18 coding quality specialist 3 jobs found

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation SupportGreenwood Village, CO (Denver Tech Center)Schedule:Monday–Friday, with Wednesdays remote and the remaining days in the officeLakeshore Talent is in search of a detail-oriented Medical Coding Review Organize medical records and billing documentation into a clear, logical structure that supports efficient and thorough review. Compare captured billing information against medical records to validate CPT and HCPCS procedure codes and modifiers, making corrections when supported by the documentation. Evaluate procedures across applicable billing components, including professional services, facility charges, anesthesia, and other related services. Apply established coding review methodologies consistently and document the rationale behind decisions to ensure transparency and reproducibility. Manage multiple cases and review assignments while meeting established deadlines and...

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you will be doing in this role Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Location: Greenwood Village, CO (Denver Tech Center) Position Type: Direct Hire Salary: $75,000–$85,000 annually Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Start Time: 7:00 AM or 8:00 AM Position Overview Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. Beyond day-to-day code review, you will play an important role in refining coding methodologies, improving workflows, developing training resources, and establishing clear guidelines that help the team work more efficiently. You will also...

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Location: Greenwood Village, CO (Denver Tech Center) Position Type: Direct Hire Salary: $75,000–$85,000 annually Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Start Time: 7:00 AM or 8:00 AM Position Overview Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. In this position, you will review medical records and billing documentation, validate CPT and HCPCS procedure codes and modifiers, and ensure that coding decisions are accurate, consistent, and well-documented. Your work will...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Greenwood Village, CO (Denver Tech Center) Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. In this position, you will review medical records and billing documentation, validate CPT and HCPCS procedure codes and modifiers, and ensure that coding decisions are accurate, consistent, and well-documented. Your work will support the development of transparent, defensible medical damage valuations used in litigation-related cases. Beyond day-to-day code...

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation’s Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company’s Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Discover why U.S. News & World Report has named us one of America’s Best Hospitals. What you will be doing in this role: Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis, comorbidities/complications,...

Coding Specialist Location: UCHealth UCHlth Admin Lowry, US:CO:Denver Department: UCHealth Inpatient Coding Work Schedule: Full Time, 80.00 hours per pay period (2 weeks) Shift: Days Pay: $25.80 - $38.70 / hour. Pay is dependent on applicant's relevant experience This is a 100% remote position. Eligible, out-of-state candidates may be considered. Summary: Assigns codes for medical diagnoses and procedures using the appropriate coding classification assigned using ICD-10 and PCS. Responsibilities: Reviews account day after admission and assigns appropriate ICD-10 and PCS codes. Review accounts throughout the stay and updates coding as documentation is added. Collaborates with physicians, CDI, and Quality to ensure accurate and complete coding, and to capture any quality measures needed. Partner with Compliance and department committee's to clarify any coding issues. Enhances coding knowledge and skills with continuing education activities and by reviewing pertinent...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Greenwood Village, CO (Denver Tech Center) Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. In this position, you will review medical records and billing documentation, validate CPT and HCPCS procedure codes and modifiers, and ensure that coding decisions are accurate, consistent, and well-documented. Your work will support the development of transparent, defensible medical damage valuations used in litigation-related cases. Beyond day-to-day code...

The Inpatient Coder II is responsible for assigning ICD-10-CM and ICD-10-PCS codes for acute care inpatient, acute rehabilitation, swing bed and LTACH services. This position queries providers regarding documentation, resolves intermediate coding edits, completes analysis and evaluation of documentation. Assignment is based on documentation in the medical record and utilization of coding guidelines, knowledge of clinical disease processes, and treatments. Provides education to coders. Responsibilities Remote States: Candidates residing in the following states will be considered for remote employment: Alabama, Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Ohio, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding...

Lakeshore Talent is in search of a Code Review Specialist – Medical Coding Methodology & Litigation Support Location: Greenwood Village, CO (Denver Tech Center) Position Type: Direct Hire Salary: $75,000–$85,000 annually Schedule: Monday–Friday, with Wednesdays remote and the remaining days in the office Start Time: 7:00 AM or 8:00 AM Position Overview Lakeshore Talent is in search of a detail-oriented Code Review Specialist to join a growing team specializing in medical coding methodology, billing review, and litigation support. This role is ideal for an experienced medical coding professional who enjoys analytical work, takes pride in accuracy, and is interested in improving processes rather than simply following established procedures. In this position, you will review medical records and billing documentation, validate CPT and HCPCS procedure codes and modifiers, and ensure that coding decisions are accurate, consistent, and...

Pena4 Inc is seeking an Inpatient Medical Coder (CCS certified) for a 100% remote W2 regular position. The candidate should have at least 5 years IP PCS coding experience, 3 years OP preferred, and CCS certification. Immediate start with a coding assessment required. Responsibilities include examining records to determine principal and secondary diagnoses and procedures, sequencing for accurate DRG assignments, and maintaining coding quality. #J-18808-Ljbffr

Align yourself with an organization that has a reputation for excellence. Cedars Sinai was awarded the National Research Corporation's Consumer Choice Award 19 years in a row for providing the highest-quality medical care in Los Angeles. We were also awarded the Advisory Board Company's Workplace of the Year. This annual award recognizes hospitals and health systems nationwide that have outstanding levels of employee engagement. We offer an amazing benefits package that includes paid time off, health care and a 403(B). Join us! Discover why U.S. News & World Report has named us one of America's Best Hospitals. What you will be doing in this role Working under the general direction of a coding supervisor, the Hospital Inpatient Coder is responsible for the assignment of ICD-10-CM and ICD-10-PCS codes by reviewing all appropriate documentation in accordance with standard coding guidelines. The Facility Inpatient Coder identifies the principal diagnosis,...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

Inpatient Medical Coder (CCS certified) Assignment Details: 100% REMOTE Position Type: W2 Regular Employment At least 5 years of IP PCS Coding experience, required At least 3 years OP, preferred CCS certificate is required. Schedule: Weekdays, full-time hours Shift: Regular day shift hours System Experience: Cerner | Power Chart | 3M | EPIC Start Date: Immediately To be considered, IP and/or OP assessment test will be required to complete and pass a coding assessment test. Summary : IP/OP Coding Specialist demonstrates proficiency in coding all types of inpatient and outpatient accounts. Utilizes International Classification of Disease (ICD-10-CM and PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Responsibilities: 1. Examines the complete medical record to accurately determine the principal & secondary...

Medical Billing & Collections SpecialistAddison Group is hiring for our client, a growing specialty physician practice in Centennial, CO, seeking an experienced Medical Billing & Revenue Cycle Specialist to join its team.This position is responsible for full-cycle medical billing, including claim submission, insurance follow-up, denial resolution, collections, and payment posting.The ideal candidate has a strong understanding of physician billing, payer guidelines, modifiers, and reimbursement processes. We are looking for someone who takes ownership of their accounts, investigates issues thoroughly, and focuses on resolving claims correctly the first time. Key Responsibilities Process and submit approximately 100 medical claims per day Review payer correspondence, rejected claims, and denials Research and resolve approximately 50 denied or outstanding claims daily Perform detailed insurance AR follow-up and collections Review coding, modifiers, and payer requirements to...