49 coding specialist jobs found

Nationwide-Children is seeking a Coding Specialist in Blendon Corner, Ohio. This role involves analyzing medical records and assigning codes for billing and statistical purposes, ensuring accuracy and compliance. Essential functions include managing claims, assisting with billing questions, and conducting audits. A minimum of two years of coding experience and required certifications are necessary for this position, which is office-based with potential for remote work after a probation period. #J-18808-Ljbffr

Critical Care Transport in Columbus, OH is seeking a detail-oriented Medical Billing and Coding Specialist to join their accounts receivable office. Responsibilities include daily data entry, verifying insurance eligibility, filing appeals, and handling calls. Candidates must have an active coding certification and experience with Medicare and Medicaid billing. The position offers employer-sponsored health insurance and a supportive work environment. #J-18808-Ljbffr

EyeCare Partners is seeking an RCM Medical Coding Specialist to evaluate medical records and ensure compliance with coding standards, including ICD-10-CM and CPT. The Specialist will also train and guide physicians and staff on coding best practices, ensuring optimal reimbursement and accuracy in documentation. Candidates should possess a minimum of a high school diploma or G.E.D., with at least 2 years of medical coding experience. Additional qualifications include CPC, RHIT, ART, or CCS coding credentials. #J-18808-Ljbffr

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance Moore OB/GYN is seeking an experienced and detail-oriented Certified Medical Billing & Coding Specialist to join our growing team. The ideal candidate will have strong OB/GYN coding knowledge, payer compliance expertise, and the ability to manage accounts receivable efficiently. Position: Certified Medical Biller/Coder Employment Type: Full-Time Location: Forestville – Maryland Key Responsibilities: Accurate CPT, ICD-10, and HCPCS coding (OB/GYN focus) Review and submission of claims (commercial, Medicaid MCOs MD/DC ) Manage denials, appeals, and AR follow-up Verify patient eligibility and benefits Ensure compliance with payer policies (UHC, CareFirst, JHHP, MD/DC Medicaid, etc.) Work within EMR/PM system Apply appropriate modifiers (25, 59, 51, etc.) Monitor payer updates and policy changes Qualifications: CPC, CCS, or equivalent certification (Required) Minimum 5 years...

Job Title & Location Medical Billing and Coding Specialist – Columbus, OH Job Description Critical Care Transport, INC. is looking for a highly motivated, detail oriented, and multi-tasking individual to join our accounts receivable office. Responsibilities Daily data entry of ambulance run reports. Verifying insurance eligibility. Filing appeals with insurance companies. Posting insurance payments. Handling inbound/outbound phone calls. Qualifications Active coding certification with Hospital ICD-10 coding experience. Background in billing Medicare, Medicaid and commercial insurance, including appeals & reconsiderations. Experience in Ambulance billing is a plus. Hours and Compensation Monday through Friday, 7:30am-4:00pm. Full-time position. Salary at DOE. Benefits Employer-sponsored health insurance. Matching 401k. Paid vacation. Bi-weekly direct deposit. Additional insurance options through Colonial Life. Company Overview Critical Care Transport is a leading...

University Hospitals in Shaker Heights is seeking a Physician Coding Specialist II to monitor and analyze unresolved third-party accounts. You will facilitate timely resolutions for claims in a professional manner. This role requires strong analytical skills and effective communication with payors and internal departments to resolve billing discrepancies and ensure adherence to coding standards. #J-18808-Ljbffr

Job Opportunity Critical Care Transport, INC. is looking for a highly motivated, detail oriented, and multi-tasking individual to join our accounts receivable office. Candidates must possess an active coding certification. Additional experience in ambulance billing is a plus, as well as background in billing Medicare, Medicaid and commercial insurance including appeals & reconsiderations. Job duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls. Hours are Monday through Friday, 7:30am-4:00pm. Salary DOE. This is a full-time position, and is benefits eligible. Critical Care Transport is proud to offer employer-sponsored health insurance, matching 401k, paid vacation, bi-weekly direct deposit, and additional insurance options through Colonial Life. Critical Care Transport is a leading provider of emergency...

The MetroHealth System is seeking a qualified candidate for a coding position involving assigning diagnostic and procedure codes. The role requires a high school diploma and one or more certifications in health information management. Candidates should possess excellent communication skills and an understanding of health care billing practices. The position includes continuous monitoring of coding accuracy and fulfillment of standards for the department. #J-18808-Ljbffr

Ein Gesundheitsdienstleister in Deutschland sucht einen Case Manager oder medizinischen Dokumentationsassistenten, um das Medizincontrolling im Lungenzentrum zu unterstützen. Zu den Aufgaben gehören die fallbegleitende Kodierung, Beratung der Berufsgruppen und die Überwachung der Dokumentationsqualität. Bewerber sollten eine geeignete Ausbildung und relevante Weiterbildung sowie fundierte IT-Kenntnisse mitbringen. Flexible Arbeitszeiten und Weiterbildungsmöglichkeiten werden angeboten. #J-18808-Ljbffr

Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. The successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries. Essential Duties Resolve edits daily through the EMR or clearinghouse to produce clean claims. Verify the accuracy of all insurance information. Send original claims along with any necessary supporting documentation. Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims. Submit secondary claims, ensuring that primary payment information is captured. Understand and abide by billing compliance regulations. Follow up with a Coding Specialist and/or Collection Specialist when necessary to correct claims accurately. Answer billing questions in a clear and polite manner. Understand patient confidentiality...

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...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

Southwoods Health is hiring a Medical Billing Specialist for our Home Health division. The successful candidate will be responsible for submitting claims to third-party payers, resolving edits daily within the EMR and clearinghouse, and handling correspondence regarding billing inquiries. Essential Duties Resolve edits daily through the EMR or clearinghouse to produce clean claims. Verify the accuracy of all insurance information. Send original claims along with any necessary supporting documentation. Determine the need for supporting documentation required by specific insurance companies or cases, and copy documents for inclusion with claims. Submit secondary claims, ensuring that primary payment information is captured. Understand and abide by billing compliance regulations. Follow up with a Coding Specialist and/or Collection Specialist when necessary to correct claims accurately. Answer billing questions in a clear and polite manner. Understand patient confidentiality...

Overview As a Certified Medical Coder at Vytal Health Partners, you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and billing processes. You will review clinical documentation, medical records, and claim information to accurately assign ICD-10-CM, CPT, and HCPCS codes in accordance with current coding guidelines, payer requirements, and regulatory standards. In this role, you will collaborate with billing staff and operational teams to support accurate reimbursement, reduce claim denials, and promote documentation excellence. This position is ideal for a detail-oriented professional who is passionate about healthcare compliance, continuous learning, and making a meaningful impact on patient care and revenue cycle operations. What You Will Do Review medical record documentation and claim information prior to submission to ensure accurate assignment of ICD-10-CM, CPT, and HCPCS codes, supporting appropriate reimbursement and...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Join Our Award-Winning Team and Work with the Best! UASI has been recognized as a Top Workplace by the Cincinnati Enquirer for the last five years! With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we have built and the long‑term success of our dedicated team. We offer HIM professionals the perfect balance: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, combined with the flexibility and comfort of working from home. Job Title Inpatient Coding Specialist Responsibilities Apply ICD‑10‑CM and ICD‑10‑PCS coding to inpatient claims. Maintain coding quality of 95% or greater and meet client productivity targets. Work independently and adapt to change, ensuring accurate coding in an acute care setting. Utilize remote‑based connectivity, including VPN, MFA, and video‑conferencing. Use Outlook, calendar, and Excel for communication and data management. Qualifications...

We are currently seeking an Inpatient Coding Specialist to join our team. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you’re ready to take your career to the next level with a reputable, award‑winning company, apply today! Qualifications AHIMA or AAPC (CPC, CIC, COC) certification. A minimum of two years’ recent inpatient coding experience in an acute care setting. Experience in coding ICD-10-CM and ICD-10-PCS diagnosis and procedure codes. Knowledge of MS DRG Coding Classification Systems. Technical competency with remote-based connectivity including virtual private networks, multi-factor authentication via smartphone, and video conferencing platforms. Proficiency with office software including Outlook email for communication, calendar for meeting attendance, and Excel spreadsheets for data management. A committed regular schedule is required with expectations for...

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 supports...

Outpatient Medical Coder 2 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. 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 sequencing diagnoses and procedures abstracted from medical records. Data is then...

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...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little oversight. Demonstratesa...

This is a remote based position. Applicants can be located nationwide Back 3d Medical Coder #2823 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type. Tell us about your experience with Medical Coding . Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value professionalism, trust, honesty, and integrity? If so, we...

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

Job Description Summary This position performs facility coding and abstracting functions of Inpatient. Responsibilities and Duties Assign appropriate admit, principal, and secondary diagnoses and/or procedure codes by reading documentation present in the medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting minimum Coder productivity requirements. Assign Present on Admission POA indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately assign DRG/MSDRG/APR-DRG at the minimum standards of 95% . Review diagnosis and CC/MCC for maximum severity of illness/room of service. Clinical understanding of laboratory and radiology values. Knowledge of quality outcomes indicators and work with CDS to improve physician documentation and case mix index. Assign Principal Diagnosis accurately at least 95% or better. Monitor and appropriately...