95 coder professional jobs found

HIM Coder - Professional Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. Qualifications: Education: High School Diploma or successful completion of an equivalent High School Exam Required Successful completion of the HIM Coder Professional/HCC competency exam within 6 months of hire...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned....

Coder - Professional Functioning within the health system# mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An associate#s degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician#s office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics,...

Coder - Professional Functioning within the health system’s mission, values, objectives, procedures, and policies, the coder professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: Must be currently enrolled in a medical coding program. Licensure/Certification: Will consider candidates who are actively enrolled in a certification program. To retain position, if an individual without a current certification is hired into a coder professional position, s/he must successfully obtain certification within one year of hire. Experience: Experience in medical office preferred. Skills: Must demonstrate proficiency with reimbursement and MS-DRGs. Basic competency with Word and Excel is also required.

Southern Ohio Medical Center in Portsmouth, Ohio, is seeking a HIM Coder - Professional to code and charge medical office visits. The role requires ICD-10 and CPT coding expertise, a high school diploma, and a professional coder certification. Responsibilities include ensuring coding accuracy and assisting with denial management. Candidates should have at least two years of coding experience, with preferred completion of coding training programs. This position supports a diverse workplace and promotes equal employment opportunities. #J-18808-Ljbffr

Job Description Job Description WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Coder MAIN FUNCTION: The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve re-imbursement and revenue compliance concerns. Involved in the charge capture process. RESPONSIBLE TO: System Director of Revenue Cycle MUST HAVE REQUIREMENTS: Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS/ or CCA eligible. If not credentialed at time of hire, then applicant must become credentialed in one of the four areas within 12 months of hire to remain employed. Ability to operate computer on a daily basis and perform basic office procedures. No written...

Profee E/M Medical Coder The Profee E/M Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and E/M (Evaluation and Management) codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of...

Position Summary Under the general direction of the Coding Supervisor of Health Information Management Services, this employee is responsible for the coding and abstracting of all inpatient visits or specialty outpatient surgery/observation visits or both based on physician documentation in the Medical Record. Shift and Schedule THIS SHIFT IS A 9 HOUR SHIFT Full‑time, 6:30 AM – 4:00 PM, 72 hours per pay period. Responsibilities Code and abstract all inpatient visits or specialty outpatient surgery/observation visits. Collaborate with Clinical Documentation Specialists to ensure appropriate documentation and validate accurate diagnostic and procedural information. Assign correct DRG or APC in accordance with current coding classification systems and AHIMA’s Standards for Ethical Coding. Follow up on outstanding accounts for billing. Ensure work complies with The Joint Commission on Accreditation of the Healthcare Organizations and Premier Health Partners HIMS approved...

Kettering Health Job Description Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it's by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach. Campus Overview Kettering Physician Network Our elite medical group employs more than 700 providers, including physicians and advanced practice providers, throughout the Greater Dayton and Cincinnati areas. Our patients have access to a multidisciplinary professional team to meet all their healthcare needs. From primary care to brain and spine surgery, we provide an extensive range of specialties and expertise, in over 200 locations and ten counties. Working collaboratively across specialties, we...

Profee E/M Medical Coder The Profee E/M Medical Coder is responsible for assigning ICD-10-CM diagnosis codes and E/M (Evaluation and Management) codes as appropriate and abstracts pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 2 years and have a minimum of 2 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of...

Job Description Job Description Description: About Primary Health Solutions Our Mission We meet people where they are and partner with them on their journey towards wellness. Our Vision The destination for servant leaders to provide comprehensive and exceptional care. Our Values R – Respect I – Innovation S – Stewardship E – Excellence Billing and Coding Specialist Summary Responsible for entering/auditing/coding patient services to ensure encounters transfer properly for submission to insurance payers. Analyze coding related claim issues, process gaps and denials to trend feedback for providers by location and/or specialty. A Day in the Life · Review provider documentation (including hospital procedures) and translate services into correct codes. Append payer specific modifiers and claim criteria when applicable. · Review incomplete encounters and code based on available documentation in EHR systems. · Know and understand several different...

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. The ideal candidate for this...

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. KPN Pro Fee Coding Specialist Serves as the subject matter expert ensuring coding compliance, knowledge of CMS billing rules and regulations and serves as a professional fee coding resource to network service lines. Demonstrates knowledge of CPT, HCPCS, ICD-10 and CMS NCCI edits Reviewing the ambulatory records for the appropriate risk adjustment components Identify opportunities for the provider to have supplemental documentation to support the Hierarchical Condition Category (HCC) codes Accurately assess documentation in EPIC EMR to assign appropriate CPT, HCPCS and ICD-10 Reviews and researches pending and denied claims pertaining to professional fee coding, CMS NCCI edits, and/or medical necessity requirements...

A leading healthcare provider is seeking an Emergency Medicine Coder to work remotely. The role involves reviewing patient medical records and assigning ICD-10 and CPT-4 codes according to established guidelines. Candidates should possess extensive knowledge of medical coding and terminology, along with a high school diploma and relevant certification or eligibility. This entry-level full-time position offers opportunities for career growth and a supportive work culture. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 60% Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding...

Job Title Looking to join and lead a dynamic team at Ohio State University Physicians where excellence meets compassion? Job Description With over 100 cutting-edge outpatient center locations, dedicated to providing exceptional patient care while fostering a collaborative work environment, our buckeye team includes more than 1,800 nurses, medical assistants, physicians, advanced practice providers, administrative support staff, IT specialists, financial specialists and leaders that all play an important part. As an employee of Ohio State University Physicians (OSUP), you'll be an integral part of a team committed to advancing healthcare, education, and professional growth. At OSUP, we foster a culture grounded in the values of inclusion, empathy, sincerity, and determination. We meet our teams where they are, coming together to serve each other and our community. We know that having options and robust benefit plans are important to you. OSUP prioritizes the wellbeing of our...

The Certified Coder reviews CPT, HCPCS and ICD-10 coding for physician visits and procedures. This position assures that proper documentation is present to support the codes submitted for reimbursement. The Certified Coder reviews claims prior to submission to ensure necessary modifiers are included to provide optimal reimbursement. The responsibilities also include assisting the Insurance Claims Specialists with filing appeals when needed and the Patient Account Representatives when patients may have questions related to coding. Full-Time/Benefits Eligible Monday-Friday - 8a-5p Westerville, OH ESSENTIAL FUNCTIONS AND RESPONSIBILITIES Review physician progress notes for necessary documentation prior to locking of notes. Work claims prior to submission to ensure that the codes are correct and necessary modifiers have been appended. Work actions from sites and other teams in Revenue Cycle to assist in coding queries. Assist Physicians in learning how to do correct coding....

Thank you for considering a career at Ensemble!Ensemble is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!O.N.E Purpose:Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.Striving for...

Senior Billing Specialist The primary responsibility of this position is to review, analyze and/or assign ICD-10 Diagnosis and CPT Codes for all E&M, procedural and/or surgery codes for professional billing. Also, should be able to code for Professional Inpatient vs Observation status. Other responsibilities include revenue integrity functions including charge capture, timely charge entry, revenue improvement initiatives and compliant documentation review. Job function include communicating with practice leaders, providers and CBO leadership on areas of concern or opportunity including open encounters and zero charges. Candidate may also be expected to assist in performing other administrative task as assigned as well as assisting other areas of the Revenue Cycle or Clinical divisions as necessary. Primary Responsibilities: Proficiently assign ICD-10, HCPCS, CPT codes and modifiers to all assigned outpatient or inpatient records for all professional coding for AMG and...

Kettering Health Network is seeking a full-time Risk Adjustment Coder for their office in Kettering, OH. This role focuses on coding compliance and ensures adherence to CMS billing rules while supporting clinical outcomes through documentation feedback to providers. The ideal candidate will have a High School Diploma, relevant coding certifications, and prior experience in professional fee coding. This position fosters relationships with healthcare providers and contributes to improving coding practices. #J-18808-Ljbffr

A healthcare organization in Ohio is seeking a HIM Coder Level I to assign ICD-10 and CPT codes for outpatient and inpatient records. Candidates must have a High School diploma, knowledge of medical terminology, and complete a coding training program within 90 days. Previous coding experience is preferred. This is a full-time remote position with opportunities for professional growth. Join us to make a difference in healthcare coding. #J-18808-Ljbffr

Location: Remote - Ohio Department: HIM Revenue Cycle Weekly Hours: 20 Status: Part time Shift: Days (United States of America) Job Summary As the Outpatient Coder I, you will translate health care services and procedures into standardized codes on outpatient accounts. You will work with Epic work quests to maintain timeliness of coding, billing, and accounts receivable. You will communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation. You will formulate, monitor and respond to all compliant documentation clarification requests to query the provider for resolution of incomplete documentation. The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive. Requirements Associate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment...

A leading health care provider is seeking an Outpatient Coder I to work remotely from Ohio. This part-time position involves translating healthcare services into standardized codes and requires an understanding of ICD-10-CM, CPT, and HCPCS coding. Candidates should have an associate or bachelor's degree in Health Information Technology, outpatient coding experience, and relevant certifications. The role offers a competitive salary and comprehensive benefits package, effective from day one of employment. #J-18808-Ljbffr