12 hcc coder jobs found

A consulting company is searching for a Sr. Associate with expertise in coding, revenue cycle, and clinical operations. This role focuses on complex investigations, compliance evaluation, and project management within healthcare disputes. The ideal candidate must be CRC certified with a strong grasp of clinical terminology and health regulations. Excellent communication skills and proficiency in Excel, Word, and PowerPoint are essential. The position offers a salary range from $85,000 to $200,000, depending on experience and location. #J-18808-Ljbffr

Ankura is a team of excellence founded on innovation and growth. Practice Overview: Ankura’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their legal counsel rely upon us to successfully resolve complex matters. Ankura’s health care team is comprised of clinicians, certified coders, revenue cycle, and operations professionals. Our practice leaders each have over 25 years of health care and consulting experience. The Ankura team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their legal counsel assess and quantify the potential impact of a dispute. Our clients include the largest...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare...

Job Details Location: Gibson City, IL 60936 Position Type: Full Time Salary Range: $21.00 - $32.00 Hourly GENERAL SUMMARY The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. PRINCIPLE DUTIES AND RESPONSIBILITIES Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes. Ensure codes are...

Summary The MRT Coder is a position located under the Health Information Management Division of the Resources Directorate at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, Illinois. This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and other duties as assigned. Learn more about this agency Duties Help Duties and responsibilities of this position include, but are not limited to the following: Basic Functions Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the FHCC. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Certifications: Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist – Physician-Based (CCS‑P) – American Health Information Management Association (AHIMA); Certified Coding...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. For Carle, HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. This role also includes resolving billing edits related to coding and reviewing clinical encounters using Carle electronic medical record systems. Qualifications Certifications: Certified Professional Coder (CPC) – American Academy of Professional Coders (AAPC); Certified Outpatient Coder (COC) – American Academy of Professional Coders (AAPC); Certified Inpatient Coder (CIC) – American Academy of Professional Coders (AAPC); Certified Coding Specialist...

Job Title Job Title Duties Duties and responsibilities of this position include, but are not limited to the following: Basic Functions Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the FHCC. Selects and assigns codes from the current version of several coding systems to include 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 code to ensure ethical, accurate, and complete coding. Monitors ever-changing regulatory and policy requirements affecting coded information for the full spectrum of services provided by the FHCC. Performs a comprehensive review of the patient health record to...

Mrt Coder The MRT Coder is a position located under the Health Information Management Division of the Resources Directorate at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, Illinois. This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and other duties as assigned.

Carle Inclusion Connection Group in Champaign, IL, is seeking a HIM Certified Coder responsible for accurate and timely coding of hospital encounters. Candidates must possess certifications such as CIC, CCS, or similar, along with a High School Diploma. The role requires knowledge of ICD-10-CM, CPT, and HCPC codes, and demands strong communication and collaborative skills. This position offers a compensation range of $23.58 to $39.38 per hour, with a comprehensive benefits package. #J-18808-Ljbffr

Compliance Auditor needed! Join our growing organization! Onco360 has an immediate need for a Compliance Auditor. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting Salary at $60,000 and up, depending on experience Summary The Compliance Auditor will assist the Onco360/CareMed/ConnectMed360 Compliance Team through the completion of routine and random pharmacy compliance audits at Onco360/CareMed/ConnectMed360 pharmacy locations to ensure all pharmacy activities and operations are executed in compliance with state and/or federal regulations and laws governing pharmacy operations. This individual provides support to Onco360/CareMed/ConnectMed360 pharmacy operations teams in answering compliance and regulatory questions based around their needs. The Compliance Auditor shall develop and provide regular reports and updates regarding compliance matters to the...

We are seeking experienced and highly accurate Value-Based Coders to join a project dedicated to in-home health assessments for Medicare Advantage and other value-based programs.This role is 100% remote and ideal for coders who are confident working independently, detail-oriented, and committed to quality and compliance.As a contractor, you'll have the independence to manage your own schedule while contributing to meaningful work that truly makes a difference.As part of the coding team, you will review clinical documentation from in-home visits and assign complete and compliant ICD-10-CM diagnosis codes that reflect the full spectrum of each patient's health.This includes :Risk adjustment (HCC) diagnoses aligned with CMS-HCC and HHS-HCC models.Social Determinants of Health (SDOH) codes.Medication-related Z codes, such as long-term drug therapy and treatment monitoring.All other clinically relevant diagnoses supported by documentation.Your accuracy directly supports the integrity of...