32 coder health information management jobs found

Medical Coding Specialist Codes medical observation, outpatient, emergency room and/or ambulatory surgery discharge records for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, invasive and non-invasive procedures using ICD-9-CM and CPT-4 classification systems. Abstracts information needed for statistical data, as well as for anesthesia improvement. Provides education to providers in regards to correct coding initiatives. Performs other duties as assigned. Minimum Job Requirements High school diploma or its equivalent. Must possess one of the following credentials: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Obstetrics/Gynecology Coder (COBGC), Certified Procedural Coder (CPC) or Certified Procedural Coder Apprentice (CPC-A). College level Applied Science courses in Anatomy/Physiology and Medical Terminology as required by certifying body....

Job Description Job Description The PB Coder is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The PB Coder ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. Essential Duties and Responsibilities: Analyzes provider documentation to assure appropriate Evaluation & Management (E/M) levels are assigned using the correct CPT and current Evaluation and Management Guidelines Analyzes provider documentation to assure that appropriate CPT codes are assigned for surgeries and other diagnostic procedures. Ensures that all coding aligns with coding standards, regulatory requirements and other...

Medical Device In The Quality DepartmentIn Some Jobs You Take Orders. In This One, You Write History.Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth.Are you ready for this exciting challenge?First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible...

Lead Coder - Clinic Location: Munster, IN Position Summary: Under the direction of the Coding Supervisor, serves as leader for the charge and coding portion of the revenue cycle to ensure full and accurate charge capture. Oversees and performs charge and coding entry, review, reconciliation, and error correction tasks. Oversees and performs regular manual & electronic charge and coding audits. Motivates, trains, and educates staff to perform tasks according to baseline goals and objectives. Education/Experience Requirements: High School graduate (or GED equivalent) required. Completion of college course work in health information degree or certificate program preferred. 3-5 year's professional billing/coding experience required. Physician practice setting preferred. Previous use of EPIC preferred. Evaluation and Management experience in a physician practice setting preferred. Possess in-depth knowledge of the current CPT, ICD and HCPCS coding systems....

Lead Coder - Clinic Location: Munster, IN Position Summary: Under the direction of the Coding Supervisor, serves as leader for the charge and coding portion of the revenue cycle to ensure full and accurate charge capture. Oversees and performs charge and coding entry, review, reconciliation, and error correction tasks. Oversees and performs regular manual & electronic charge and coding audits. Motivates, trains, and educates staff to perform tasks according to baseline goals and objectives. Education/Experience Requirements: • High School graduate (or GED equivalent) required. • Completion of college course work in health information degree or certificate program preferred. • 3-5 year's professional billing/coding experience required. Physician practice setting preferred. Previous use of EPIC preferred. • Evaluation and Management experience in a physician practice setting preferred. Possess in-depth knowledge of the current CPT, ICD and HCPCS coding...

Job Description Job Description Job Summary The Coding Specialist reviews superbills and the corresponding medical record documentation and assigns appropriate CPT, HCPCS, modifiers, and ICD 10 codes and post charges in order to achieve maximum reimbursement in accordance with OSNI protocols and procedures along with CMS and private payer guidelines. The core responsibilities will include: daily charge posting after assignment of appropriate billing and diagnostic codes, review of first level rejected claims in practice management, use of hospital portals to obtain operative reports and patient demographics, scanning of completed work into SRS . Additional responsibilities include querying physicians and ancillary medical staff when medical record requires clarification, ensuring medical record is amended by provider when appropriate and participating in internal provider coding review sessions. Qualifications: High school diploma or an equivalent combination of...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Coder I – OutpatientThe Coder I – Outpatient position is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for outpatient encounters in accordance with Official Coding Guidelines, hospital policies, and regulatory requirements. This role supports appropriate reimbursement and contributes to compliance, quality reporting, and data integrity for the Powers Health hospitals.Required Skills & Qualifications:Minimum high school diploma; Associate's or Bachelor's degree in Health Information Technology or Heath Information Management preferred.Active AHIMA accreditation as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA), or recent graduates of accredited HIT/HIM program may be considered. Certified Coding Specialist (CCS) with two (2) years coding experience in a hospital medical record setting will be considered.Previous outpatient coding experience preferred.Successful completion of courses in anatomy,...

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by: Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient...

SUMMARY/OBJECTIVESThe Certified Medical Coder is responsible for the timely, accurate, and compliant review, abstraction, and coding of professional healthcare services provided by Edgewater Health clinicians. This position ensures that medical documentation supports the assignment of appropriate ICD-10-CM, CPT, and HCPCS Level II codes to facilitate accurate reimbursement while maintaining compliance with federal and state regulations, payer requirements, and organizational policies.The Certified Medical Coder works collaboratively with providers, clinical leadership, billing staff, and the Revenue Cycle Department to optimize documentation quality, improve coding accuracy, reduce claim denials, and maximize reimbursement. This position plays an integral role in supporting Edgewater Health's behavioral health, primary care, substance use treatment, and Federally Qualified Health Center (FQHC) billing operations.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential functions include,...

Medical Coding SpecialistCodes medical observation, outpatient, emergency room and/or ambulatory surgery discharge records for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, invasive and non-invasive procedures using ICD-9-CM and CPT-4 classification systems. Abstracts information needed for statistical data, as well as for anesthesia improvement. Provides education to providers in regards to correct coding initiatives. Performs other duties as assigned.Minimum Job RequirementsHigh school diploma or its equivalent.Must possess one of the following credentials: Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Obstetrics/Gynecology Coder (COBGC), Certified Procedural Coder (CPC) or Certified Procedural Coder Apprentice (CPC-A).College level Applied Science courses in Anatomy/Physiology and Medical Terminology as required by certifying body.Two years...

Coder I Specialist Professional - Office Visits E&MThe Coder I Specialist Professional - Office Visits E&M reviews electronic medical record documentation, and applies ICD and CPT codes, per Official Coding Guidelines, with a specific focus on professional and office visits. This position abstracts key data elements necessary for billing and data analysis.Who We AreWith 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.What You Can ExpectAccurately reviews and codes patient records in the following clinical areas: hospitalist rounds and office visits (with repetitive or non-invasive procedures).Reviews and analyzes the content of the medical record to determine when documentation should be utilized for appropriate assignment of ICD diagnosis codes, CPT...

Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Performs routine and non-routine revenue cycle, billing, coding and insurance functions by: Extracting relevant information from patient records, examining documents for missing information. Liaison with physicians and other parties to clarify information. Analyzing documentation and accurately applies CPT, ICD, and HCPCS codes to support compliant coding. Working rejected and denied claims based on assigned reports, and assists in...

COMPANY MISSION AC3 was founded by a group of oncologists who built solutions to optimize their own practices. Now, we give specialty health practices the power to make decisions with better data. Our mission is to help them thrive through people, purposeful technology, and collaboration. The work we do empowers healthcare practitioners and their teams to provide the highest quality of care in a sustainable way. That’s what motivates us. POSITION SUMMARY The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. This role supports the department to design the capture of associated coding and billing various medical specialties. They will work cooperatively as a team with revenue cycle, client practices and management associates. He/she will provide courteous and professional assistance with coding...

Job Description In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth. Are you ready for this exciting challenge? First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible...

In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. We’re looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company’s continued growth. Are you ready for this exciting challenge? First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible for researching data...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

Description Scope of Tasks & Responsibilities Analyze patient charts carefully to know the diagnosis and represent every item with specific codes. Collect health information as documented by medial provides and code appropriately. Consult with providers for further classification of items on patient charts to avoid misinterpretations. Maintain certification by staying up to date on new coding rules and regulations. Conduct audits of patient charts to verify appropriate coding was applied and review with physicians for training purposes. Review of patient medical charts to identify proper coding for denied claims. Collect and distribute coding related information and billing issues. Handle claims denial follow-up. Perform billing functions as it pertains to coding. Assist Clinic staff with patient coding and related procedures Collaborate with supervisor to increase revenue and system efficiency Communicate all outstanding billing required from Providers on a timely...

DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development . Alternate locations may be considered if candidates reside within a commuting distance from an office Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to...

Location: This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law. Patient Safety DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Powers Health Medical Group – HIM – Physician Coding Full-time , Days , 7:30am-4:00pm Hours/Pay Period: 80 FTE: 1 Position Coder – Clinic Job Summary Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education/ Experience Requirements High School graduate (or GED equivalent) required. Completion of college coursework in health information degree or certificate program preferred. 1-2 years professional billing/coding experience. Physician practice setting preferred. Previous use of...

The Certified Medical Coder codes medical records utilizing ICD-10-CM and CPT-4 coding conventions. Handles confidential patient medical records and abides by HIPAA. Reviews each medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. This position will be coding for the hospital. Essential Duties and Responsibilities: Reviews the medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions for both inpatient and outpatient accounts. Sequences the diagnoses and procedures using current coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for...