53 facility coding inpatient complex coder jobs found

Datavant is a data platform company and the world’s leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of healthcare’s most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

Advanced Inpatient Coder Specialist (REMOTE) Florida:Orlando | Business and Administrative | Full Time Description BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details: Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Responsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) remote position. Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician...

Inpatient Hospital Billing Coding Auditor Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently. Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weaknesses identified during the coding validation reviews. Reviews, analyzes, and interprets clinical documentation, seeking clarification from the physician when discrepancies exist, and effectively communicates with physicians and allied health personnel. Assists with writing compelling appeals to all DRG denials from outside agencies, referencing Official Coding Guidelines and Coding Clinic advice as appropriate to defend the DRG assignment and protect the organization's reimbursement. Serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management. Uses critical thinking and sound...

Summary This position is located in the Health Information Management (HIM) section at the Business Office at the Bay Pines VA Healthcare System (BPVAHCS). Medical Record Technician (Coder Inpatient) MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multispecialty clinics, and specialty centers. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional Medical Record Technician (Coder Inpatient) primary duties include but are not limited to: Assigns codes to documented patient care encounters (inpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes,...

Job Description Be the first to apply. Pro fee coder with a minimum of 3 year's experience coding neurosurgery EM and procedures at a trauma 1 facility. Epic experience required and Codify experience preferred. Schedule will be M-F preferably between 8am and 5 pm CST, be the start time can be flexible within reason. For the first week of training candidates would need to be available 8a-5p CST. Core Coding Expertise Advanced proficiency in CPT, ICD-10-CM, and HCPCS Level II coding Strong expertise in professional fee neurosurgery coding, including complex spine and cranial procedures Demonstrated experience coding both Evaluation & Management (E/M) services and surgical procedures In-depth understanding of 2021+ E/M guidelines (office/outpatient and inpatient/observation where applicable) Ability to appropriately assign modifiers (e.g., -25, -59, -57, -58, -78, -79, -24) with clear documentation support Strong familiarity with NCCI edits, MUEs, and...

Job Description Job Description Porter is hiring a Risk Adjustment Coder to join our Team!   Porter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. We deliver understanding, compassion, information, and peace of mind for your members. Driven by robust AI analytics, Porter’s Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member’s specific needs, and directs Porter’s team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.    Position Overview We are seeking a certified coder with expertise in risk adjustment coding and...

Our promise to you Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 900 HOPE WAY City: ALTAMONTE SPRINGS State: Florida Postal Code:...

Careers With Purpose Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Facility: Remote WI Location: Remote, WI Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $21.50 - $34.50 Job Summary Reviews inpatient clinical documentation, procedural information, and diagnostic results to apply ICD-10-CM and PCS diagnostic and procedural codes used for billing, internal and external data reporting, research, regulatory compliance, and quality monitoring. Using professional coding training, critical thinking, and clinical acumen, accurately assigns ICD-10-CM and ICD-10-PCS codes to conditions and procedures documented within the inpatient electronic medical record. Applies Official Coding Guidelines,...

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD‑10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Overview North Florida Surgeons is a leading healthcare provider committed to delivering exceptional patient care and service. We have over 300 medical providers and physician extenders and are currently seeking a detail-oriented and motivated Medical Coding Specialist to support our revenue cycle department. This role is essential in ensuring accurate coding for services rendered, which directly impacts reimbursement and compliance. The Medical Coder is responsible for reviewing clinical documentation and assigning appropriate ICD-10, CPT, and HCPCS codes for billing and reimbursement. This position works closely with providers, billing staff, and insurance companies to ensure coding accuracy and compliance with federal regulations. Key Responsibilities Review medical records and documentation to assign accurate diagnosis and procedure codes Responsible for coding office visits and surgeries Collaborate between clinical, billing and patient services departments to ensure...

Physician Enterprise Coder Cardiology Edits and reviews captured charges and medical documentation to determine appropriate codes and modifiers for services rendered in office and hospital settings. Reviews outpatient and inpatient procedure reports, abstracts appropriate procedure codes, and enters charges into electronic medical records. Communicates documentation discrepancies with coding support staff and coding supervisor. Creates patient charts and enters demographics and insurance information into electronic medical records when applicable. Verifies data entry of patient demographics, insurance, and hospital charges for accuracy. Accurately enters and attaches insurance and authorizations to patient encounters in electronic medical record. Serves as a coding resource and assists with coding questions as needed. Assists coding supervisor with escalated coding questions from team members and physician practices. Maintains open communication with coding team and coding...

Job Description Job Description This is not a remote position. This position is on Site. Become a part of our caring community As Certified Medical Coder you will be accountable for timely, accurately coding and filing claims to minimize the number of claim rejections and denials. Location : CenterWell Senior Primary Care office address: Multiple locations, The Villages, FL  Certified Medical Coder Role Overview: Review medical records, provider notes, dictation and other documentation and compare to the actual codes selected by the provider.  In accordance with correct coding guidelines, correct codes and notify provider as needed. Utilize ICD9/ICD10 to code diagnosis and determine principal and significant secondary diagnoses.  Utilize CPT/HPCS to assign and sequence all codes for services rendered. Provide education and teaching to providers and clinical assistants as needed related to properly coding encounters (CPT, ICD-10 and HCC) and compliance with...

Company Overview :Read on to fully understand what this job requires in terms of skills and experience If you are a good match, make an application.Upward Health is an in-home, multidisciplinary medical group providing 24 / 7 whole-person care.Our clinical team treats physical, behavioral, and social health needs when and where a patient needs help.Everyone on our team from our doctors, nurses, and Care Specialists to our HR, Technology, and Business Services staff are driven by a desire to improve the lives of our patients.We are able to treat a wide range of needs - everything from addressing poorly controlled blood sugar to combatting anxiety to accessing medically tailored meals - because we know that health requires care for the whole person.It's no wonder 98% of patients report being fully satisfied with Upward Health!Job Title & Role Description :The Certified Medical Coder is responsible for analyzing provider documentation to accurately select ICD-10 and CPT / HCPCS...

Department Patient Accounting- Physicians Status Full Time Shift Remote Location Orlando, FL Title Physician Coding Auditor Summary The Physician Coding Auditor performs coding related audits to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Auditor is responsible for analyzing Physician and Coder charges for Surgical, procedural and E/M based coding. "Orlando Health Is Your Best Place to Work" is not just something we say, it’s our promise to you. Orlando Health proudly embraces and honors the individuality of our team members. By sharing different ideas and perspectives and working together as a team, we are better able to relate to, care for and authentically serve our patients and families who make up the collective populations in our community. So, no matter who you are, what you believe or how you express yourself, you are welcome here. ORLANDO HEALTH...

Medical Biller: Senior Billing Manager A well-established and growing Medical Billing company based in Downtown Orlando is currently looking for an experienced account manager to join its growing team. Job Description The Senior Biller Manager would directly report to the Director of Operations. The Senior Biller Manager would be responsible for managing client accounts to coordinate their overall functions of billing, maximizing cash flow while improving patient, physician, and other customer relations. Requires strong leadership and business office skills, including project management, critical thinking and analytical skills. This is a full-time and in-person position only. Qualifications Preferred 4+ years' experience in a medical office reimbursement department Preferred a minimum of 3 years' supervisory or management experience over staff. Experience with EMR Management software Strong background in Accounts Receivable Experience in CPT and ICD10 codes,...

Job Description Job Description Company Description A well-established and growing Medical Billing company based in Downtown Orlando and is currently looking for an experienced account manager to join its growing team.   Job Description The Senior Biller Manager would directly report to the Director of Operations. The Senior Biller Manager would be responsible for managing client accounts to coordinate their overall functions of billing, maximizing cash flow while improving patient, physician, and other customer relations. Requires  STRONG  leadership and business office skills, including project management, critical thinking and analytical skills.   This is a full-time and In-person position only Qualifications Preferred 4+ years’ experience in a medical office reimbursement department ·         Preferred a minimum of 3 years’ supervisory or management experience over staff. ·         Experience with EMR Management software ·         Strong background in Accounts...

HIM Coder 2 - Inpatient Coding Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will: Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care...

Medical Records Technician (Coder) In/Outpatient *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION* Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare Common Procedure Coding System (HCPCS). Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or evaluation and management (E/M) code to ensure ethical, accurate, and complete coding. Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum...

Job Description Job Description Remote Medical Coder Location: remote, Florida Compensation: $21-26/hr., commensurate with experience and qualifications Our Story : Physician Care Centers (PCC) is a growing healthcare MSO with 70+ value-based primary care clinics serving patients across Florida, Texas, Georgia, South Carolina, and Nevada. With a team of 500+ professionals, we’re committed to delivering exceptional care and improving patient outcomes. The Role: We’re seeking a Medical Coder to ensure accurate, compliant coding that supports revenue integrity and risk adjustment performance. Under the supervision of the Revenue Cycle Manager, you’ll review provider encounters, ensure accurate E/M, CPT, and HCC capture, as well as collaborate with clinical teams and support documentation improvement. What You’ll Do: Review and accurately code all provider encounters (office visits, procedures, preventive care, chronic condition management). Ensure...

Location:Miramar, FloridaAt Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience.Summary:Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures.Responsibilities:Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements.Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from...

Risk Adjustment CoderPorter combines the power of analytics with the power of care. Porter is a leading healthcare IT and services platform for care and coverage coordination that optimizes outcomes and member experience. Driven by robust AI analytics, Porter's Care Guide team helps the member navigate the healthcare delivery system, secures the right support for each member's specific needs, and directs Porter's team of expert clinicians to perform comprehensive in-home assessments, complete with lab and diagnostic testing. By coordinating the complexities of each unique care journey, Porter helps close the gaps with the largest impact on quality measures, total cost of care, risk adjustment, and member experience.Position OverviewWe are seeking a certified coder with expertise in risk adjustment coding and a specialization in in-home health assessments. The ideal candidate will have a strong understanding of CMS risk adjustment and quality initiatives, exceptional attention to...

Job Requirements Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work Position Summary To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. Primary Responsibilities Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. Literacy...