72 coder lll jobs found

Jefferson City Medical Group is looking to fill a Full-time position. Applicants in the following states will be considered for employment: Missouri, Kansas, Arizona, Texas, Florida, and Georgia RESPONSIBILITIES Job Specific Competencies: Performs all functions essential in the billing of providers and ancillary services. Organizes workflow and communication with the clinics and providers for accurate billing information. Effectively communicates within the organization and with the public consistent with the clinic philosophy, vision and mission. Appropriately uses facility communication, information systems and equipment. JCMG Core Competencies: Strives for continuous quality improvement. Participates in educational experiences designed to maintain and/or improve professional competence. Maintains high work ethic standards. Provides quality customer service to staff, patients and visitors always. MINIMUM QUALIFICATIONS Education: High school diploma or GED Experience:...

Hiring Department University Physicians Job Description #upjobs This is a dual posting with job ID 59698. The final title will depend on the qualifications of the final candidate. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to Medicare...

## Senior Lead Compliance Auditor (Hybrid) - Internal AuditApplyremote type: Hybridlocations: Washington University Medical Campustime type: Full timeposted on: Posted Todayjob requisition id: JR95595# **Scheduled Hours**37.5# **Position Summary**The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and...

Job description Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties: Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) SKILLS AND ABILITIES Demonstrates the skills and...

Medical Coder Pay: Base Wage starting at $15.65; increased based on experience Incentive Eligible Position: Yes Summary Of Duties A medical coder is a trained medical professional who uses specialized codes and alphanumeric diagnostic (ICD-10 CM, ICD-10 PCS, CPT and HCPCS) to record and interpret information about health conditions of patients. The medical coder follows the ICD-10 CM Official Coding Guidelines when entering the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis and claims processing. Essential Functions Responsible for assignment of diagnosis/procedure codes using ICD 10 CM/PCS, CPT/HCS in various settings and for a wide range of ages from neonate to geriatric utilizing the OPTUM encoder. Validates coding accuracy using clinical information found in the health record health record documentation using knowledge of anatomy, physiology, clinical disease processes, pharmacology, and medical terminology to...

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.Please log into to search for positions and apply.Professional Billing Coder II (Remote)101 Truman Medical CenterJob LocationUniversity Health 4 (UH4)Kansas City, MissouriDepartmentCorporate Professional BillingPosition TypeFull timeWork Schedule7 :00AM - 3 :30PMHours Per WeekJob DescriptionThe Coder II position is responsible for accurate coding of professional services from medical record documentation.Reviews, codes and assigns correct ICD-10-CM diagnosis codes, procedure codes, and E / M level codes for professional services across multiple specialties according to AMA / CMS coding guidelines.This is a fully remote position following the initial probation period.The coder may be asked to come on site for special assignments or training as needed after this period.Minimum RequirementsAssociates degree or equivalent in education...

St. Luke’s Hospital is seeking a Coding Specialist to abstract clinical data from inpatient records to support reimbursement and data collection. You will assign ICD-9-CM and HCPCS codes in compliance with regulatory mandates and accurately enter information in the hospital's abstracting software. The role emphasizes teamwork with all healthcare professionals and aligning with the hospital's mission and values. #J-18808-Ljbffr

## Coder Certified (Remote) - Orthopedic SurgeryApply: Fully Remote: Remote: Full time: Posted Today: JR97427# **Location**Remote, US# **Scheduled Hours**40# **Position Summary**Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.# **Job Description****Primary Duties & Responsibilities:*** Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.* Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.* Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.* Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.* Assists with efforts to increase physician awareness of...

Location Remote, US Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions Job Location/Working Conditions: This position is remote....

This is a remote based position. Applicants can be located nationwide Back Inpatient Medical Coder #2922 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about interpreting health record documentation using your knowledge of anatomy, physiology, clinical disease process, pharmacology, and medical terminology to determine appropriate diagnosis and procedural coding. We need someone who has a deep understanding of coding conventions, instructions, and Official Guidelines for Coding and Reporting and Coding Clinics. In the role of Inpatient Medical Coder, you will be responsible for ICD-10-CM diagnosis coding and ICD-10-PCS procedure coding for complex, inpatient acute care discharges. Tell us about your experience with Inpatient Medical Coding. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to...

This is a remote based position. Applicants can be located nationwide Back Medical Coder #2926 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we...

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Remote opportunity! Some Travel required - see details below Starting Salary at $60,000 and up, depending on experience Summary: The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide...

Inpatient II CoderBJC is hiring for an Inpatient II Coder. We are looking for 2 years of Inpatient Hospital Coding experience. Must have one of the following certifications: CCS, RHIA, or RHIT. This is a remote position. Eligible remote states include Alabama, Kentucky, Oklahoma, Arkansas, Louisiana, South Carolina, Florida, Mississippi, Tennessee, Georgia, Louisiana, Texas, Indiana, North Carolina, Wisconsin, Iowa, and Ohio.BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental...

Description Community Health Centers of America (CHCA) is a leading non-profit organization committed to providing accessible, comprehensive, and high-quality healthcare services to underserved communities. With a network of clinics spanning from Sacramento to Bakersfield, CHCA is dedicated to promoting health equity and improving outcomes for all patients. For more information about Community Health Centers of America, please visit CHCA's website CHCAHealth.org. We are seeking an experienced full time Medical Assistant Site Supervisor for our community health clinic in Mariposa . This individual should be a high-energy and knowledgeable clinic professional with strong interpersonal skills and demonstrated results in clinic management and team development. Our culture is important to our success, and we are looking for a special individual who will contribute to our core values of excellent patient care in a warm, respectful, and professional environment. Key Responsibilities...

St. Luke’s Hospital is seeking a Coding Specialist to abstract clinical data from inpatient records to support reimbursement and data collection. You will assign ICD-9-CM and HCPCS codes in compliance with regulatory mandates and accurately enter information in the hospital's abstracting software. The role emphasizes teamwork with all healthcare professionals and aligning with the hospital's mission and values. #J-18808-Ljbffr

GENERAL DESCRIPTION This position will primarily handle insurance claim submissions, payment posting, and researching claim rejects/denials. This position must have a thorough knowledge of government, commercial, HMO, PPO, and other types of insurance billing guidelines. ESSENTIAL JOB FUNCTIONS Submits claims to government and commercial payers according to timely filing requirements. Posts payments and remittance advices in appropriate database(s). Tracks and collects aging accounts receivables. Research claim denials & clearinghouse edits. Completes requests for medical information and other related correspondence. Identifies and analyzes open claims and corrects billing errors. Re-submits claims to insurance carriers as appropriate. Monitors all past due accounts for payment. Contributes to a cohesive departmental unit. Maintains regular and predictable attendance. REQUIRED SKILLS High School Diploma...

Base Pay $19.68 - $23.62 / Hour Employee Type FT Non-Exempt Contact information Name Dawn W Email dawnw@kccare.org POSITION SUMMARY The Medical Billing Specialist calculates and collects payments for medical, dental and behavioral health procedures and services. KC CARE CULTURE CODE KC CARE follows a culture code in all we do. Our code determines how we work, treat each other, and move health equity forward. As an employee of KC CARE, you will: Treat all people with dignity, respect, and kindness Create safe places for others to share their voice; encourage creativity Always strive for improvement; keep learning Own your work, action, and mistakes – no one is perfect Have fun – work should be fun and we want you to have fun at KC CARE ESSENTIAL DUTIES AND RESPONSIBILITIES Post s payments both electronically and manually, maintaining accurate medical billing records, and documenting revenue from patients and insurance rei mbursements. R eview s of health documenta tion, superbills ,...

Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Location Remote, US Scheduled Hours 40 Job Description Primary Duties & Responsibilities Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions Job Location/Working...

Job Summary Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts. Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters accurate charge information, when appropriate. Monitors assigned work queues to ensure all records are charged in a timely manner. Generates coding queries for clarification regarding physician documentation as needed. Stays abreast of all changes in coding conventions and coding updates. Performs other duties as assigned. Education High School diploma/GED or 10 years of work experience. Experience No experience required. Physical Requirements Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking,...

Position Summary Location Remote, US Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Job...

Hannibal Regional is seeking a hybrid opportunity coder- reviewer to perform a comprehensive review of denied visits, ensuring accurate billing, proper reimbursement, and complete data capture. You will collaborate with the coding and billing departments to stay compliant with all guidelines and regulations. The ideal candidate holds a high school diploma and a current coding certification (AHIMA/AAPC or RHIT/RHIA) with coding experience, and possesses strong analytical skills to interpret #J-18808-Ljbffr

Hannibal-Regional-Healthcare-System is seeking a medical billing coder reviewer to collaborate with coding and billing teams. The role focuses on comprehensive reviews of denied visits to ensure accurate billing, reimbursement, and complete data capture while adhering to all guidelines and regulations. The ideal candidate will have a high school diploma and current coding credentials (AHIMA/AAPC or RHIT/RHIA) with PPS knowledge and strong analytical skills. #J-18808-Ljbffr

Position Summary Location ST. LOUIS, MO 63108 Scheduled Hours 37.5 Position Summary The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and mission of the University. Results of the compliance audits are critical measures for the University. The Senior Lead Compliance Auditor reports to the Director of...