12 hcc coder jobs found

Description The Coder II performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. In addition to the audit and review work, the Coder II will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications National Certification from American Academy of Professional Coders upon hire, Or Certification from American Health Information Management Association Upon hire 3 years recent...

Coding Auditor AllCare Health | Quality Department | Grants Pass, Oregon We Are Seeking Qualified Candidates to Join Our Team! AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options. Summary of the Position The Coding Auditor is responsible for developing, implementing, and maintaining auditing practices related to medical record coding and documentation to support accurate and complete risk adjustment outcomes for Medicare members. This position reviews medical records and coding for accuracy and compliance with Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) requirements, identifies coding and documentation trends, and works collaboratively with providers and internal teams to improve documentation, coding accuracy, and risk adjustment outcomes. Essential Duties Ensures the accuracy and...

Coding Auditor SeniorCandidates must reside either in Washington or Oregon to be considered for this position.Essential Responsibilities:Proficient in medical record review and translating clinical information into coded data. Identify and assign appropriate codes for diagnoses, procedures and other services rendered, while also validating any Computer Assisted Coded (CAC) assignments for dual coding. Utilizing the Code Base Charge Trigger system (CBCT) and OPTUM 360 EncoderPRO software system for professional surgical services, analyzing and maintaining systems accuracy, validity and meaningfulness for both professional and facility services. Utilizes electronic patient data system and clinical information system (EpicCare) to access patient encounter information. Abstracts and enters clinical data elements as defined by the needs of the organization. Identifies and assigns principal diagnosis and procedure codes, sequencing them as needed for proper Ambulatory Payment...

Providence is seeking a Coder II to perform coding audits and review outpatient services for compliance and optimization. You will work closely with outpatient providers, delivering ongoing feedback on coding, documentation, and ICD-9/ICD-10/HCC coding to align with reimbursement requirements.The role is full-time with remote work options, requiring collaboration with the Providence Clinical Network and proficiency in Epic EMR. Certification and outpatient coding experience are essential.J-18808-Ljbffr

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Providence Medical Group is seeking a Coder II to perform coding audits and reviews of outpatient services to support optimization and compliance for our medical group. You will also work side by side with outpatient providers, offering ongoing feedback and coaching on the code entry process, documentation, ICD-9, ICD-10, and HCC coding. This role emphasizes collaboration with physicians, using Epic EMR, and proactively identifying issues that impact documentation and reimbursement. #J-18808-Ljbffr

Job TitleTo independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients' health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems.All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI); Uniform Hospital Discharge Data Set (UHDDS), Medicaid (OMAP), and organization/institutional coding directives.Ability to communicate with...

Inpatient Facility Medical Coder (40h Day)RemoteClackamas, ORCandidates must reside either in Washington or Oregon to be considered for this position.To independently and efficiently perform the responsibilities assigning accurate diagnosis and procedures codes to the patients health information records for: Emergency Department (ED), Ambulatory Surgical Center (ASC), Hospital Ambulatory Surgical Center (HAS), Observations (OBS), Inpatient (IP) and other selected facility records. Maintain an acceptable level of performance in quality and productivity for ICD-10-CM, ICD-10-PCS, and HCPCS/CPT classification and nomenclature systems. All work will be carried out in accordance with the: International Classification of Diseases - Official Coding Guidelines for coding and reporting as established by the Centers for Medicare and Medicaid Services (CMS) and the National Center for Health Statistics (NCHS); American Medical Association (CPT); National Correct Coding Initiative (NCCI);...

The Coder II performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. In addition to the audit and review work, the Coder II will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. Providence caregivers are not simply valued – they’re invaluable. Join our team atProvidence Medical Groupand thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certification from American Academy of Professional Coders upon hire, Or Certification from American Health Information Management Association Upon hire 3 yearsrecent outpatient...

Location: Portland, Oregon, United StatesCompany: Providence Health & ServicesPosted: Coder IIThe Coder II performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. In addition to the audit and review work, the Coder II will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements.Providence caregivers are not simply valued they're invaluable. Join our team at Providence Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.Required Qualifications:National Certification from American Academy of Professional Coders upon hire, OrCertification from...

Providence Health & Services seeks a Coder II to conduct coding audits and support outpatient providers in accurate documentation and coding. The role involves coaching clinicians on ICD-9/ICD-10 and HCC coding, using Epic EMR, and ensuring compliance with reimbursement rules. You will collaborate with the outpatient team to identify issues, deliver actionable feedback, and help optimize the coding workflow in a fast-paced environment. #J-18808-Ljbffr

Description The Coder II performs coding audits and review of outpatient provider services to support coding optimization and compliance for the medical group. In addition to the audit and review work, the Coder II will work side by side with outpatient providers providing ongoing feedback, coaching, and support with the code entry process, documentation, ICD-9, ICD-10, and HCC coding in alignment with current medical group reimbursement requirements. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Group and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: National Certification from American Academy of Professional Coders upon hire, Or Certification from American Health Information Management Association Upon hire 3...