18 cpc a certified coder representative jobs found

Primary Location: Work from Home - KY Address: P.O. Box 909 Louisville, KY 40201-0909 Shift: First Shift (United States of America) Job Description Summary: About UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description Position Summary and Purpose: The Coder II is responsible for abstracting and assigning valid CPT, ICD-10, HCPCs and modifiers to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance...

Summary/Objective Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG.The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts...

Certified Coder - Stony Brook Children's Service, UFPC Location: St. James, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM; At the Manager's discretion, this role may be eligible for remote work (after 90 days) Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities Summary: This incumbent is responsible for reviewing and analyzing physicians'...

Job Summary The Coder I position is responsible for accurate coding, abstracting, claims filing, documentation review, and claims denial processing working from the appropriate documentation in the medical record. The coder must stay up to date on code changes and coding guidelines to assure quality and code compliance is met at all times. The coder also has additional combined responsibilities of data quality and insurance representative functions working closely with other members of the HIMS department. Essential Job Responsibilities Reviews inpatient and outpatient medical records to identify the principal diagnosis and all applicable secondary diagnoses and procedures. Uses the computerized encoding system to facilitate accurate coding according to the appropriate classification system. Sequences diagnoses and procedures by following ICD‑10‑CM, ICD‑10‑PCS, CPT/HCPCS, UHDDS, Medicare, Medicaid, and other fiscal intermediary guidelines. Will be cross‑trained to assist with...

ELLIS HOSPITAL POSITION DESCRIPTION TITLE: Accounts Receivable Representative/ Coder II DEPARTMENT: Physician Revenue Cycle REPORTS TO: Manager Patient Financial Services SECTION I BASIC FUNCTION: The Accounts Receivable Representative/ Coder will be responsible for achieving accurate and timely accounting for professional accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. In addition to AR responsibilities this position will be responsible for coding review, resolving coding edits and denials with the focus on ensuring that the account is resolved in a timely and appropriate manner. SECTION II EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School Diploma or Equivalent...

Certified Surgical Coder - Stony Brook CPMP Patient Accounts Location: Stony Brook, NY - At the manager's discretion, this role may be eligible for remote work; this position is only available to New York State Schedule: Full time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay Starting at: $33.65 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for...

Overview Certified Coder - Stony Brook Orthopaedic Associates, UFPC Location: Stony Brook, NY Schedule: Full Time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay: $27.91 - $34.87 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP's good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for reviewing and analyzing physicians' documentation, CPT, and ICD-10 diagnosis codes. The coding function...

## Risk Adjustment CoderApplyremote type: Hybridlocations: Jupiter, FLtime type: Full timeposted on: Posted Yesterdayjob requisition id: JR4147It's rewarding to be on a team of people that truly believe in making an impact!We are committed to building the best primary care environment for patients and are seeking healthcare enthusiasts to join us.**Job Summary**The Risk Adjustment coder will identify, collect, assess, monitor and document claims and encounter coding information as it pertains to Clinical Condition Categories. Verify and ensure the accuracy, completeness, specificity, and appropriateness of diagnosis codes based on services rendered. The Risk Adjustment Coder is required to follow procedures and documentation policies regarding claim/encounter information and provide appropriate support to justify their recommendations.**Duties & Responsibilities****Essential Duties & Responsibilities*** Review medical record information to identify all appropriate coding...

Position Summary: In this role, the successful candidate analyzes medical records, extracts clinical, pathological, therapeutic and epidemiologic data for Inpatient and/or Outpatient records in accordance with established ICD-10-CM/PCS and CPT coding principles and guidelines. Health Information Coders analyze, abstract, and code in order for the hospital to submit a bill for services rendered and various departments and clinics associated with patient care; perform other related duties as required. Medical coding is a critical aspect of HIM. Professionals assign standardized codes to diagnoses and procedures, which are used for billing, insurance claims, and statistical analysis. They use coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). Job Duties & Essential Functions: Abstracts and codes medical information from Inpatient and/or Outpatient charts into the organization billing/abstracting systems to complete...

Overview Certified Surgical Coder - Stony Brook CPMP Patient Accounts Location: Stony Brook, NY - At the manager’s discretion, this role may be eligible for remote work; this position is only available to New York State Schedule: Full time Days/Hours: Monday - Friday; 8:30 AM - 5 PM Pay Starting at: $33.65 Our compensation philosophy aims to provide marketable compensation programs and to compensate employees based on relevant experience and education. Individual compensation discussions begin during the hiring process and may occur during job review and promotional opportunities. Salaries vary depending on experience, education and current market for the position. Human Resources determines the external and internal equitable salary for each employee. The above salary range (or hiring range) represents Stony Brook CPMP’s good faith and reasonable estimate of the range of possible compensation at the time of posting Responsibilities SUMMARY: This incumbent is responsible for...

Welcome! We’re excited you’re considering an opportunity with us! The Enterprise Compliance Auditor/Educator will assist with the implementation and facilitation of ongoing compliance auditing, monitoring, and educations associated with all provider services across WVUHS and its affiliates. The duties of this position will help ensure that all healthcare provider (MD/DO, APP, and other non-physician practitioners) organizations remains in compliance with all federal healthcare program rules, regulations, administrative requirements and guidance. Minimum Qualifications High School Diploma or Equivalent AND Seven (7) Years of experience in multi-specialty coding, E&M coding, procedural/surgical coding OR; Associate’s Degree AND Five (5) years experience in multi-specialty coding, E&M coding, procedural/surgical coding. Current certification in one of the following: Certified Professional Coder (CPC) through the American Academy of Professional Coders (AAPC) Registered...

Primary Location: Work from Home - KY Address: P.O. Box 909 Louisville, KY 40201-0909 Shift: First Shift (United States of America) Job Description Summary: About UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description: Position Summary and Purpose The Coder II is responsible for abstracting and assigning valid CPT, ICD-10, HCPCs and modifiers to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance...

Position Summary In this role, the successful candidate analyzes medical records, extracts clinical, pathological, therapeutic and epidemiologic data for Inpatient and/or Outpatient records in accordance with established ICD-10-CM/PCS and CPT coding principles and guidelines. Health Information Coders analyze, abstract, and code in order for the hospital to submit a bill for services rendered and various departments and clinics associated with patient care; perform other related duties as required. Medical coding is a critical aspect of HIM. Professionals assign standardized codes to diagnoses and procedures, which are used for billing, insurance claims, and statistical analysis. They use coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). Job Duties & Essential Functions Abstracts and codes medical information from Inpatient and/or Outpatient charts into the organization billing/abstracting systems to complete...

Angels In Your Home, a New York State Licensed Home Care Services Agency (LHCSA), is seeking an experienced, detail-oriented Medical Biller / Accounts Receivable Specialist to join our administrative team. The Medical Biller / Accounts Receivable Specialist plays an important role in ensuring the accurate and timely billing and collection of payments for home care services. This position is responsible for preparing and submitting claims, reviewing billing documentation, posting and reconciling payments, monitoring accounts receivable, and following claims through payment or resolution. The ideal candidate will have prior experience with healthcare, Medicaid Managed Care, or home care billing and collections and understand the relationship between authorizations, scheduled and worked services, EVV documentation, claims submission, remittance, denials, and reimbursement. This position works closely with internal billing, scheduling, intake, payroll, and clinical staff, as...

Pathology Medical Coder – National Remote UnitedHealth Group (Optum) is hiring a Pathology Medical Coder for a fully remote national position. The role directly supports health outcomes by translating pathology reports into CPT‑4 and ICD‑10 codes and collaborating with billing and accounts receivable teams. Primary Responsibilities Perform various clerical functions as requested by supervisor or group lead. Apply CPT‑4 and ICD‑10 codes by translating dictated pathology reports in a timely and accurate manner. Respond to accounts receivable when coding discrepancies must be reviewed due to payer denials. Communicate regularly with superiors, peers, billing representatives, and other stakeholders to ensure proper flow of information. Understand and follow all department and company SOPs. Perform special projects as assigned by manager. Required Qualifications High School Diploma/GED (or higher). Active unrestricted AAPC CPC license. At least 2 years of experience in medical coding....

Riedman - Remote Full time REQ_232323 SUMMARY Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and ICD-10-PCS codes for billing, internal and external reporting, research, and regulatory compliance. Demonstrate knowledge of reimbursement methodologies and apply these to assigned charts to optimize reimbursement and/or resolve regulatory edits. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors STATUS: Full-time LOCATION: Riedman- Remote SCHEDULE: Day shift ATTRIBUTES • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA), adheres to official coding guidelines, and keeps abreast of coding changes and interpretation of codes.• Complies with RRH & HIM department policies & procedures• Perform...

Primary Location: Work from Home - KY Address: P.O. Box 909 Louisville, KY 40201-0909 Shift: First Shift (United States of America) Job Description Summary: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members-physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals-during, UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day. Job Description: The Coder I is responsible for abstraction and assigning valid CPT, ICD-10, HCPCs codes and modifiers to ensure appropriate reimbursement in accordance with federal state, and private health plans as well as organization and regulatory guidance. This role is typically responsible for less complex coding with oversight. Essential Functions...

Position Summary We are seeking a highly analytical and detail-oriented Certified Professional Coder (CPC) to join our team. This role is highly focused on Denial Management and Revenue Integrity. The ideal candidate is not just a coder but a problem solver who can investigate the root cause of unpaid claims, correct coding errors, and successfully appeal denials. While this role focuses on coding, candidates with a strong background in hard coding (coding directly from operative reports/medical records without relying solely on encoders) and end-toend medical billing will be given top priority. Key Responsibilities Denial Management & Coding Analyze and resolve complex claim denials resulting from coding errors (CCI edits, medical necessity, bundling issues, and modifier usage). Review medical records and "hard code" accurately from documentation to support appeals, ensuring the highest level of specificity for ICD-10-CM, CPT, and HCPCS levels. Draft and submit...