15 facility coding inpatient complex coder jobs found

Clinic Coder 3 The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical providers. Responsibilities Coding/Abstracting Determines the appropriate sequencing of diseases, diagnoses, and surgeries. Accurately assigns...

Medical Coder & Insurance Collector Resolve Pain Solutions is committed to improving the quality of life for individuals experiencing chronic and acute pain. We are seeking a detail-oriented Medical Coder & Insurance Collector to join our growing team. Our administrative and billing professionals play a vital role in supporting patient care by ensuring accurate coding, timely claim submission, and efficient reimbursement from insurance providers. This position supports both the coding and collections functions of the revenue cycle, helping ensure services are coded correctly and payments are collected promptly. Position Summary The Medical Coder & Insurance Collector is responsible for reviewing clinical documentation, assigning appropriate medical codes, submitting and following up on insurance claims, and resolving denied or unpaid claims. This role requires a strong understanding of outpatient coding, pain management procedures, ambulatory surgery center (ASC)...

GENERAL SUMMARY OF DUTIES: Provides coding, audit, and compliance support for all clinical services rendered by the organization. This role ensures accurate code assignment, adherence to FQHC billing and reimbursement regulations, and supports risk mitigation efforts through provider education and ongoing audit activities. SUPERVISION EXERCISED: None ESSENTIAL FUNCTIONS: Conduct routine and targeted provider coding audits to ensure compliance with FQHC billing requirements, Medicare, Medicaid, and commercial payer policies. Analyze audit findings and communicate results to Providers, including corrective action recommendations and education as needed. Serve as a liaison to Providers regarding coding updates, new services, documentation standards, and regulatory changes; must be able to present effectively to physician groups. Review all coding-related denials to identify trends, root causes, and systemic risks; recommend preventive strategies to reduce future...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note:...

Job Description Job Description Mission Statement To consistently pursue excellence in service, quality, comfort, and convenience to create an unparalleled experience for patients, their families, and our physicians. Vision Statement Through strong partnerships with high-quality physicians and a steadfast commitment to excellence, Omega Hospital will remain a premier surgical hospital for patients, physicians, and employees. POSITION SUMMARY The Medical Coder is responsible for all coding functions for Omega Hospital, including professional and technical services across surgical and pre-operative encounters. This role supports accurate, compliant, and optimized reimbursement by ensuring complete and precise coding for hospital services, anesthesia, first assist, and related professional components. This is a remote, in-house position requiring close collaboration with physicians, anesthesia providers, scheduling, and the billing team. The coder will also support coding...

Coding Specialist We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. Education Required - High School diploma or equivalent Preferred - Completion of an accredited American Health Information...

GENERAL SUMMARY OF DUTIES: Oversees processing of professional and facility charges in accordance with current ICD and CPT guidelines. EXAMPLES OF DUTIES: (This list may not include all of the duties assigned.) Gathers, reviews and corrects professional and facility charges which includes checking for patient demographic information accuracy and total charges through review of patient charts. Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines. Interprets medical information such as diseases or symptoms & diagnostic descriptions and procedures to accurately assign and sequence the correct ICD & CPT codes. Works with physicians to resolve coding issues. Works with hospital staff to coordinate inpatient consultations....

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

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 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 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 guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Resolve Pain Solutions is committed to improving the quality of life for individuals experiencing chronic and acute pain. We are seeking a detail-oriented Medical Coder & Insurance Collector to join our growing team. Our administrative and billing professionals play a vital role in supporting patient care by ensuring accurate coding, timely claim submission, and efficient reimbursement from insurance providers. This position supports both the coding and collections functions of the revenue cycle , helping ensure services are coded correctly and payments are collected promptly.Position Summary The Medical Coder & Insurance Collector is responsible for reviewing clinical documentation, assigning appropriate medical codes, submitting and following up on insurance claims, and resolving denied or unpaid claims. This role requires a strong understanding of outpatient coding, pain management procedures, ambulatory surgery center (ASC) services, and insurance claims...

Your job is more than a job Why a Great Place to Work: You're more than your job. Everyone is. And that's what makes you great at your job-all the little extras you bring to work every day, the things that make you you. At LCMC Health we value those things about you, because we know that all those little extras add up to extraordinary. And we've built a culture that supports and celebrates the extraordinary. You'll see it when you come to work here, in the spirit of our places and the faces of our people. And every patient we heal, every family we comfort, every life we improve is the outcome of countless little extras adding up to an extraordinary result. Join LCMC Health, and you'll find that our everyday makes it easy to live your extraordinary. Essential Function: The Coding Senior will be responsible applying the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determining the MS-DRG and APR-DRG assignment of in patient records across...

Your job is more than a job The Coder Lead will code all outpatient types as needed; same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Overview Join to apply for the Coder Senior role at LCMC Health . Get AI-powered advice on this job and more exclusive features. Responsibilities Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity...

Overview Senior HB Coder - Remote at LCMC Health Position details: Remote coding role focusing on ICD-10-CM/PCS, CPT, MS-DRG/APR-DRG assignments for inpatient and ambulatory records across multiple specialties. The Coding Senior may perform functions of a Coding Specialist I as assigned. Responsibilities Proficiently navigates patient health records and other systems to accurately determine diagnosis and procedure codes, MS-DRGs/APCs, and all required modifiers. Validate charges by comparing charges with health record documentation as necessary. Communicate effectively with clinical staff, physicians, and other stakeholders regarding documentation needs related to inpatient, outpatient, or ambulatory coding. Identify concerns and notify leadership for resolution; provide resolutions to moderate to complex problems. Track issues (missing documentation, charges, physician queries) requiring follow-up to facilitate timely coding. Meet or exceed coding quality and productivity...