19 facility coding inpatient complex coder jobs found

Overview Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Join us to start Caring. Connecting. Growing together. Schedule: Monday - Friday (Standard Business Hours) You will enjoy the flexibility to telecommute from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities Codes Inpatient Facility medical records using coding classifications to ensure data integrity and proper assignments Work daily with MS-DRGs, APR-DRGs, Physician Queries, and ICD-10 PCS coding Analyze medical records to ensure accurate coding and send provider feedback to improve the quality of documentation...

Inpatient Health Information Coder (Remote) Performs ICD and CPT coding of inpatient and outpatient medical records. Analyzes, sequences and validates assigned codes based on medical record documentation using the automated encoder, book and coding compliance resources. Demonstrates complete understanding of coding rules, anatomy, physiology, and medical terminology to appropriately code patient information. Reviews all medical record documentation to determine and assign diagnoses, procedures, level codes and modifiers, to ensure appropriate coding for case mix. Selects the appropriate reimbursement grouper based on financial class for the particular account. Ensures that coding compliance, regulatory and reimbursement requirements are met through the process of assigning reimbursement classifications. Abstracts and enters diagnosis, procedures and level codes with demographic, clinical and related patient information into the Medical Record Abstracting and/or...

Ready to Help Us Transform Healthcare? Bring Your True Colors to Blue. What We Need The Risk Adjustment Auditor/Coder will code, abstract and analyze inpatient, outpatient and professional medical records using ICD-10 coding guidelines. The coder will perform these medical record reviews remotely to ensure proper medical diagnoses are coded appropriately and that the members' medical records reflect them accurately in accordance with Official Coding Guidelines. This role is eligible for the following personas: E-Worker, Mobile and Resident. Your Day to Day Perform medical record reviews which include coding, abstracting and analyzing inpatient, outpatient and/or professional medical records using ICD-10 coding guidelines. Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines, as well as other official guidance such as CMS guidelines and AMA Coding Clinics. Ensure that all ICD-10 diagnoses are reported in...

Medical Coder II Or III CodaMetrix is revolutionizing Revenue Cycle Management with its AI-powered autonomous coding solution, a multi-specialty AI-platform that translates clinical information into accurate sets of medical codes. CodaMetrix's autonomous coding drives efficiency under fee-for-service and value-based care models and supports improved patient care. We are passionate about getting physicians and healthcare providers away from the keyboard and back to clinical care. Overview Reporting to the Manager, Medical Coding & Audit, as a Medical Coder II or III, this role will be a key member of the team responsible for ensuring that CodaMetrix meetsand exceedsour customers' coding quality expectations. The Medical Coder II or III will be responsible for leveraging their strong background in coding, billing, and auditing across service lines to review, analyze, and enhance coding processes, both internally and externally. They will play a pivotal role in improving the...

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Interprets a wide variety of clinical and diagnostic documentation to determine the opportunity for Hierarchical Condition Category (HCC) diagnosis selection and/or removal in accordance with official coding guidelines. Assigns appropriate ICD-CM (current edition) codes to outpatient office-based claims, tracks capture results, and reports clinical documentation patterns and trends. Supports all risk adjustment projects by complying...

Responsible for collecting, coding and recording accurate and complete patient care data from outpatient accounts to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines. Responsible for collecting, coding and recording accurate and complete patient care data from outpatient accounts to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines. Required Skills/Qualifications/Training/Experience: Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate Proficiency in technology usage, experience in Cerner and 3M 360 a plus. Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology....

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:...

Become a part of our caring community and help us put health first Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures,...

Ready to help us transform healthcare? Bring your true colors to blue. What we need The Risk Adjustment Auditor/Coder will code, abstract and analyze inpatient, outpatient and professional medical records using ICD-10 coding guidelines. The coder will perform these medical record reviews remotely to ensure proper medical diagnoses are coded appropriately and that the members' medical records reflect them accurately in accordance with Official Coding Guidelines. This role is eligible for the following personas: E-Worker, Mobile and Resident. Your Day to Day Perform medical record reviews which include coding, abstracting and analyzing inpatient, outpatient and/or professional medical records using ICD-10 coding guidelines. Follows the Official ICD-10 guidelines for Coding and Reporting and has a complete understanding of these guidelines, as well as other official guidance such as CMS guidelines and AMA Coding Clinics. Ensure that all ICD-10 diagnoses are reported...

About the Role To support the company by providing clinical documentation and diagnostic results through proper ICD -9- CM and ICD-10-CM and CPT codes for billing. Responsible for the Company Vision "To be the prominent urology practice with a reputation for delivering excellent and effective care in all urologic modalities. By providing full-service urology to the patients and communities we serve, there will be greater satisfaction as well as patient and physician loyalty which will allow continued success and growth." Location: This is an in-office position, no remote hours. What You'll Be Doing Proficient in assigning accurate medical codes for diagnoses, procedures, and evaluation and management services according to the appropriate classification system for outpatient and inpatient encounters Maintain knowledge of anatomy, physiology, and medical terminology commensurate with the ability to correctly code diagnoses and services Review all clinical progress...

$5000 Sign on Bonus! 4 days remote and 1 day on site (Wednesdays) eligibility after fully trained and productivity is consistent Working under the supervision of the Central Billing Department Supervisors will share the responsibilities of being accessible to physicians, staff and patients regarding billing questions; assures that all billing functions are completed in a timely fashion and develops billing goals. Responsible for accurately coding provider's outpatient and inpatient visits based on the documentation provided and abstracting accurate and complete patient care data to ensure optimum and timely reimbursement. Applies knowledge of specialized information specific to coding and medical terminology according to all coding guidelines. Required Qualifications and Skills: Minimum of 1-2 years of medical billing experience in either charge, payment or follow-up work Minimum of 1-2 year of coding experience for primary care, medical and surgical specialties or...

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...

Coding Specialist Eligible for 100% remote work from MA, RI, CT, GA, WY, NM Sign on bonus: $10,000 Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines. Education/Training: Associates required with Bachelor's Degree preferred. Licenses/Certification: RHIA (Registered Health Information Administrator) and CCS (Certified Coding Specialist) or RHIT (Registered Health Information Technician) and CCS (Certified Coding Specialist) Required Qualifications and Skills: Minimum 2 years' experience coding inpatient records. Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate. Proficiency in technology usage, including 3M encoder. Knowledge...

Professional Coding Auditor and Educator - Remote Job Profile Summary This role focuses on activities related to revenue cycle operations such as billing, collections, and payment processing. In addition, this role focuses on performing the following Health Information Management duties: Responsible for the accuracy, maintenance, security, and confidentiality of patient's health information. An organizational related support or service (administrative or clerical) role or a role that focuses on support of daily business activities (e.g., technical, clinical, non-clinical) operating in a "hands on" environment. The majority of time is spent in the delivery of support services or activities, typically under supervision. An experienced level role that requires basic knowledge of job procedures and tools obtained through work experience and may require vocational or technical education. Works under moderate supervision, problems are typically of a routine nature, but may at...

# # # **Exemption Status:**Non-Exempt**Hiring Range:**$25.83 - $43.91**Schedule Details:**Monday through Friday**Scheduled Hours:**7:00am-3;30pm**Shift:**1 - Day Shift, 8 Hours (United States of America)**Hours:**40**Cost Center:**99940 - 5458 Coding Services**Union:**SHARE (State Healthcare and Research Employees)This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.# # **Everyone Is a Caregiver**At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an...

Overview: The Billing Specialist works collaboratively with the Billing Manager to support all functions of the billing department, ensuring the maximization of receivables and maintaining optimal cash flow. This role requires advanced knowledge of OB/GYN coding and billing practices.  The Billing Specialist is responsible for maintaining compliance with office policies, procedures, and all applicable regulatory requirements.  The ideal candidate demonstrates a friendly and professional demeanor, strong interpersonal skills, and the ability to remain composed during high-pressure situations. This role requires the ability to work independently, apply critical thinking to resolve complex billing issues, and manage sensitive financial conversations with patients in a respectful and understanding manner. Key Responsibilities: Support the daily operations of the billing department, including medical and surgical coding and billing for both hospital and office...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Exempt Hiring Range: $39,832.00 - $91,520.00 Please note that the final offer may vary within this range based on a candidate's experience, skills, qualifications, and internal equity considerations. Schedule Details: Monday through Friday, On Call - Required Scheduled Hours: Monday 8am-4:30pm, Tuesday & Thursday 7:45am-8:15pm, Friday 7:45am-4:15pm Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 26100 - 7003 Milford Urgent Care This position may have a signing bonus available; a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver. At UMass Memorial Health, everyone is a caregiver—regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading‑edge research make UMass...

Coder Abstractor-Inpatient page is loaded## Coder Abstractor-Inpatientlocations: Attleboro, MAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R8470Responsible for collecting, coding and recording accurate and complete patient care data from inpatient discharges to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding and medical terminology commensurate with coding guidelines.**Required Skills/Qualifications/Training/Experience:*** Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate* Proficiency in technology usage, including 3M encoder.* Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.* Knowledge of ICD-10CM and ICD-10-PCS coding systems, guidelines, and conventions. Familiarity with UHDDS definitions and Coding Clinic.* Organized, flexible,...

Professional Coding Auditor and Educator – Remote Join Tufts Medicine in this role that focuses on revenue cycle operations such as billing, collections, and payment processing, and performs Health Information Management duties including ensuring the accuracy, maintenance, security, and confidentiality of patient health information. Job Overview The position requires frequent daily interactions with physicians and providers, providing coding instruction, chart reviews, coding education, evaluation of denials, and ensuring regulatory compliance. It also involves collaboration with billing specialists and management to improve charge capture. Minimum Qualifications Associate’s degree in Medical Record Technology. Completion of a Certified Medical Coding Program or at least two years of professional coding certification with courses in Medical Terminology, Anatomy & Physiology, or extensive training in physician coding. One of the following certifications: Certified...