42 in patient coder jobs found

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder , you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. As a part of our...

Medical Coder Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. As a...

Clinical Coder The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association's Coding Clinics, and/or American Medical Association's CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as...

We Are More Than A Health System We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the...

Datavant is a leading data platform company revolutionizing health data exchange. Our mission is to ensure that every healthcare decision is made with the right data, delivered timely and in the appropriate format. Powered by the most extensive health data network in the U.S., our platform guarantees secure, accessible, and usable data to enhance health decisions. We are proud to be trusted by the foremost life sciences organizations, government bodies, and healthcare providers. By joining our team, you will be part of a high-performing and values-driven culture. Together, we are addressing some of healthcare's most challenging issues with innovative technology solutions. We embrace a diverse array of professional and personal experiences among our team members as we pursue our ambitious goals for healthcare. What We're Seeking We are on the lookout for seasoned and certified inpatient coders to join our team. The perfect candidate will have exceptional attention to...

Position Summary Performs ambulance coding and reviews records and conducts audits. Maintains a steady workflow and productive relationship with Commonwealth Financial Resources. Communicates coding rules and regulations to EMS staff. Provides secretarial support and clerical duties as directed by the department's management. Contributes to the effectiveness of the department through performance of clerical functions. Minimum Qualifications Work Experience Previous experience related to Emergency Medical Services strongly preferred. Education Associate's degree or vocational training in related field preferred. Certifications/Licensure Certified Ambulance Coder required within one year of hire or placement. Certified Professional Coder (CPC) or other medical coding certification (i.e. CCS, CCA, Medical Coding and Reimbursement Specialist) preferred. Job Specific Performance Standards The duties listed below are a...

Position Summary The Inpatient Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10-CM/PCS/CPT diagnostic and procedure codes for all inpatient and observation encounters to ensure the integrity of the patient medical record and support optimal reimbursement. This role ensures coding compliance with regulatory and organizational guidelines, including CMS, UHDDS, and official coding guidelines. The Inpatient Coder collaborates with providers, clinical documentation improvement specialists, and other HIM staff to resolve documentation issues and promote complete, accurate, and timely coding. Minimum Qualifications Previous inpatient coding experience preferred. Bachelor's degree or Associate's degree in Health Information Management or related field required. An equivalent combination of education and/or work experience may be considered in lieu of required degree. CCS, CPC, RHIT, RHIA, or equivalent certification required within six months of...

Job Posted On Sep 27, 2023 Position Description Join a team in Lexington's premier medical office for a full-time career position, where you will manage all aspects of medical billing for our busy practice. We require candidates to be well-organized with strong computer skills. Your responsibilities will encompass tasks such as scanning patient records, processing registration documents, generating payment receipts, recording phone messages accurately, communicating with patients about appointments and payments, and entering claims into our medical billing systems. If you are detail-oriented and ready to contribute to our growing practice, we invite you to apply. Job Requirements Preferred candidates will have prior experience with ICD-10 coding and will be responsible for preparing and analyzing accounting reports related to patient payments. This is a full-time, permanent career opportunity from Monday through Friday, 8 AM to 5 PM, with comprehensive benefits...

Job Description About the Role: Join our innovative healthcare information management team as a Lead Inpatient Medical Coder. This pivotal position is essential in connecting clinical data with technology, driving the development of advanced AI solutions for medical coding and billing. You will leverage your expertise to significantly influence our product development initiatives. Requirements and Qualifications: At least 3 years of extensive experience in inpatient medical coding within a hospital setting. Expertise in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and their modifiers from patient records. Comprehensive knowledge of the evidence requirements for precise coding. Hands-on experience with grouper software for MS-DRG and APR-DRG assignment. Excellent communication skills for effective collaboration with the billing department on coding-related matters. Up-to-date with the latest ICD-10-CM,...

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...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

Job Description Analyze patient medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties Ensure coding accuracy and compliance with federal, state, and insurance regulations Utilize Electronic Health Record (EHR) systems and coding software to efficiently process patient encounters Stay up-to-date with coding guidelines, healthcare compliance regulations, and industry best practices Participate in regular audits and quality assurance reviews to maintain high coding standards Assist in resolving coding-related queries and denials Support the revenue cycle management process by providing accurate and timely coding Qualifications: Qualifications Active Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certifications required At least 2+ years of relevant Facility-Clinics, to include E/M and in-office procedures; preferably with Lab/Radiology experience as well...

Join to apply for the Clinical Coder I role at Appalachian Regional Healthcare (ARH) 2 days ago Be among the first 25 applicants Overview The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, notably CPT-4 for surgical procedures for outpatient and/or physician services; and/or HCPCS coding, notably Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association’s Coding Clinics, and/or American Medical Association’s CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled...

Clinical Coder The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association's Coding Clinics, and/or American Medical Association's CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient...

Lake Cumberland Regional Hospital Who We Are: People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Lake Cumberland Regional Hospital is a modern, state‑of‑the‑art 295-bed acute care facility, offering an advanced neurosurgery program with Spine Center accreditation amongst other specialty services. Where We Are: The City of Somerset blends southern hospitality with abundant recreational opportunities including a 65,000‑acre lake with 1,200 miles of shoreline. Somerset is host to nationally recognized, high quality performing and visual arts, concerts and other special events to the community. Why Choose Us: Health (Medical, Dental, Vision) and 401K Benefits Competitive Paid Time Off / Extended Illness Bank package for full‑time employees Employee Assistance Program – mental, physical, and financial wellness assistance Tuition Reimbursement/Assistance for qualified applicants Professional Development and Growth...

A healthcare organization in Somerset is seeking a Certified Coder to apply diagnostic and procedural codes to patient health information. The role requires critical thinking and the ability to work in a fast-paced environment. Applicants should possess a High School diploma and be a graduate of a relevant program. Benefits include health, tuition reimbursement, and professional development opportunities. Join a dedicated team that values its employees beyond their capabilities. #J-18808-Ljbffr

Bluegrass Orthopaedics is hiring a full-time Certified Medical Coder in Lexington, KY. Under the direction of the Business Services Director & Coding Supervisor, performs various duties to accurately interpret and bill physician charges for physician services. Enters appropriate CPT and ICD-10 codes into EMR/billing system; bills charges. This position will report to the Coding Supervisor. As a representative of Bluegrass Orthopaedics, all comments, attitudes, actions, and behaviors directly impact the company’s image and the perception of quality service. Interaction with patients, families, physicians, referral services, visitors, volunteers, coworkers, supervisors, and vendors must be conducted in a friendly, supportive, courteous, respectful, cooperative, and professional manner. This behavior fosters an atmosphere of teamwork aligned with company standards and guidelines, promoting positive relationships and excellent patient care. Duties and Responsibilities Performs...

Insurance Billing And Collections Specialist Education, Experience, and Licensing Requirements: High school diploma, GED, or equivalent University/college degree, or experience in medical records, claims or billing areas is an asset. CCA (AHIMA) CCS (AAPC) or greater Expectations of Role: Manages the insurance billing and collections processes. Excellent organizational skills and attention to detail. Processes, tracks claims, and ensures accuracy and timeliness in the billing process. Provides excellent customer service to our clients. Inputs patient information into the practice's billing software. Submits claims to insurance companies and follows up on unpaid claims. Posts ERA payments, resolves any issues that arise with claims or payments. Maintains accurate records of billing and collection activities. Generates monthly reports to track billing and collection performance. Accounts for coding and abstracting of patient encounters, including procedural...

Overview $100,000 Bonus Eligible! Associate Director of Medical Operations HQ @ Fern Valley Concentra, our premier 24 hour location in Louisville. Through our evidenced based medicine approach, Concentra's goal is to provide quality patient care while treating everyone with friendliness, skill, and respect. We strive daily to promote a diverse environment of acceptance and compassion for our colleagues and cultivate a welcoming atmosphere where our patients can heal. As we've grown, we've expanded into urgent care, wellness services, administration, onsite health and wellness centers, and telemedicine. All these services together make achieving health easier and more accessible for our patients, clients, colleagues, and all provide you with unmatched support, education, career advancement opportunities, and benefits. The Associate Director of Medical Operations position involves providing direct patient care and leading by example to ensure an exceptional patient...

Overview Delivering Digital Outcomes. Driving Real Impact. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers. Job Description In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Responsibilities • Analyze and interpret complex inpatient records for Trauma 1 facility inpatient services. • Assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements. • Obtain clarification when documentation is conflicting, ambiguous, or non-specific. • Ensure accurate coding to support appropriate...

Responsibilities The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement. Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner. Ensures the final diagnosis...

Company Description: Delivering Digital Outcomes. Driving Real Impact. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers. Job Description: In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications: At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and procedure coding...