46 coder specialist jobs found

Coder - Coding Specialist Hospital Job Description 40 hours/week, Monday - Friday, 8a-4:30p CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire Relocation assistance Qualifications Associates Degree in HIM required OR at least two years of hospital-based coding experience Sorry, no NEW GRADS Associates and 1 year of hospital-based experience would be acceptable All your information will be kept confidential according to EEO guidelines.

Datavant is looking for experienced outpatient coders to join their remote team in Columbus, Ohio. The role focuses on reviewing medical records and assigning accurate diagnosis and procedure codes while maintaining a high coding accuracy rate. The ideal candidate will have at least 3 years of outpatient coding experience and CCS certification. Datavant offers flexible schedules, competitive pay, and a collaborative environment dedicated to transforming healthcare through data. #J-18808-Ljbffr

Coder - Coding Specialist Hospital Job Description 40 hours/week, Monday - Friday, 8a-4:30p CCS, CPC-H, RHIT or RHIA required or must be obtained within 18 months of hire Relocation assistance Qualifications Associates Degree in HIM required OR at least two years of hospital-based coding experience Sorry, no NEW GRADS Associates and 1 year of hospital-based experience would be acceptable All your information will be kept confidential according to EEO guidelines.

UASI is looking for experienced coding specialists to work remotely. The role requires AHIMA or AAPC certification and a minimum of three years of recent coding experience for inpatient and outpatient records. The ideal candidate is detail-oriented, punctual, and flexible, capable of maintaining a coding quality of at least 95%. UASI provides a supportive work environment with opportunities for career growth and competitive salaries. #J-18808-Ljbffr

Ensemble Health Partners is seeking a Specialized Coder to support Cardiology, Vascular or Thoracic Surgery coding. In this role, you will be responsible for accurately coding encounters from medical records, tracking trends in charge reviews, and assisting with the education of other coders. This remote position offers a competitive salary range ($29.75 - $32.70/hr) based on experience, along with a comprehensive benefits package, opportunities for career advancement, and a $3,000 sign-on bonus. #J-18808-Ljbffr

Virtua is seeking a Medical Coder to work remotely, tasked with coding and abstracting hospital medical records. Candidates should possess a minimum of two years of inpatient coding experience and relevant education, including a High School Diploma and knowledge of medical terminology. The role requires proficiency in a Windows environment and strong communication skills. The position offers competitive hourly rates, ranging from $26.22 to $44.54, depending on qualifications, along with a comprehensive benefits package. #J-18808-Ljbffr

Ensemble Health Partners, based in Ohio, is seeking a remote Forensic Coder to analyze coding opportunities and support improvement projects. The ideal candidate should have at least 4 years of coding experience, particularly in specialties like Cardiology and Oncology. This position offers a competitive hourly wage ($24.65 - $27.10), along with benefits such as paid certifications and tuition reimbursement. Travel may be required to client locations as needed, and AAPC/AHIMA certification is essential. #J-18808-Ljbffr

A health care provider is seeking an Inpatient Coder to work from home in any state. The ideal candidate will have advanced coding experience, specifically with inpatient records and Medicare guidelines. Key responsibilities include reviewing medical records, accurately assigning codes, and collaborating with medical staff to ensure documentation accuracy. The position offers several benefits, including competitive pay, health coverage, and opportunities for professional development. #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

KPN Pro Fee Coding Specialist This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. 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 [CMS LDC/NCD and/or payer policy] Demonstrate initiative for maintaining current knowledge of CPT,...

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...

Job Summary Designs and delivers education programs on compliant documentation, coding and billing practices, regulatory requirements, and internal policies through learning experiences such as instructor-led sessions, webinars, and e-learning modules. Serves as a key resource for physicians, clinical staff, auditors, coders, and other stakeholders, ensuring understanding and adherence to applicable standards. Analyzes data and reports to identify educational needs and may conduct limited audits to support targeted training efforts. Essential Functions: Develops and delivers targeted education based on new service or program implementation, CPT/ICD-10 changes, and regulatory changes. Reviews audit data and compliance trends to identify educational gaps and address areas of risk. Designs and maintains educational content and resources, supporting accurate CPT and diagnosis coding for professional services,...

Medical Billing Specialist Join Our Team as a Medical Billing Specialist! Why Work With Us? At One Health Ohio, we believe in fostering a positive work environment that prioritizes our team and our patients. Enjoy competitive benefits and a supportive workplace where your contributions truly matter! Do you have prior billing experience in dental or medical settings? Are you looking for a role that blends your billing expertise with a clinical touch? If so, we could be the perfect next step in your career journey. Benefits Include: Affordable Health, Vision, Dental, and Life Insurance 401(K) with dollar-for-dollar matching (up to 4%) Generous Paid Time Off (PTO) Paid Holidays Essential Job Functions: Prepares and submits clean claims to various insurance companies either electronically or by paper. Answers questions from patients, clerical staff, and insurance companies. Identifies and resolves patient billing complaints. Prepares, reviews, and...

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...

Location: Mount Holly - 175 Madison Avenue Remote Type: 100% Remote Employment Type: Employee Employment Classification: Per Diem Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 0 Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview. Summary Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities Accurately...

Location: 100% Remote Remote Type: On-Site Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Mount Holly - 175 Madison Avenue Summary Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4,...

Virtua is seeking a Per Diem Coding Specialist to work 100% remotely. This role involves coding and abstracting hospital medical records accurately for various patient types. Candidates should have a minimum of two years of inpatient records coding experience and a strong understanding of medical terminology. The position offers a competitive hourly rate ranging from $26.22 to $44.54, depending on experience. Virtua provides comprehensive benefits for part-time colleagues, including medical, dental, and tuition assistance. #J-18808-Ljbffr

KPN Pro Fee Coding Specialist This position under the direction of the Manager of Professional Services Coding is responsible for coding compliance, HCC capture and EPIC WQ Reconciliation. 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 [CMS LDC/NCD and/or payer policy] Demonstrate initiative for maintaining current knowledge of...

Job Details Physician Office | Kettering | Full-Time | First Shift Responsibilities & Requirements 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...

Job Description Job Description Join Our Team We are a mission-driven behavioral health organization committed to empowering individuals on their recovery journey. We are seeking an experienced Medical Billing, Credentialing & Coding Specialist  responsible for managing the full revenue cycle, including insurance billing, provider credentialing, and accurate medical coding for a behavioral health organization. This role ensures compliance with payer requirements, supports timely reimbursement, and maintains provider enrollment through CAQH and other credentialing platforms Summary of Responsibilities: Medical Billing & Revenue Cycle ·         Submit accurate and timely claims for mental health and substance use disorder services ·         Monitor claim status, resolve denials, and follow up on unpaid claims ·         Post payments and reconcile accounts receivable ·         Verify patient insurance eligibility and benefits ·         Ensure compliance with...

Certified Coder Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's. Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. Maintains a coding accuracy rating of at least 95% on records assigned. Queries physicians when necessary to ensure documentation...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Outpatient Medical Coder 2 Department: James | Radiation Oncology Scope of Position This area codes inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. ICD-10-CM diagnoses codes and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System. Medical record data is then abstracted into a clinical abstracting system. This position is responsible for coding some or all the following types of records: inpatient, outpatient clinic, and ancillary areas. Position Summary The position is primarily responsible for coding/billing of medical records and other documents for the patient's visits. This requires selection of appropriate diagnosis, principal and secondary diagnoses, deciphering handwriting of professional staff, and...

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...