insurance...

Medical Billing Coder Under the direction of the Associate Director/Revenue Manager, the Medical Billing Coder aka Professional Fee Coder - Revenue Cycle Analyst will be responsible for front-end billing functions from procedural & diagnosis coding and charge entry to contacting physicians for documentation tracking and updating. Working under direct supervision the incumbent acquires knowledge of revenue cycle coding practices and concepts. Developing proficiency to manage 500 - 1000 code combinations to include Evaluation and Management Services as well as simple to moderately complex testing and procedural code services. The Medical Billing Coder will work to acquire and master all entry-level coding functions including assigning appropriate CPT and Dx codes, associated modifiers, appropriate NCCI edits, resolving coding edits and RFIs as well as basic entry-level revenue cycle duties. Other duties may include assisting other Departments as needed/assigned. As a Medical...