25 etm coder jobs found

1 week ago Be among the first 25 applicants Insmed is a global biopharmaceutical company on a mission to transform the lives of patients living with serious and rare diseases. Our most valuable resource is our employees, and everything we do is motivated by a patients-first mentality. We are dedicated to growing our team with talented individuals from around the world who are willing to challenge the status quo, solve problems, and work collaboratively with a sense of urgency and compassion. Guided by our core values of collaboration, accountability, passion, respect, and integrity, we aim to foster an inclusive, diverse, and flexible work environment, where our employees are recognized for leaning in and rolling up their sleeves. If you share our vision and want to work with the most dedicated people in the biopharma industry, come to Insmed to accelerate your career. Recognitions Consistently Ranked Science ’s Top Employer Insmed is dedicated to creating a collaborative...

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist (AHIMA) CCA – Certified Coding...

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, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time The Lead Outpatient Coder is an experienced, credentialed coding professional who serves as the point-of-contact for coders, assists manager with managerial duties, able to take lead on department projects, as well as other departments' coding questions. Responsibilities Serves as a coding resources to clinic and outpatient coders. Ensures the accuracy of clinical data collection from outpatient medical records. Codes diseases, procedures, and diagnosis using the ICD-10-CM and CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Completes complex coding assignments for the purpose of...

Experienced Associate, Healthcare Forensics The Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients. Job Duties Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance matters Contributes to forensic engagements related to medical coding and...

Position Summary Location ST. LOUIS, MO 63108 Scheduled Hours 37.5 Position Summary The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and mission of the University. Results of the compliance audits are critical measures for the University. The Senior Lead Compliance Auditor reports to the Director of...

Job Summary Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements Primary Responsibilities Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital accounts. Reviews HCPCS charges and codes for appropriateness of modifiers in relation to NCCI/CCI edits. Enters accurate charge information, when appropriate. Monitors assigned work queues to ensure all records are charged in a timely manner. Generates coding queries for clarification regarding physician documentation as needed. Stays abreast of all changes in coding conventions and coding updates. Performs other duties as assigned. Education High School diploma/GED or 10 years of work experience. Experience No experience required. Physical Requirements Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking,...

Position Summary Location ST. LOUIS, MO 63108 Scheduled Hours 37.5 Position Summary The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and mission of the University. Results of the compliance audits are critical measures for the University. The Senior Lead Compliance Auditor reports to the Director of...

Hiring Department University Physicians Job Description This position is a dual post linked to Job ID 59698 - MCS-C and the department will be hiring for two positions. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records to identify potential problems with coding and reimbursement, such as edits, denials, and appeal letters. Act as liaison between third-party payers and assigned departments to coordinate all aspects of professional coding. Provide assistance to faculty, residents, and department staff in standards of medical record documentation and coding. Assist in the presentation of training sessions for faculty, residents, and staff to inform them of changes made to Medicare billing, federal laws and regulations, and other specific standards...

Position Summary: Responsible for coding inpatient or outpatient records, reviews documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities As Assigned Responsible for outpatient coding and charge validation (charge entry) Responsible for coding simple inpatient visits (with Properly identifies and assigns ICD-10-CM, CPT-4 or ICD-10- PCS codes. Determines the correct principal diagnosis, co-morbidities, and complications, secondary conditions, and surgical procedures. Ensures codes are assigned correctly and sequenced appropriately in compliance with medical coding guidelines and policies. Maintains knowledge of current coding guidelines by self-study, assigned education, corporate coding meeting attendance, or...

Description At BLS, we pride ourselves on providing high-quality financial services with a focus on supporting our clients’ unique needs. We are currently seeking an experienced Employee Benefit Plan Accountant to join our growing team. This position offers the opportunity to work with a dynamic group of professionals in an engaging and fast-paced environment. Job Responsibilities Assist in the preparation and review of financial statements of employee benefit plans (including defined contribution (401(k), 403(b), etc.), defined benefit, and health & welfare plans) Assist in the preparation of Form 5500 and related filings Manage the audits of employee benefit plans and coordinate with clients and their service providers Ensure compliance with ERISA regulations and other applicable laws Perform related testing procedures including reconciliation of reports, analysis of certifications and trust reports, sample selection procedures, participant data, contribution, distribution,...

Experienced Associate, Healthcare ForensicsThe Experienced Associate, Healthcare Forensics role is a highly analytical and detail-oriented individual responsible for identifying, analyzing, and resolving payment inaccuracies across healthcare claims as it relates to reimbursement disputes, fraud, waste, and abuse investigation, regulatory compliance, and litigation. The ideal candidate will bring a strong understanding of healthcare reimbursement methodologies, claims data, and regulatory frameworks. The Experienced Associate, Healthcare Forensics demonstrates an investigative mindset with problem solving skills and the ability to think critically about data to deliver high-quality work product for clients.Job Duties:Provides investigation and analysis to a variety of clients, including outside counsel, regulators, and companies involved in litigation, investigation, dispute, regulatory, and compliance mattersContributes to forensic engagements related to medical coding and...

Coder Reimbursement Specialist - HospitalThe Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

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...

Fully Remote Lake Park Building Full time R182990 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Hiring Department University Physicians Job Description #upjobs This is a dual posting with job ID 59698. The final title will depend on the qualifications of the final candidate. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of training sessions for faculty, residents and staff to inform them of changes made to...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder – Certified Full‑Time Technical Hospital, Sikeston, MO, US 9 days ago – Requisition ID: 1973 Job Functions Code the following work lists: Radiology Cardiology Respiratory/Sleep Labs Physical Therapy Infusion Center Recurring Labs All Un‑coded Outpatient records Laboratory All Un‑coded Records Code using CPT codes for procedures in orthopedics and non‑stress tests in OB/GYN. Review charts in the EBEW lists to determine the reason for the error and correct the error. Review patient charts regarding medical necessity forwarded from Patient Accounts and document correct codes. Contact physicians regarding missing orders or diagnoses. Contact the physician’s offices to request additional information regarding a medical necessity error. Assist in training new personnel in coding. Assist in the training of remote...

Experienced Multi-Specialty Surgery CoderOpportunities at Change Healthcare, part of the Optum family of businesses. We are transforming the health care system through innovative technology and analytics. Find opportunities to make a difference in a variety of career areas as we all play a role in accelerating health care transformation. Help us deliver cutting-edge solutions for patients, hospitals and insurance companies, resulting in healthier communities. Use your talents to improve the health outcomes of millions of people and discover the meaning behind: Caring. Connecting. Growing together.Job Description:The experienced multi-specialty surgery coder is responsible for daily coding, denial management, charge hold, RAI resolution and abstraction. The coder is responsible for escalation of coding questions and requests for coding guidance to the Coding Coordinator and/or Supervisor. Participate in internal QA audits and provide feedback in the compliance QA process.Hours:...

The Harris House Foundation is a residential treatment program for alcohol and drug addiction. For over 50 years, we have helped people recover their lives from drug and alcohol addiction. We advocate a recovery with responsibility program that empowers clients to take control of their treatment and recovery process. The Medical Billing Specialist is responsible for covering all aspects of billing and collecting on client accounts in this contract position. Job Responsibilities Create and submit insurance claims for reimbursement in an accurate and timely manner. Process client payments, including charging credit cards, setting up payment arrangements, and following up on outstanding balances. Research and resolve claim issues, denials, and discrepancies to ensure proper reimbursement. Maintain effective communication with third party insurance carriers to resolve issues that impede cash flow. Monitor and report on key metrics such as aged receivables, collections, days...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The Certified Professional Coder (CPC) will perform medical claim reviews to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: Conduct a...

Position Summary The purpose of the Washington University Compliance Program is to minimize instances of noncompliance with external laws and regulations, as well as related internal policies and procedures. Although university administration, faculty, and staff are responsible for various aspects of compliance as part of their roles, the Senior Lead Compliance Auditor plays a significant part in the overall compliance program. The Senior Lead Compliance Auditor works in the Office of University Compliance and Internal Audit. This position is responsible for evaluating the University’s state of compliance with federal research and other federal regulations, as well as related University policies. Such compliance is crucial to the success and mission of the University. Results of the compliance audits are critical measures for the University. The Senior Lead Compliance Auditor reports to the Director of Compliance Audit. The Senior Lead Compliance Auditor is expected to function at...

Medical Coding Specialist Functions Of Position: 1. Assign ICD 9 CM Codes for diagnosis 2. Code the following work lists: Radiology Cardiology Respiratory/Sleep Labs Physical Therapy Infusion Center Recurring Labs Outpatient OB/GYN NST's All Un-coded Outpatient records Laboratory All Un-coded Records 3. Code Using CPT codes for Procedures in Orthopedics and Non-Stress Tests in OB/GYN 4. Review charts in the EBEW Lists to Determine the Reason for the Error and Correct the Error 5. Review patient charts regarding Medical Necessity forwarded from Patient Accounts and Document Correct Codes 6. Contact Physicians regarding missing Orders or Diagnoses 7. Contact the Physician's Offices to Request Additional Information regarding a Medical Necessity Error 8. Assist in Training New Personnel in Coding 9. Assist in the Training of the Remote Coders 10. Participate in Educational Programs and In-services 11. Retain Active Status with AAPC 12....

Hiring Department Department of Plan Administration Job Description This is a dual posting with job ID 60633. One opening available. The final title will depend on the qualifications of the final candidate. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Work with insurance and government payers to obtain appropriate retroactive authorizations based on surgical services provided. Comply with applicable organization policies; i.e. Quality Assurance, Working Remote, Productivity, etc. Remote working options available. #upjobs Shift Monday - Friday, 8:00 a.m. - 5:00 p.m. or M, Tu, W, F; 7:00 a.m. - 6:00 p.m. Minimum Qualifications Completion of a coding certification program or equivalent training to obtain certification using ICD-10-CM, ICD-10-PCS, and...