47 coder certified jobs found

Job Description Job Description Responsibilities: • Review provider medical coding of services rendered for medical claim submission • Review and respond to medical coding inquiries submitted by providers and staff • Work directly with providers to resolve specific medical coding issues • Analyze data for errors and report data problems • Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input • Work with clinical and non-clinical groups to identify undesirable coding trends • Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee • Abide by HIPAA and Coding Compliance standards • Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment • Accomplish other tasks as assigned Qualifications: • 2+ years coding...

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position 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...

Job Description Job Description Certified Medical Coder (Remote Production Role) Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! *** We are accepting applications for potential future opportunities and do not currently have an open position *** Main Responsibilities (may include but are not limited to): Meet minimum production goals while maintaining accuracy requirements Review provider medical coding...

Responsibilities Review provider medical coding of services rendered for medical claim submission Review and respond to medical coding inquiries submitted by providers and staff Work directly with providers to resolve specific medical coding issues Analyze data for errors and report data problems Partner with billing staff to correct and resubmit claims based on review of the records, provider input, and payor input Work with clinical and non-clinical groups to identify undesirable coding trends Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee Abide by HIPAA and Coding Compliance standards Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment Accomplish other tasks as assigned Qualifications 2+ years coding 2+ years medical billing experience (preferred but not required)...

Company Intro At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers.At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Description Certified Professional Coder is responsible for accurate coding of office, hospital and medical procedures. Position Summary The Certified Professional Coder is responsible for accurate coding of office, hospital and medical procedures. Key Duties Include Review codes submitted by physicians to assure accurate assignment of ICD-10-CM codes for inpatient/outpatient charges. Maintain compliance with Federal, State and payer regulations. Review and analyze encounters, reports and other medical records to determine the appropriate diagnosis and procedure codes to describe the level of service and surgical professional services provided. Abstract the appropriate evaluation and management level of service from the medical record per CPT instructions. Understand and adhere to CPT and ICD-10-CM instructions, the appropriate use of modifiers, and multiple or add-on procedures. Assure healthcare providers compliance with official coding guidelines including but not...

Certified Coder I page is loaded## Certified Coder Ilocations: Remote - Arizona: Remote - Texastime type: Full timeposted on: Posted Yesterdayjob requisition id: JR103981**At Caris, we understand that cancer is an ugly word—a word no one wants to hear, but one that connects us all. That’s why we’re not just transforming cancer care—we’re changing lives.** We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: That question drives everything we do. But our mission doesn’t stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare—driven by innovation, compassion, and purpose. **Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your...

Inpatient Hospital Certified Medical Coder III - remoteAre you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We're looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you'll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You'll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital's mission to serve the community with compassion and integrity.If you're a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you!Why You'll Love Working With Us :Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it's about ensuring the integrity of patient care,...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more Job Description These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

Medix - 3003 North Central [Medical Records Clerk] As a Coder at Medix, you'll: Analyze medical records to assign appropriate codes for billing and insurance purposes; Ensure accuracy and compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify diagnoses and procedures; Maintain confidentiality of patient information; Update coding knowledge through continuous education and training; Assist in audits and reviews to improve coding processes and accuracy...Hiring Immediately >>

Job Description Job Description TTF is recruiting for an ONSITE Outpatient Coder for a well-respected healthcare organization in the North-West Phoenix or Wickenburg area. This is a full-time, Direct Hire, Monday-Friday position offering a competitive salary range with the possibility of working remotely after training. Qualified candidates will have 3+ years’ experience Coding in an outpatient setting. Candidates must also have a CPC, CCS, or RHIT certification from AAPC or AHIMA.   Please send your resume to Chelle at CBodnar@ttfrecruit.com for consideration.   TTF is a search and staffing company that partners with hospitals, physician groups, TPA's, medical management companies, pharmaceutical and pharmacy benefit plan organizations, surgery centers, DME/home health, consulting companies, and all other healthcare fields. We never charge a fee to candidates and all conversations are kept confidential. We would like to be your career consultant and look forward to working with...

Job Description Job Description Description: Preferred: Local candidates with Arizona residency, having a good working knowledge of Arizona insurances General summary of duties: Responsible for assisting the Billing Manager with the full revenue cycle of the organization including coding, billing, charges, denials, adjustments, and reimbursements. Supervision received: Reports to Billing Manager Education: CPC certification required. BS or equivalent preferred Pay: DOE (Depending on Experience) Responsibilities include: Analyze and interpret medical information in the medical record and assign/sequence the correct ICD-10-CM, CPT, and/or HCPCS code to the diagnoses/procedures of office, inpatient and/or outpatient medical records, including operative reports, according to established coding guidelines. Enter surgical charges in accordance with National Correct Coding Edits, applying correct modifiers and ICD-10 codes for accurate and compliant coding....

Virtua Health Coding Specialist Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other...

remote type Remote locations Greenville, SC time type Full time posted on Posted 13 Days Ago job requisition id...

Patient Support Medical Claims Processing Representative As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field...

Job Title Knowledge of medical terminology, anatomy and physiology, coding conventions (ICD 10 CM/PC, CPT, and HCPCS), and CMS coding requirements Computer proficiency, ability to research coding questions and utilize educational resources required One of the following: Credentialed through American Health Information Management Association in one of the following: Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) Certified Coding Associate (CCA) OR Credentialed through American Academy of Professional Coders (AAPC) in one of the following: Certified Outpatient Coder (COC, COC-A) Certified Inpatient Coder (CIC) Certified Professional Coder (CPC, CPC-A) Associate degree 1 year coding experience in an acute care facility Responsibilities Assigns and sequences code for complex outpatient accounts according to established regulatory guidelines, industry best practices, and IH...

Coder II Specialty Scope for this coder II position to include but not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair. Elbows: Cubital tunnel release, Bursectomy, Arthroplasty. Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment). Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations. Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy. Pelvis: Fracture repairs. Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs. Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy. Tibia/Fibula: Plateau repairs,...

Datavant Inpatient Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team....

Telecommuting Coding Auditor This position is national remote. You'll enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. 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. This position is full time Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00 am - 6:00 pm EST. It may be necessary to attend later meetings according to physician's schedule. We offer 12 weeks of...

Job Description Job Description About Optima Medical: Optima Medical is an Arizona-based medical group consisting of 30 locations and 130+ medical providers, who care for more than 200,000 patients statewide. Our mission is to improve the quality of life throughout Arizona by helping communities "Live Better, Live Longer" through personalized healthcare, with a focus on preventing the nation's top leading causes of death. We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services. We aspire to aid the growth of our company by welcoming the most qualified and dedicated professionals aboard. We are currently seeking a Medical Coding Specialist to join our team! This role will transition to a fully remote position after your first 60 days. To be eligible, you'll need to complete your...

Work Status Details Regular Full Time | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and procedural codes for outpatient and professional services. This role requires advanced knowledge of coding guidelines and payer-specific requirements to support correct billing, compliance, and optimal reimbursement. The PB Coder II works with minimal supervision and may assist with training or mentoring entry-level coders. Responsibilities Review and interpret...

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and procedural codes for outpatient and professional services. This role requires advanced knowledge of coding guidelines and payer‑specific requirements to support correct billing, compliance, and optimal reimbursement. The PB Coder II works with minimal supervision and may assist with training or mentoring entry‑level coders. Responsibilities Review and interpret...

Coding Specialist Summary: Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the federal government, state licensing agencies and the hospital's policies and procedures. Supports TMCH's management planning process and ensures appropriate reimbursement for services. Essential Functions: Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent and...