22 inpatient coder specialist jobs found

Physician Coding Auditor Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW....

Abstractor/Coder The University of Chicago Physicians Group (UCPG) team is responsible for the overall management of clinical revenue for physician billing. This includes frontend revenue capture, working of edits and conducting audits for physician education. Ensuring the workflow of charge capture through invoice creation. UCPG is seeking an Abstractor/Coder to work with providers and staff on professional billing and compliance activities. Strong knowledge of evaluation and management coding guidelines and requirements is strongly preferred. This position is eligible for a flexible work arrangement. Responsibilities: Obtain appropriate reimbursement levels for professional services by reviewing and coding medical procedures, diagnoses, and physician visits. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the Clinical Revenue Supervisor and others, provide guidance to faculty and staff on...

Job Title Knowledge of medical terminology, anatomy and physiology, coding conventions (ICD 10 CM/PC, CPT, and HCPCS), and CMS coding requirements Computer proficiency, ability to research coding questions and utilize educational resources required One of the following: Credentialed through American Health Information Management Association in one of the following: Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) Certified Coding Associate (CCA) OR Credentialed through American Academy of Professional Coders (AAPC) in one of the following: Certified Outpatient Coder (COC, COC-A) Certified Inpatient Coder (CIC) Certified Professional Coder (CPC, CPC-A) Associate degree 1 year coding experience in an acute care facility Responsibilities Assigns and sequences code for complex outpatient accounts according to established regulatory guidelines, industry best practices, and IH...

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

A health data exchange leader is seeking an Inpatient Auditing Specialist to perform coding audits, provide coder education, and ensure regulatory compliance. This fully remote position allows for flexible scheduling, catering to professionals with over 5 years of inpatient coding experience. Candidates should hold certifications like CCS, RHIA, or RHIT and have experience with software such as Epic and Cerner. #J-18808-Ljbffr

Specialty Scope for this Coder II Position to Include but Not Limited To: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy Tibia/Fibula: Plateau repairs,...

Lead Medical Coding Specialist The Lead Medical Coding Specialist works in conjunction with the Coding Supervisor to ensure accuracy, consistency and efficiency in relation to code assignment for reimbursement and reporting purposes. The Lead Medical Coding Specialist will complete quality reviews for coding staff in order to validate code and reimbursement assignments. This position is a "working" Lead position and is expected to work alongside staff as well as provide direction. Essential Job Functions Assist Coding Supervisor in the supervision of Medical Coding staff for Emergency Facilities, Inpatient, Observation and Ancillary services coding Assists in managing staffing schedule and departmental overtime Performs quality review of staff for accuracy/efficiency and identifies charge capture opportunities Completes metric reporting as required by agreed upon deadlines and assists in month end close processes In conjunction with the Coding Supervisor, ensures standard...

Join to apply for the HIM Coder III - Remote role at Tucson Medical Center 5 days ago Be among the first 25 applicants Join to apply for the HIM Coder III - Remote role at Tucson Medical Center Summary Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD -10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. Summary Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD -10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services....

Summary Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. Essential Functions Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic...

Join to apply for the Senior Clinical Coder role at TriWest Healthcare Alliance 1 day ago Be among the first 25 applicants Profile We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only). Our Department of Defense contract requires U.S. citizenship and a favorably adjudicated DOD background investigation for this position. Veteran, Military Spouse or Military Affiliated are encouraged to apply! Job Summary Under the direction of the DRG Supervisor or designee, conducts retrospective medical claims review for coding and pricing determinations and/or coding review for inpatient (facility) claims to include diagnosis and procedural coding with DRG assignment (DRG Validation.) Subject matter expert on medical claims coding for outpatient and inpatient services. Provides coding-related information to medical directors, providers, peer reviewers, Claims...

Job Description Job Description Description: ----Applicants must be in the Tucson, Arizona area ---- This position requires an organized individual with great time management skills, previous industry experience, who is a self-starter, work well in a team setting and has flexibility to take on new tasks outside the normal box of being a "biller". Medical Billing Specialists are primarily responsible for insurance follow-up, and review of payment posting and associated denials. These team members are key to maintaining client satisfaction as well as keeping accounts healthy and are expected to utilize company tools and software to assist in job responsibilities. Medical Billing Specialists are also expected to work with coders to write appeals and correct claims. Duties can vary, and include patient communication, records submission, and benefits review. Also, may include charge entry, written appeals and LOMN's. Other tasks and assigned projects are based on...

Company Intro At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing...

Ironwood Cancer & Research Centers has beautiful state-of-the-art integrated Cancer and Women's Centers, with locations strategically located throughout the Valley. Each one provides a superior cancer care environment with a full spectrum of cancer related services for patients. Our multi-disciplinary team approach includes surgical oncology, medical oncology, radiation oncology, women's centers, diagnostic imaging services, social service support, nutritionist, integrative services, and genetic counseling. Mission Statement : To serve the community by providing quality, comprehensive cancer care which respects the values and needs of each individual. Overview: We are looking for a qualified and experienced Coder Specialists to work in our fast-paced Central Business Office located in Gilbert. Schedule: Full-time, Monday through Friday day shift position. Essential Duties and Responsibilities: Identify and post applicable charges to the appropriate...

Allegheny Health Network Job Posting 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...

Banner Home Care Coding Specialist Banner Home Care is a fully integrated provider of high-quality care. With compassionate advanced illness and end-of-life care, we serve patients across the Metro Phoenix area and in Northern Colorado. We are ranked among the Top 100 U.S. providers. Banner Home Care and Hospice is interconnected across the Banner Health system, serving as partner to our hospitals, clinics, health plans, and other service lines. In this position you will be responsible for coding Home Health and Hospice charts from our EMR system Homecare Homebase (HCHB), including obtaining pre-authorization for pending admissions. Location: Hybrid Schedule: Full Time Monday - Friday 8 Hour shifts Ideal Candidate will have experience in Home Health and OASIS and coding certification. This is a remote position and available if you live in the following states only: AZ, CA, CO, NE, & WY. Ranked in the top 25 percent of all home care agencies in the United States, Banner...

Position Title and Code Professional Services Certified Coding Reviewer Position Code: Coder-8125 Department and Reporting Department: Health Information Management Reports to: HIM Director/Manager Safety Sensitive: YES Exempt Status: NO Position Purpose All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. Key Responsibilities Ensures data quality in compliance with State, Federal and regulatory requirements Evaluates medical record documentation and charge reports to ensure completeness, accuracy and compliance with the Correct Coding Initiative Edits Coded all professional charges to ensure accurate and timely billing Perform coding reviews and/or surgical coding for practices and providers Evaluates and report audit findings or reviews and reports on results to physicians and/or operations directors Provides technical guidance, training,...

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$23.16 - $34.74 / hour, based on location, education, & experience.In accordance with State Pay Transparency Rules.Innovation and highly trained staff. Banner Health recently earned Great Place To Work Certification. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care.Are you an experienced **Surgical Oncology Physician Coder** **Surgical Oncology**. This Coder 1 will be supporting very busy providers/surgeons and is very heavy with E/M coding.**Requirements:*** **Minimum 1 year recent experience in E/M Surgical Oncology coding (clearly reflected in your attached resume);*** **Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please...

Join to apply for the Certified Coder role at American Vision Partners At American Vision Partners (AVP) , we partner with the most respected ophthalmology practices in the country and integrate best‑class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation’s largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas – including 25 ambulatory surgical centers. At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial...

Headquartered in Phoenix, IMS is a team of 500 employees and a physician-led organization united through its providers’ commitment to high-quality innovative health care. Each day is a new day for ground-breaking ideas and unparalleled opportunity. Ours is a culture focused on what we can accomplish today, and where it can lead us tomorrow. IMS is searching for a professional, compassionate and knowledgeable individual to fill an approximately 6–9-month Medical Billing position. The Billing Specialist is accountable for processing medical claim information through data-entry in the Electronic Medical Record (EMR), researching, and correcting data entry errors. This position uses knowledge of CPT and ICD-10 codes to determine the appropriate order and combination of alpha, numeric or symbolic data to ensure accuracy in entering medical claim information by following the CMS coding guidelines. Instill the IMS mission, vision and values in the work performed Responsibilities :...

OverviewNAH reserves the right to make hiring decisions based on applicants state of residence if outside the state of Arizona.NAH currently hires for remote positions in the following states :AlabamaArizonaFloridaGeorgiaIdahoIndianaKansasMichiganMissouriNorth CarolinaOhioOklahomaPennsylvaniaSouth CarolinaTennesseeTexasVirginiaThe Coder 3 electronically records stores and reports on reams of data.Responsible for coding the following service types based on department and assignments.Facility HIM :Inpatient outpatient emergency room and outpatient clinical.Ambulatory :Coding and auditing professional inpatient outpatient emergency and clinic.Coders will need to apply a broad knowledge of procedure coding diagnosis coding medical terminology and anatomy / physiology.Hospital Coder Proficiency :ICD-10 PCS / DRG / CPT / HCPCS / ICD-10 CM.Professional Coder Proficiency :CPT / HCPCS / ICD-10 / CM.ResponsibilitiesCommunicationWorks in collaboration with physicians in tracking un-coded...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...