15 facility coding outpatient complex coder jobs found

A company is looking for a HIM Facility Outpatient Coder III - PRN. Key Responsibilities Reviews work queue assignments and prioritizes coding tasks to meet revenue cycle goals Assigns and sequences diagnosis and procedure codes according to official coding guidelines Initiates physician queries and resolves billing edits related to coding Required Qualifications Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification High School Diploma or GED; must pass an advanced coder competency exam with a minimum score of 95% Five (5) years of hospital-based coding experience, including complex CPT surgical coding Advanced knowledge of ICD-10-CM-PCS coding guidelines Proficiency in electronic health records and encoder systems

A company is looking for a HIM Facility Outpatient Coder III - PRN. Key Responsibilities Reviews work queue assignments and prioritizes coding tasks to meet revenue cycle goals Assigns and sequences diagnosis and procedure codes according to official coding guidelines Initiates physician queries and resolves billing edits related to coding Required Qualifications Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification High School Diploma or GED; must pass an advanced coder competency exam with a minimum score of 95% Five (5) years of hospital-based coding experience, including complex CPT surgical coding Advanced knowledge of ICD-10-CM-PCS coding guidelines Proficiency in electronic health records and encoder systems

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...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

A company is looking for a HIM Inpatient Coder III - PRN. Key Responsibilities Assign and sequence diagnosis and procedure codes for various inpatient and outpatient service types Review documentation to ensure accurate coding and resolve billing edits Participate in meetings and assist with coding-related inquiries from other departments Required Qualifications Certified Coding Specialist (CCS), Certified Professional Coder (CPC), or equivalent certification High School Diploma or GED; must pass an advanced coder competency exam with a minimum score of 95% Five years of hospital-based coding experience, including complex CPT surgical coding and advanced ICD-10-CM-PCS coding Proficiency of 95% or greater on coding audit reviews Ability to work independently as a remote employee while engaging with the coding team

Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System...

Please note all candidates must complete onsite testing in Marlton, NJ. Summary Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA),...

About Us Welcome to Hudson Regional Health Technology Transforming Care Hudson Regional Health is a newly unified healthcare network serving Hudson County through four hospitals. Together, these hospitals form a single, integrated system with a shared vision—to deliver modern, patient-first care supported by innovation. From robotic-assisted surgery and AI-powered diagnostics to real-time monitoring and precision neurosurgery, HRH is redefining what’s possible in community healthcare. Patients across the region now have access to state-of-the-art procedures and nationally recognized specialists, all within a connected, local network designed to put care first. Our Services We focus on the care our patients need most, delivered with precision, innovation, and a commitment to excellence. Advanced Emergency Services - 24/7 emergency departments across all four hospitals Robotic-Assisted Surgery - featuring the Da Vinci XI and ExcelsiusGPS systems...

Overview Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Billing Coordinator / Coder is responsible for coordinating the day-to-day billing operations of the department and the hospital outpatient billing service utilizing a centralized medical information system. This position is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more These are a remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from patient medical...

Job Description Under general supervision and according to established policies and procedures, reviews and abstracts the demographic, financial and clinical data from the inpatient medical record for the purpose of assigning ICD diagnosis/procedures, HCPCS, and CPT4. Ensures that inpatient and outpatient records are coded, abstracted and entered into computer system in an accurate and timely manner. Qualifications Work requires the level of knowledge normally acquired through completion of two to three years of occupational-specific education beyond High School or an Associate's Degree in Health Information Technology or a closely related field and two to three years of previous work related experience. Certified Coding Specialist (CCS) AHIMA's coding certification required or within 1 year of hire. Work requires the analytical ability to resolve problems that require the use of basic scientific knowledge and the ability to exchange information on factual matters....

Established in 1963, The Cardiovascular Care Group provides complete care for patients with vascular disease. With New Jersey offices in Essex, Passaic, Union, Morris, Monmouth, and Mercer counties, the Group is able to deliver care in both office-based and hospital settings. Job Summary: Reporting to the Coding Manager, the Certified Medical Coder must have a current/active Certified Professional Coder (CPC or CCS) certification to provide quality review and analysis of a wide range of surgical and hospital outpatient coding, patient medical records and ensure accuracy of coding and maintain records in accordance with accepted medical and legal standards as well as provide the full range of billing support functions to ensure the efficient billing and collection of medical payments to the practice. Certified Medical Coder (CPC or CCS) Responsibilities will include: Properly analyze coding services, procedures, diagnoses, and treatments. Identify and resolve billing issues...

Please note all candidates must complete & pass onsite testing in Marlton, NJ prior to an interview. Position Responsibilities Responsible for abstracting clinical information and assigning CPT-4 and ICD-10 codes from medical records and documents to support physicians professional fees, including but not limited to outpatient evaluation and management (E/M) services and procedures in accordance guidelines. Abstract billing for outpatient evaluation and management codes, minor surgical procedure(s) and HCPCS (supplies and pharmaceuticals) codes from provider documentation to include; assignment of CPT-4, ICD-10-CM codes and modifiers. Research simple coding/billing issues for the physicians to identify and recommend the most appropriate method of coding/billing. Research may involve interaction with organizations such as the American Medical Association, specialty societies, or other coding consultants. Analysis of the medical record to determine the appropriateness of...

Overview CentraState Healthcare System, headquartered in Freehold, New Jersey, is a leading nonprofit healthcare provider dedicated to serving the community.Its comprehensive network includes CentraState Medical Center, a community-focused hospital, along with an ambulatory campus, two senior living facilities, three free-standing community health pavilions, and a charitable foundation.As the third-largest employer in Monmouth County, CentraState has earned repeated recognition as a Great Place to Work-Certified company, reinforcing its reputation as an exceptional workplace.CentraState Medical Center currently has an employment opportunity available for an Emergency Department (ED) Coder to support the Health Information Management department.The ED Coder is responsible for accurately assigning ICD-10-CM and CPT-4 diagnosis and procedure codes to emergency department records.This role ensures proper identification of facility and procedure-level codes in compliance with coding...