18 coder cert jobs found

Revenue Cycle Audit Coding Auditor Coding Auditor with inpatient hospital experience Experience coding and auditing ICD-10-PCS. Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1. Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2. Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3. Able to communicate effectively with coders and CDI staff. 4. Demonstrates knowledge of coding policy and procedures. 5. Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6. Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7. Reviews potential reassignments; demonstrates accurate and timely review of all...

Req Number 181790 Required: Coding Auditor with inpatient hospital experience Experience coding and auditing ICD-10-PCS. Job Description Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes. Job Responsibility 1.Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization. 2.Demonstrates effective skills in validation; provides ad-hoc education to the coding staff. 3.Able to communicate effectively with coders and CDI staff. 4.Demonstrates knowledge of coding policy and procedures. 5.Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies. 6.Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing. 7.Reviews potential reassignments; demonstrates accurate and timely review of...

Job Description Job Description Description: Come and join our growing organization as a Medical Coder - Certified ! Sign-On Bonus Eligible! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Comprehensive Benefits: Monday-Friday schedule Medical, dental, and vision coverage Employer funded Health Reimbursement Account (HRA) 401(k) with company match Generous vacation and sick time Company-paid life insurance 11 paid Holidays Position is Sign-On Bonus Eligible! The Medical Coder position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week As the Medical Coder you are responsible for reviewing medical records to assure...

Job Type Full-time Description Come and join our growing organization as a Medical Coder - Certified ! Sign-On Bonus Eligible! Roswell Park Care Network is a recognized leader in oncology and specialty care, supporting community physician practices across New York State. We are committed to delivering exceptional patient care while advancing innovative treatment options in a collaborative and patient-focused environment. Comprehensive Benefits: Monday-Friday schedule Medical, dental, and vision coverage Employer funded Health Reimbursement Account (HRA) 401(k) with company match Generous vacation and sick time Company-paid life insurance 11 paid Holidays Position is Sign-On Bonus Eligible! The Medical Coder position offers a hybrid schedule. After successfully completing on-site training, the schedule transitions to just one on-site day per week As the Medical Coder you are responsible for reviewing medical records to assure proper billing...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. Under direction of the Coding Manager, the primary responsibility of the MedicalCoder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy,...

EOE Statement We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Description Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager. Will support Meeting House Lane Medical Practice, PC and SB Administrative Services. Responsibilities: Audits records to ensure proper submission of services prior to billing on pre-determined selected charges. Receives hospital information to properly bill provider...

Discover Better Health Careers with Rendr! Who We Are Rendr is the leading primary care focused, multi-specialty medical group dedicated to serving the Asian community in New York City. We strive to provide world-class, value-based health care with kindness at more than 100 clinical offices throughout Brooklyn, Manhattan, Queens, Staten Island, and Nassau County. Why Join Rendr? Opportunities for professional growth and development. Competitive salary and benefits package. (Salary is based on previous experience and years of service.) Join a team that values employee, embraces diversity, and is committed to making a meaningful impact within our communities. Benefits We Offer: Medical, Dental, and Vision Insurance 401k with Company Match Paid Time Off Paid Holidays/ Floating Holiday(s) Commuter Benefits Health Savings Account/ Flexible Spending Account/ Dependent Care Account Annual Performance Bonus Job Overview: A Medical...

Summary The Medical Records Technician (Coder) Auditor position is located at the Erie East VA Clinic. MRTs (Coders) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities Major duties and responsibilities of the position include but are not limited to: Applies comprehensive knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Reviews assigned codes from the current version of several coding systems to include current versions of the International...

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by ensuring our high standards for documentation processes are...

Knowtion Health is hiring a Certified Professional Coder to support revenue generation through accurate billing practices. This remote position involves analyzing coding issues, creating appeal letters, and ensuring that diagnosis codes meet established guidelines. Candidates should have a Certified Professional Coder certification and at least 2 years of experience in healthcare, ideally with billing or coding background. The company offers great benefits including medical, dental, vision, 401k, and generous PTO, and prioritizes applicants in specific states. #J-18808-Ljbffr

Position Summary We are seeking a highly analytical and detail-oriented Certified Professional Coder (CPC) to join our team. This role is highly focused on Denial Management and Revenue Integrity. The ideal candidate is not just a coder but a problem solver who can investigate the root cause of unpaid claims, correct coding errors, and successfully appeal denials. While this role focuses on coding, candidates with a strong background in hard coding (coding directly from operative reports/medical records without relying solely on encoders) and end-toend medical billing will be given top priority. Key Responsibilities Denial Management & Coding Analyze and resolve complex claim denials resulting from coding errors (CCI edits, medical necessity, bundling issues, and modifier usage). Review medical records and "hard code" accurately from documentation to support appeals, ensuring the highest level of specificity for ICD-10-CM, CPT, and HCPCS levels. Draft and submit...

Career Opportunities with Knowtion Health A great place to work. Knowtion Health participates in E-Verify. Are you seeking an exciting opportunity to join a passionate, growing, and dynamic team of professionals who support patients? The Certified Professional Coder, I, consistently generates revenue through professional billing practices by reviewing claims that have been denied for a coding reason and offers suggestions and corrections to be made to the claim based on review of the medical records as well as LCD/NCD policies, individual payer medical policies and coding guidelines. What’s Attractive to the Right Candidate? Knowtion Health is a growing firm in a growing industry. Our status as a leader in this industry means that we have the resources to invest in the business and to innovate. Our business is intensely competitive and is constantly evolving. We quickly identify new challenges and develop solutions, so you won’t simply be doing what was done last year. Our...

Job Title Revenue Cycle Quality and Performance Management Location 1111 Marcus Ave, Lake Success, NY, 11042, US Job Description Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and...

Medical Coder Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records...

Job Description Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to coding...

Req Number 179272 Required: Background in Inpatient with 3-5 years' experience in Coding or Auditing. Highly Preferred: Auditing experience with DRGs. Job Description Responds to commercial payers, managed care and third party review organizations in managing the appeals/denials process. Supports the review of denial trends and identifies coding issues and knowledge gaps. Job Responsibility Supports denial reviews and response processes; prioritizes and reviews cases denied by commercial payers. Reports program performance and/or corrective action to management on regular basis. Assists in monitoring inpatient denial types, volume and formulates responses to requesting agency; seeks additional resources (e.g. legal counsel) to resolve issues, as needed; develops case-specific written rationale to substantiate and communicate findings. Addresses coding issues and knowledge gaps; functions as a organization resource for litigation as related to...

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. Primary Responsibilities: Assign accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accounts Assign CPT and ICD-10 codes Monitor assigned work queues to ensure all records are charged/coded in a timely manner Generate coding queries for...

Job Summary A new program offering on the group health side of our business enables you to apply your clinical knowledge to review reports accompanying medical records to ensure that medical billing information and coding are correct. You will communicate with other reviewers and their office teams to ensure clarity of information and ensure all questions posed have been addressed, and ensure that reports are returned within client deadlines. Core Duties & Responsibilities Evaluates the appropriateness of codes and determine whether they meet all established program standards. Ensures that the medical records are matched appropriately to the codes and if not, obtains them. Read & apply policy guidelines and healthcare terminology and delineate when criteria are/are not met. Evaluates claims for conflict of interest and criteria appropriateness. Works within established timeframes set by program parameters. Provides strong customer service skills and works closely...