9 hcc coder with crc jobs found

Medical Coding and Billing Compliance Auditor Location: Remote Division: Coding Compliance About the Role: The Medical Coding Auditor is a detail-oriented position responsible for reviewing medical coding accuracy, documentation integrity, ensuring compliance with federal and state regulations, payer guidelines, and internal policies. The ideal candidate will bring strong analytical skills, extensive coding knowledge, and a passion for maintaining the highest standards of quality and compliance. The candidate will demonstrate a strong background in Microsoft Office applications including PowerPoint, Word, Excel, Outlook, TEAMS, and SharePoint. The Medical Coding Auditor will have a background in physician feedback and education on documentation integrity and coding accuracy. The ideal candidate will have extensive knowledge of CPT coding, ICD-10-CM coding, E/M coding, HCC methodologies, modifiers, telehealth, and HCPCS coding. The candidate will understand and know...

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to recommend or take...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an equivalent High School...

Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) General Summary Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned. Qualifications Education: High School Diploma or successful completion of an equivalent High School Exam Required Successful completion of the...

Cardiology Department Coder/Medical BillerToledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred.General Summary:Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors.Principal Duties & Responsibilities:Example of Essential Duties:Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation.Demographic registration/updates for all patientsEnters charges into claim entry in eCWMonitors, submits, correct all claim activityCreate workflow processes to ensure accuracy and accountabilityOther Essential Duties May Include (but are not limited to):Assists patients and/or insurance companies with billing and authorization questions.Coordinate with providers to ensure all visits are accounted...

Job Description Job Description Toledo Clinic's Cardiology Department is seeking a full-time Coder/Medical Biller to work full-time (M-F, 8-5). Previous experience as a Coder in a medical office preferred. General Summary:   Responsible for application of CPT and ICD-10 codes to all procedures performed for a given date of service for The Toledo Clinic, as well as tracking of patients seen and working all eCW claims for denials, errors.     Principal Duties & Responsibilities: Example of Essential Duties: Codes visits utilizing the ICD-10 and CPT codes from patient visit documentation. Demographic registration/updates for all patients 3)  Enters charges into claim entry in eCW 4)  Monitors, submits, correct all claim activity 5)  Create workflow processes to ensure accuracy and accountability Other Essential Duties May Include (but are not limited to): 6)       Assists patients and/or insurance companies with billing and...

Scope of Position The Associate Director of Outpatient Coding Services performs at an expert level sustaining responsibility for timely and accurate coding of all facility outpatient visits and outpatient coding audits for The Ohio State University Wexner Medical Center (OSUWMC) including James Hospital. This position oversees the operations of denials, claim edits, and charge capture for reimbursement purposes. In this role, the Associate Director of Outpatient Coding Services serves as a liaison and coordinator for special projects regarding the coding of medical records. This position develops and implements policies and procedures to achieve organizational goals; and assists in the development of operational strategy. This position also re-evaluates processes to keep staff engaged and to assist in meeting department and organizational goals for OSUWMC. This position is critical to the financial and legal standing of the hospital for compliance and legal purposes. The director...

Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers, and for overseeing or performing overall auditing and education plans for the Coding staff. The role includes conducting coding quality audits, providing ongoing feedback and education, and utilizing coding classifications such as ICD-10-CM, ICD-10-PCS, CPT, MS-DRG, HCC, and APR-DRG to ensure accurate coding and assignment. Minimum Qualifications Graduate of a Health Information Technology (HIT) or equivalent program AND five (5) years of coding experience. OR Graduate of a Medical Coding Certification Program AND five (5) years of coding experience. OR High School Diploma or Equivalent AND eight (8) years of coding experience. Certification in one of the following: Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) through the American Health Information Management Association; Certified Outpatient Coder (COC) through the...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk) GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned....