112 coder professional jobs found

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Job Description Essential Functions Validate/Review codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. 40% Responsible for resolving all assigned pre-billing edits. 15% Utilizes appropriate coding software and coding resources in order to determine correct codes. 15% Communicates billing related issues to assigned supervisor/manager and participates in Denial meetings in order to improve overall billing when applicable. 10%...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits. Communicates billing related issues and participates in meetings to improve overall billing process. Provides feedback to providers...

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits Communicates billing related issues and participates in meetings to improve overall billing process Provides feedback to providers in...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for validating/reviewing and assigning applicable CPT, ICD-10, Modifiers and HCPCS codes for inpatient, outpatient and physicians office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines for multi-specialty medical practice(s). Communicates with providers and team members regarding coding issues. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Validates/reviews codes for assigned provider(s)/Division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Responsible for resolving all assigned pre-billing edits. Communicates billing related issues and participates in meetings to improve overall billing process. Provides feedback to providers...

Inspire health. Serve with compassion. Be the difference. Job Summary Conducts prospective review to abstract Hierarchical Condition Categories (HCC's) codes to report for the calendar year. Communicates (via Epic and in person) with providers on any outstanding HCC capture opportunities. Conducts retrospective reviews to ensure that documentation supports reporting the Hierarchical Condition Category code prior to payor submission. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Conducts prospective review of charts to identify HCC opportunity. Conducts retrospective review of charts to confirm documentation supports reporting. Utilizes payor specific software to assist in capturing HCCs. Communicates with providers about HCC opportunities for improvement. Identifies suspect conditions that would potentially support reporting an HCC. Participates in...

divh2Coder/h2pThe coder will review documentation of providers and assign CPT codes, ICD10 codes, and modifiers for provider professional services. The coder is responsible for providing coding education to providers and completing daily billing functions. Other duties as assigned by Practice Manager./ph3Minimum Requirements/h3pstrongEducation/strong/pp High School Diploma or equivalent/ppstrongExperience/strong/pp N/A/ppstrongLicense/Registration/Certifications/strong/pp Certified Coder-CPC or CCS-P/ppstrongPreferred Requirements/strong/ppstrongPreferred Education/strong/pp Associates Degree/ppstrongPreferred Experience/strong/pp 2 years billing/coding experience/ppstrongPreferred License/Registration/Certifications/strong/pp N/A/ph3Core Job Responsibilities/h3p Review provider documentation in the electronic medical record to identify incomplete documentation and communicate with provider for completion/pp Assign appropriate ICD-10 and CPT codes/pp Assign modifiers as...

Employer Industry: Healthcare Services Why consider this job opportunity: Sign-on bonus of $5,000 Day one medical, dental, and life insurance benefits Eligible for 403(b) match plan enrollment from day one, with employer matching dollar for dollar up to 6% Tuition reimbursement and student loan forgiveness programs Opportunity to work in a recognized healthcare organization with a commitment to quality and excellence Supportive and collaborative work environment with focus on continuous quality improvement What to Expect (Job Responsibilities): Assign ICD and CPT codes for reimbursement and statistical purposes, following regulatory guidelines Abstract clinical information from medical records for accurate documentation Research and stay updated on trends in healthcare coding and compliance Collaborate with physicians and coding staff to ensure proper code assignment Assist with coding claim edits and review claim denials for correction What is Required...

Overview Duration: 5 months (Possible contract to hire) Work Schedule: Monday-Friday, 8am-4:30pm. Job Description: A typical day would like in this role: We are opening these positions due to increased volume of DRG review. We currently have 2 Medical Review Auditors on our team already. The normal day is DRG reviews and audits. Responsibilities Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department. Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to...

Professional Medical Coder II (Remote Vascular Coder Position, Must reside in SC) Full Time AM Shift 8 am to 5pm Sign-On Bonus: $5000 Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern Healthcare as one of the Best Places to Work in Healthcare and was first in the state to achieve Magnet with Distinction status for excellence in nursing care. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the region's third largest employer. Lexington Health also includes an accredited Cancer Center of Excellence, the state’s first HeartCARE Center, the largest skilled nursing facility in the...

1 week ago Be among the first 25 applicants Coding Full Time AM Shift 8 am to 5pm Sign-On Bonus: 0 Consistently named best hospital, Lexington Medical Center anchors an expansive health care network that includes nearly 600 physicians and advanced practice providers at nearly 80 locations across the Midlands of South Carolina, making it the region’s third largest employer. From general medicine and orthopaedics to oncology, cardiology and neurosurgery, these dedicated professionals combine the highest quality care with advanced medicine and state-of-the-art technology to help patients achieve the best possible outcomes. Its postgraduate medical education programs include family medicine and transitional year residencies. Job Summary Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical...

Professional Coder II- Remote The 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 Requirements Associates degree or equivalent in education and experience. Current AAPC or AHIMA Coding Certification (e.g., CPC, COC, CCS, Specialty Coding Credential) or RHIT, RHIA, CEDC (Certified Emergency Department Coder). 2-years medical records coding of CPT/HCPCS & ICD-10 for multiple specialties Knowledge of insurance company, third-party and government reimbursement programs; i.e. Medicare, Medicaid, MC+, etc. Knowledge of medical insurance...

Professional Medical Coder I (Remote Position, Must Reside in South Carolina) Coding Full Time AM Shift 8a-5p, Mon-Fri Sign-On Bonus: $5,000.00 Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro area by U.S. News & World Report, Lexington Medical Center is the only hospital named one of the Best Places to Work in South Carolina and the first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South Carolina's first HeartCARE CenterTM and an accredited Cancer Center of Excellence affiliated with MUSC Hollings Cancer Center for research and...

Professional Medical Coder II Assigns appropriate ICD and CPT codes for reimbursement and statistical purposes. Follows ICD, CPT, CMS, and other regulatory coding guidelines. Abstracts clinical information from medical records for complete and accurate statistical documentation. Minimum Qualifications Minimum Education: High School Diploma or Equivalent Minimum Years of Experience: 3 Years of Professional Coding Experience Covering Multiple Clinical and/or Surgical Specialties (Combination of Surgical, E/M, or other coding experience as approved by Director), which they Successfully Met Quality and Productivity Standards Required Certifications/Licensure: Active AAPC or AHIMA Coding Credential Required Training: Experience working with CPT, ICD diagnosis coding; Experience with CCI edits; Experience with Medicare LCDs and NCDs; Understanding of state and federal regulations as well as payor billing requirements; Must be computer literate and have experience with...

Inspire health. Serve with compassion. Be the difference. Job Summary Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable....

This range is provided by Addison Group. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $24.00/hr - $26.00/hr Direct message the job poster from Addison Group National Recruiter (Health Information Management) at Addison Group Certified Coding Specialist, Columbia, SC Schedule: Mon–Fri, start between 7–9 AM Location: Onsite in Columbia, SC (potential hybrid after conversion) Type of Coding: OP Profee – Urgent Care only (E/M leveling, splints, lacerations, wound care, no facility OP) Tasks: Scrubbing, LCD/NCD edits, abstracting, staff education on coding/documentation Credentials: AAPC – CPC-A accepted Soft Skills: Team player, strong communication, collaborative, work-hard mentality Seniority level Associate Employment type Full-time Job function Health Care Provider Industries Hospitals and Health Care Referrals increase your chances of interviewing at Addison Group by 2x Inferred from...

A regional healthcare provider is seeking a qualified medical coder to validate and assign coding for various healthcare settings. The ideal candidate will adhere to compliance guidelines and communicate effectively with providers regarding coding issues. Prospective applicants should have at least two years of coding experience, certification as a Certified Professional Coder (CPC), and strong knowledge of payer guidelines. This role supports a collaborative environment aimed at improving healthcare services in the community. #J-18808-Ljbffr

A health organization is seeking a qualified coding professional responsible for validating and reviewing codes for various medical settings. The ideal candidate will have at least 2 years of professional coding experience and a Certified Professional Coder (CPC) certification. The role includes resolving billing edits, communicating with supervisors, and participating in ongoing education related to coding practices. Join us at a dynamic healthcare organization that values transformation in healthcare service. #J-18808-Ljbffr

Inspire health. Serve with compassion. Be the difference. Job Summary The Professional Billing Quality Coding Auditor will support the Medical Group Coding and Education department by performing routine reviews of coders to ensure accurate coding. This position will also perform specialty reviews as identified by Coding and Education leadership. Prepares a summary of findings and presents reports to leadership on a monthly basis. Will assist with training coders on identified opportunities for improvement. Will also assist in preventing coding denials when applicable. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Performs multi-specialty reviews for the Medical Group validating the CPT, ICD-10, modifiers and HCPCS codes using official coding guidelines and CMS guidelines and prepares a summary of findings. Performs review of all coders within the...

A leading health organization seeks a skilled candidate for HCC coding roles in Boyce Lawn, South Carolina. You will lead prospective and retrospective reviews to identify and confirm coding opportunities with providers. The role requires five years of professional coding experience along with CPC and CRC certifications. The ideal candidate will excel in communication and proficiency in healthcare coding software. Join us to inspire health and serve with compassion. #J-18808-Ljbffr

Job Description Job Summary: The Inpatient Coder is responsible for accurately assigning diagnosis and procedure codes to inpatient discharges at the smaller McLeod Health facilities representing less complex medical/surgical encounters. Keeps abreast of all new coding developments by attending any coding classes, reading articles on coding updates, and attending seminars when available. Possess inpatient coding knowledge and experience necessary to accurately assign codes to determine correct principal diagnosis, identify and assign co-morbidities and complications, secondary diagnoses, present on admission indicator, discharge disposition, Hospital Acquired conditions, principal procedure and secondary procedures on all discharged inpatient records to arrive at the most appropriate DRG assignment. Codes all Obstetrics, Newborn and Behavioral Health encounters at applicable facilities if assigned by Supervisor and/or Director. Queries physicians appropriately when...

A healthcare service provider is seeking a Coding Specialist in Florence, South Carolina. This full-time entry-level position requires a High School Diploma or GED and CPC or CRC credentials. The candidate must have a minimum of two years’ experience with CPT/ICD10 coding, strong organizational skills, and the ability to work independently. Responsibilities include reviewing charts for accurate coding and educating the Revenue Cycle staff. Join our mission to provide exceptional healthcare services. #J-18808-Ljbffr