18 creative coder jobs found

Medical Records Supervisor NaphCare is hiring a Medical Records Supervisor to join our team of medical professionals in the Kilby Correctional Facility in Mt. Meigs, AL. Must be RHIT or RHIA certified to be considered for this position. As a Correctional Medical Records Supervisor you will work alongside correctional officers and other medical professionals who provide care to the individuals in residence. This is a unique position where you can make a difference to this diverse population of patients. Responsibilities The Medical Records Supervisor is responsible for maintaining, organizing, and processing inmates' medical records within the facility. Duties and responsibilities may include and are not limited to: Entering patient information into electronic systems, filing documents, and maintaining the physical and digital filing system Ensuring the completeness, accuracy, and quality of medical documentation Handling requests for medical information from authorized...

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...

Certified Professional Coder A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Key Responsibilities / Essential Functions Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Research and analyze data needs for accurate and timely reimbursement. Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communicate effectively with healthcare providers to clarify coding issues and ensure accurate documentation. Keep abreast of changes in coding guidelines, regulations, and...

Overview Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Applies correct ICD-10CM diagnosis and /ICD-10PCS procedure codes and assigns appropriate DRG. Coder must abstract statistical data from records into hospital abstracting system in accordance with hospital policies and procedures. Individual must have knowledge of DRG’s and federal and state coding guidelines. Responsibilities Reviews patient’s entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10- PCS procedure codes according to accepted coding guidelines and hospital’s policies and procedures. Assigns accurate DRG to patient’s record utilizing hospital encoding system. Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures. Attends hospital sponsored educational programs and department coding meetings. Issues...

Job Title Individual responsible for coding all hospital IP records for purposes of reimbursement, research, and compliance with federal regulations. Responsibilities Reviews patient's entire current medical record and assigns appropriate ICD-10-CM diagnosis and ICD-10-PCS procedure codes according to accepted coding guidelines and hospital's policies and procedures. Assigns accurate DRG to patient's record utilizing hospital encoding system. Accurately abstracts statistical data from records using hospital abstracting system in accordance with hospital policies and procedures. Attends hospital sponsored educational programs and department coding meetings. Issues queries or send charts for query to clarify diagnoses in the patient's medical record in compliance with hospital policies and guidelines. Participates in and practices lean management principles and processes. DCH Standards: Maintains performance, patient and employee satisfaction and financial standards as...

A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues and ensure accurate documentation. Staying Updated: Keep...

Overview NaphCare is hiring a Medical Records Supervisor to join our team of medical professionals in the Kilby Correctional Facility in Mt. Meigs, AL . As a Correctional Medical Records Supervisor you will work alongside correctional officers and other medical professionals who provide care to the individuals in residence. This is a unique position where you can make a difference to this diverse population of patients. Responsibilities The Medical Records Supervisor is responsible for maintaining, organizing, and processing inmates' medical records within the facility. Duties and responsibilities may include and are not limited to: Entering patient information into electronic systems, filing documents, and maintaining the physical and digital filing system Ensuring the completeness, accuracy, and quality of medical documentation Handling requests for medical information from authorized parties, such as hospitals, clinics, and physicians, while adhering to HIPAA and...

Overview Performs coding/DRG and abstracting functions for medical records, quality assessment and billing purposes. Codes all Huntsville Hospital medical records with ICD-10-CM/PCS and CPT-4 codes. Abstracts key data elements according to medical record review criteria. Performs coding quality assurance as needed. Qualifications Education/Certification HS/GED required. Prefer post high school education in anatomy, physiology and pathophysiology Require CCS certification (certified coding specialist) Experience ICD-10-CM/PCS or CPT coding experience in hospital or physician’s office preferred. Additional Skills/Abilities Must have excellent communication skills with the ability to work in a fast paced environment, requiring prioritizing and changing tasks frequently and quickly. Must be able to maintain confidentiality. Must be able to use computer, word processing and spreadsheet software, fax machine, and copy machine. About Us Highlights of our hospitals Huntsville...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Concurrently codes Recurring records for interim billing. Processes records for deficiencies and return for completion. Enters codes into the Abstracting Module as needed, including use of the 3M encoder. Performs data quality reviews on outpatient encounters to validate the ICD-10-CM, CPT, and HCPCS Level II code and...

Overview Clinic Supervisor — One (1) Full-Time Position Responsibilities Provide overall administrative supervision and coordination of office operations and personnel at D.W. McMillan Medical Center. Work with community agencies designated to provide health care services in the service area. Ensure that the Clinic carry out the overall objectives, missions and goals of the hospital. Continuously work with insurance companies to meet measures required for patient care. Manage floater staff work assignments and all staff personnel. Work in various jobs of the medical center to cover vacancies which include: receptionist, switchboard, and medical records. Accountable to: Clinic Manager. Qualifications Strong knowledge of vaccines for children required. 2 years experience in medical management. Excellent collaboration and leadership skills to develop and implement strategic policies. Computer experience with database and spreadsheet applications is highly desirable. Ability to...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. What You Will Need : * High School Diploma/GED (relevant experience may be substituted for formal education) * 1+ years of medical coding experience * AAPC CPC or AHIMA CCS coding certification * Experience in ICD-10, CPT and HCPCS Level II Coding * Ability to determine medical necessity of services provided and charged based on provider/clinical documentation * Knowledge, understanding and proper application of Medicare,...

Compliance Auditor Provider Liaison The Compliance Auditor Provider Liaison is responsible for conducting detailed audits of professional coding and provider documentation across numerous specialties, identifying compliance risks, and promoting best practices through education and feedback. The auditor partners closely with providers, coders, and revenue cycle leadership to ensure alignment with organizational policies, payer requirements, and federal regulations. Qualifications Education: High School diploma or GED required. License: Certified Coder with Auditing Certification with AAPC Experience: Minimum of 5 years of experience in a hospital or professional revenue cycle. Minimum of 5 years coding experience with CPC certification. Minimum of 3 years of coding auditing experience. Broad exposure to multiple specialties such as cardiology, general and specialized surgery, oncology, and primary care/internal medicine strongly preferred. Demonstrated experience educating...

Bellatrix HRM, Inc, is a Women Owned Small Business located in a HUBZone, that believes our team members are the stars of the organization. At Bellatrix all team members are shareholders. Drive like the Latin origin of the name Bellatrix, “Female Warrior”, we are resilient in creating an environment of respect, empowerment, agility and successful execution of solutions. If you have what it takes to join our team and are looking for a legitimate work from home position while serving our soldiers, please email your resume and phone number for interview. Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes...

Overview A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues and ensure accurate...

Right at Home is a Home Health company that provides Nursing and Therapy services in the homes of patients throughout Alabama. Right at Home is a Preferred Provider of BlueCross BlueShield of Alabama. Billing Specialist duties and responsibilities Billing Specialists perform many accounting, customer service and organizational tasks to promote the financial health of their organization. These duties and responsibilities often include: Maintaining the billing and medical coding for BlueCross BlueShield of Alabama Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors Creating invoices and billing materials to be sent directly to a customer or patient Inputting payment history, upcoming payment information or other financial data into an individual account Finding financial solutions for patients or customers who may need payment assistance Informing patients or customers of any...

Certified Professional Coder A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues...

Charge Corrections Medical Coder page is loaded## Charge Corrections Medical Coderlocations: US - AL, Birminghamtime type: Full timeposted on: Posted Todayjob requisition id: 38543**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home.**What You Will Need:*** High School Diploma/GED *(relevant experience may be substituted for formal education)** 1+ years of medical coding experience* AAPC CPC or AHIMA CCS coding certification* Experience in ICD-10, CPT and HCPCS Level II...