16 facility coding inpatient complex coder jobs found

HIM Outpatient Surgery/Ambulatory Coder The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes. Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment. The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing. Responsibilities and Essential Job Functions: Reviews outpatient/inpatient EHR for appropriate documentation and signatures, and reviews interface charges prior to billing. Reviews departmental reporting structures and requests modifications as needed, i.e. adding billing areas, providers, etc. Monitors CPT,...

Position Title HIM Outpatient Surgery/Ambulatory Coder Liberty Hospital Position Summary / Career Interest: The HIM Outpatient Surgery/Ambulatory Coder is responsible for reviewing outpatient/inpatient EHR. This position monitors CPT, ICD-10, and HCPCS code changes. Audits and/or assigns codes (CPT, HCPCS, and diagnosis) for professional and hospital accounts for Primary Care/Medical Specialty/Simple Procedural services from clinical documentation for accurate professional billing and facility APC assignment. The HIM Outpatient Surgery/Ambulatory Coder is a resource for the physicians and other health care providers in regard to coding and to review medical documentation to insure appropriate physician and facility coding and billing. Responsibilities and Essential Job Functions Reviews outpatient/inpatient EHR for appropriate documentation and signatures, and reviews interface charges prior to billing. Reviews departmental reporting structures and requests...

Hiring Department University Physicians Job Description #upjobs This part-time position is a dual post linked to Job ID 58799 -MCS - University Physicians, and the department will be hiring for one position. Job Duties: 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...

It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Experience : 2+ years of professional coding experience is required. Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. ? Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. * Candidates to reside in MO, IL, OK, or WI (additional states my be considered) Job Summary: Primarily focuses on...

Join a dedicated healthcare team in the heart of the Midwest region, where your expertise in medical coding will directly support accurate billing and compliance with national standards. This role involves assigning ICD-10-CM, CPT, and HCPCS Level II codes to finalized medical documentation, ensuring claims are properly prepared according to AMA and CMS guidelines. Key Responsibilities: Assign appropriate medical codes to patient records and claims. Abstract data to determine modifiers for claim submissions. Communicate with providers to clarify documentation and request necessary addendums. Stay current with coding standards, including federal, state, and local regulations. Adhere to ethical coding standards and organizational compliance policies. Monitor provider documentation timeliness and maintain productivity standards. Maintain certification through AAPC or AHIMA and complete required continuing education units. Education: High school diploma or...

Pro Fee Coder - Neurology page is loaded## Pro Fee Coder - Neurologylocations: Remote - USAtime type: Full timeposted on: Posted 2 Days Agojob requisition id: R5440Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The...

Hiring Department University Physicians Job Description #upjobs This part-time position is a dual post linked to Job ID 58803 -MCS-C - University Physicians, and the department will be hiring for one position. Job Duties: 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...

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 58625 - MCS-C - University Physicians, and the department will be hiring for one position 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. 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 the CPT-4 coding systems. One (1)...

Remote Opportunity Pay based on experience, $19.57-$30.61 Perform a comprehensive review of the patient medical record to code and abstract medical, surgical, ancillary, social, and administrative data to ensure accurate billing and reimbursement and complete data capture. High School Diploma or equivalent required Current coding certification through AHIMA (American Health Information Management Association) or AAPC (American Academy of Professional Coders), or RHIT/RHIA with coding experience required Thorough knowledge of the related prospective payments systems (PPS) Office Level Only - 1-5 years experience/apprentice status Proficiency in ICD-10 and CPT/HCPCS Code Sets Proficiency in E/M Professional Office and Rural Health Coding Proficiency in Professional Coding for procedures performed in the office Broad knowledge of pharmacology indications for drug usage and related adverse reactions Knowledge of ancillary testing (laboratory, x-ray, EKG)...

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...

Hiring Department University Physicians Job Description #upjobs This position is a dual post linked to Job ID 58429-MCS-C- University Physicians, 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 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...

Clinical Documentation Improvement Specialist - CCS Certified Coder 2223-OJO Job Ref.: 2223 Role: Information Technology Relocation Available: Yes Location: Missouri Town / City: Cape Girardeau Job Type: Permanent full-time Position Summary The clinical documentation specialist is an AHIMA Credentialed Coder CCS with a high level of clinical coding proficiency. Knowledge to review disease processes of complex patients, various ages and development, acute and chronic disease states daily. Promotes effective and efficient review of physician documentation to supporting level of care, appropriate assignment of DRG's with action plans for documentation improvement. Collaborates with CDIS peers, physicians, nurse practitioners, physician assistants, managers, coding and data quality staff, case management and Director, Health Information Management. Works in a collegial manner with physicians, staff and consultants. Must be able to carry out goals, use good judgment, be productive...

Coder Reimbursement Specialist - Hospital Full‑time position. The Coding and Reimbursement Specialist (CCS) is responsible for coding and abstracting clinical data from the medical record, including inpatient, outpatient, commercial, Medicare, Medicaid, Illinois Public Aid, and all other payor types. Accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis and 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. The CCS manages workload, assigns work to three inpatient and two outpatient coders, and oversees day‑to‑day operations of the coding/reimbursement area. The CCS monitors regulatory sources to keep HIM coding and other staff informed and trained on coding rules, regulations and related issues, works closely with patient financial services to resolve claim denials, assists in...

Ambulatory Procedure Visit-Outpatient Coder COMPANY OVERVIEW: Health Partners Management Group, Inc (HPMG) is a government contracting company in Poplar Bluff, Missouri. HPMG currently has a contract with the Federal Government. You would be a W-2 employee for HPMG and NOT a government employee. SUMMARY: Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers and quantities derived from medical record documentation (paper or electronic) for ambulatory procedure visits. Trains and educates MTF staff on coding issues and plays a significant role in departmental and clinic-wide coding compliance activities. MANDATORY KNOWLEDGE AND SKILLS: Position requires excellent computer/communication skills for provider and staff interactions. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines (outpatient and...

Get started on an exciting career in health information management. We’re with you every step of the way. Who We Are Looking For: Experienced INPATIENT Coders Position is fully remote; however, candidates will be required to interview in Los Angeles, CA. CCS credentialed coding specialists to code records for reimbursement of services. Identify and abstract diagnoses and procedures and assign codes to patients' medical records, complete special reports, and ensure the validity of the completed record. Requirements Candidates should possess a Certified Coding Specialist (CCS) credential from the American Health Information Management Association AHIMA. Duties Understands and follows AHIMA Code of Ethics and Best Practice Standards for client facility Extensive knowledge of ICD-9CM, CPT, MS-DRGs, APCs, and HCPCS Coding Guidelines; Experience with AHIMA standard coding conventions; Assign diagnostic and procedural codes for Inpatient data; Prepares work to be processed by...