10 coder professional 3 jobs found

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. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

A company is looking for an Inpatient Coder II. Key Responsibilities Assigns appropriate ICD-10-CM and ICD-10-PCS codes to complex inpatient visit types Collaborates with Clinical Documentation Improvement (CDI) on discharge coding and documentation Meets established coding productivity and quality standards while resolving coding validation errors Required Qualifications 3 years of inpatient coding experience in an acute healthcare setting RHIA, RHIT, or CCS credential AHIMA membership Associate's degree in a related field (preferred) 4 years of inpatient coding experience in a teaching hospital (preferred)

A company is looking for a Coding Services Specialist. Key Responsibilities Analyze medical records to assign codes from patient records according to ICD-10-CM and/or CPT, HCPCS classification systems Review patient encounters for accurate code assignment and check for CCI bundling edits and NCD/LCD edits Enter codes into the client's coding program for billing and resolve claim and billing edits or denials Required Qualifications 3-5 years of Diagnostic Radiology Coding experience Certification such as RCC, CPC, or CCS-P or equivalent Moderate knowledge of level 1 & 2 modifiers and CCI edits Ability to maintain a production rate of 90% or higher and audit scores of 95% or better Must be a US resident in specified states

A company is looking for a Cardiothoracic Surgery Coder-Physician Charges. Key Responsibilities Code Cardiothoracic Surgery physician charges Communicate coding rationale to physicians Code inpatient and outpatient Cardiothoracic charges Required Qualifications 3+ years of surgical coding with E/M experience Proficiency in Cardiothoracic Surgery Coding AAPC Certification - CPC Ability to communicate official source coding rationale to physicians Multi-specialty surgical coding experience is a plus

A company is looking for a Risk Adjustment Coding Specialist. Key Responsibilities Perform medical record reviews and validate/assign ICD-10-CM diagnoses for Risk Adjustment Support coding/auditing work for retrospective risk adjustment and HHS-RADV initiatives Document coding discrepancies and collaborate with internal teams and providers to resolve coding issues Required Qualifications CRC certification (Certified Risk Adjustment Coder) required 3+ years of experience in Risk Adjustment coding (HCC) 3+ years of HHS-RADV coding and auditing experience Strong knowledge of CMS/HHS coding and documentation guidelines Basic proficiency in Excel for data entry and lookups

A leading healthcare data company is seeking experienced outpatient coders to join their team. This fully remote role allows for flexible work schedules and focuses on reviewing medical records to assign accurate codes. Ideal candidates will bring 3+ years of coding experience, expertise in claim edits, and proficiency with multispecialty coding. The role emphasizes maintaining a high accuracy rate, effective communication, and teamwork, contributing towards transformative healthcare solutions. #J-18808-Ljbffr

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...

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care...

Accountant/Auditor - Supervisor of Unclaimed Property Location: Wilmington, DE (Preferred) or any of Barnes & Thornburg's 23 nationwide offices Barnes & Thornburg LLP seeks a Supervisor of Unclaimed Property to join and help lead a collaborative and growing team of accountants and attorneys working on unclaimed property matters. The firm is committed to building a "best-in-class" team of professionals who enjoy working together to solve unclaimed property problems and serve clients. Summary: The Supervisor of Unclaimed Property will work directly with a team to manage unclaimed property matters, including reviews of voluntary disclosures submitted by companies. The Supervisor will engage with clients, unclaimed property administrators, professionally adverse parties, and opposing attorneys and accountants to conduct efficient and effective unclaimed property reviews and negotiate resolutions. This position is preferably located in our Wilmington, Delaware...