22 coding and cdi jobs found

Job Description Job Description Description: Role Summary Responsible for reviewing inpatient coding to validate accuracy, compliance, and documentation support. This role identifies risks, ensures consistency in DRG assignment, and provides actionable feedback to improve coding quality. Core Responsibilities Perform retrospective and/or concurrent audits of inpatient coding. Validate ICD-10-CM/PCS code assignment and MS-DRG/APR-DRG accuracy. Follow and adhere to AHIMA’s Standards of Ethical Coding, all applicable regulations and guidelines, and all client specific policies. Identify trends, risks, and opportunities for coding improvement. Provide clear, actionable audit feedback and education to client & internal coding staff. Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Requirements: Minimum Qualifications Credentials: CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years of...

Outpatient Coder 3 The University of Miami/UHealth Department Health Information Management has an exciting opportunity for a full-time Outpatient Coder 3 to work in Miami, FL. Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Core Job Functions Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient's admission. Guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes. Reviews documentation and reaches out to physicians for additional information when information for proper...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Inpatient Medical Coder (Remote - Select States Only) The Inpatient Medical Coder is responsible for accurately coding hospital inpatient records using ICD-10-CM and ICD-10-PCS to support appropriate reimbursement, data integrity, and compliance with federal and state regulations. Candidates must reside in one of the following states: Maryland, Pennsylvania, Washington D.C., West Virginia, Virginia, Tennessee, Texas, North Carolina, South Carolina, Georgia, or Florida. Key Responsibilities Analyze inpatient medical records and assign accurate ICD-10-CM/PCS codes Ensure correct APR-DRG/MS-DRG, SOI, ROM, and POA assignment Review documentation and collaborate with clinical staff and CDI teams to resolve discrepancies Code and abstract records within established productivity and turnaround time standards Maintain high coding accuracy to prevent denials and compliance risk Communicate with billing and hospital departments regarding coding or registration...

Job Title Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Job Description Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections...

Physician Billing Coder | Revenue Cycle - Team 2 - Cardiology | Days | Full-Time | CERTIFIED | REMOTE FTE: 1.0 Schedule: Monday - Friday, 8:00 AM - 5:00 PM Work Location: Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TX Job Summary Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines. Accurately codes office and hospital procedures to ensure proper reimbursement. Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes. Responsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal...

Outpatient Surgery Coder Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required Experience: NCCI/CCI edits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience with...

Our Promise to You Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. Benefits Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 3100 E FLETCHER AVE City: TAMPA State: Florida Postal Code: 33613 Job Description Performs quality reviews on coded...

Job Description The Coding Auditor reviews/audits patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment, as applicable, according to established guidelines. This position issues the coding "report card" quarterly to all coders. This position provides coding training and education. This position may audit accounts for ER Charging accuracy and perform RAC and other third party audit appeals. Responsibilities Reviews patient records for correct ICD-10-CM/PCS codes, CPT Codes, POA assignment and MS-DRG assignment according to established guidelines and scores appropriately, if applicable. Works with CDIS on DRG assignment and educates on missed Query opportunities. Works with staff on coding guidelines and correct code assignment Informs manager of any activities which do not meet federal or state coding and billing requirements Appeals RAC DRG review charts. Receives requests from business office on issues relating to coding and...

Our promise to you: Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Overview Lead a remote team focused on coding denials, reimbursement optimization, and operational performance. Work Style: Remote Location Requirement: Must reside in an authorized state (FL, GA, PA, NC, SC, TN, or TX) FTE: Full-Time (1.0 FTE) Manages the daily operations of the revenue cycle clinical denial coding team to ensure accurate, timely resolution of denied claims and optimization of reimbursement. Oversees workflows, assigns work, and monitors productivity and quality to drive performance and compliance. Collaborates with healthcare providers, coding teams, and insurance payers to resolve billing issues, support appeal processes, and expedite payment. Reviews financial and denial reports to identify trends, implement corrective actions, and improve overall denial management strategies. Trains and mentors staff on denial resolution, coding accuracy, and payer requirements while promoting best practices. Partners with cross-functional teams-including...

Supervisor, Medical Audit - Medical Bill Audit Supervises and monitors the daily activities of non-licensed and licensed staff to successfully complete the daily work, maintains contact with the clinical departments to ensure accurate charge capture and works with the CDM analyst to maintain a compliant Charge Master. Works with MBA staff to meet the daily DNB goals and contributes to meeting the Revenue Integrity Department's and the hospital's fiscal goals. Supports the efforts of Coding, HIM, Denials, and Utilization Management by ensuring timely, accurate, and complete data entry in multiple information systems/data bases. Assists Patient Accounts by reviewing, correcting and submitting billing information to enable timely filing of bills and maintaining a low AR. Brings issues with legal, risk management, or compliance implication to the attention of Manager or Director in an expedient manner. Functions as key contact point for the Hospital and maintains excellent working...

Physician Billing Coder (Surgical) | Revenue Cycle Admin | Days| PRN Pool | CERTIFIED | REMOTE University of Florida Jacksonville Physicians, Inc. is seeking an experienced Physician Billing Coder for a remote position. This role requires strong coding expertise and a commitment to maintaining compliance with all regulations. Overview FTE: 0.20 Shift Hours: Monday - Friday - VARIABLE Work Location: Remote (within approved states: FL, GA, MO, PA, SC, TN, and TX) Position Summary Under general supervision, the Coder reviews, analyzes, and assigns final diagnoses and procedures based on provider documentation, adhering to all compliance policies and guidelines. The Coder accurately codes office and hospital procedures to ensure proper reimbursement. This position also provides physician education to ensure proper completion of Electronic Health Records and accurate assignment of ICD-10, CDM, HCPCS, and CPT codes, delivered verbally, physically, and in written form....

OverviewFTE:1.0Schedule:Monday - Friday, 8:00 AM - 5:00 PMWork Location:Remote - Authorized remote work states - FL, GA, MO, PA, NC, SC, TN and TXJob Summary:Under general supervision, reviews, analyzes, and assigns final diagnoses and procedures as documented by the practicing provider, ensuring compliance with all policies and guidelines.Accurately codes office and hospital procedures to ensure proper reimbursement.Ensures the accurate completion of electronic health records through the assignment of ICD, CDM, HCPCS, and CPT codes.ResponsibilitiesResponsibilities Review clinical documentation and code to the highest level of specificity for accurate charge capture as stated by physicians or other healthcare providers. Assign and sequence appropriate codes using current procedure, diagnosis, and HCPCS standards for insurance billing. Accurately follow coding guidelines and legal requirements to ensure compliance with federal and state regulations. Communicate with Special Billers...

Overview Summary :Review, analyzes and assigns the final diagnoses and procedures as stated by the practicing provider's documentation following all compliance policies and guidelines.Accurately codes office and hospital procedures for providers to ensure reimbursement.Provides physician education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD 10 CDM, HCPCS and CPT codes, verbally, physically, and in written forms.Responsibilities Responsibilities :Review clinical documentation and code to the highest level of specificity for accurate charge capture.Interacts with providers to provide feedback / education utilizing physical, verbal and written communication skills.Assign and sequence appropriate codes and modifiers using current procedure, diagnosis, and HCPCS to services billed.Accurately follow coding guidelines and legal requirements to ensure compliance with Federal and State guidelines.Communicates with Physicians, other...

All the benefits and perks you need for you and your family :Benefits from Day One Career Development Whole Person Wellbeing Resources Mental Health Resources and SupportOur promise to you :Joining AdventHealth is about being part of something bigger.Its about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding thattogetherwe are even better.Shift:Monday- Friday Full time 8am-5pmJob Location:RemoteThe role you will contribute :Responsible for reviewing accounts for accuracy using the charge capture audit system in compliance with local, federal, and state guidelines, as well as managed care reimbursement practices.This position uses clinical knowledge and...