27 inpatient complex coder jobs found

SUMMARY/OBJECTIVESThe Certified Medical Coder is responsible for the timely, accurate, and compliant review, abstraction, and coding of professional healthcare services provided by Edgewater Health clinicians. This position ensures that medical documentation supports the assignment of appropriate ICD-10-CM, CPT, and HCPCS Level II codes to facilitate accurate reimbursement while maintaining compliance with federal and state regulations, payer requirements, and organizational policies.The Certified Medical Coder works collaboratively with providers, clinical leadership, billing staff, and the Revenue Cycle Department to optimize documentation quality, improve coding accuracy, reduce claim denials, and maximize reimbursement. This position plays an integral role in supporting Edgewater Health's behavioral health, primary care, substance use treatment, and Federally Qualified Health Center (FQHC) billing operations.ESSENTIAL DUTIES AND RESPONSIBILITIESThe essential functions include,...

Registered Nurse - Diagnosis Related Group Coding Auditor Principal – Carelon Payment Integrity Location: Alternate locations may be considered. This position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate, and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical records and attending physician’s statements provided by acute care hospitals on paid DRG,...

Medical Device In The Quality DepartmentJoin the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health.We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth.Are you ready for this exciting challenge?First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible for researching data published from the FDA, device...

Medical Device In The Quality Department In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth. Are you ready for this exciting challenge? First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is...

Job Description Bone & Joint Specialist, one of Indiana's leading providers in orthopedic care, is seeking a skilled and detail-oriented Medical Biller to join our in-house team. This role is essential to supporting our revenue cycle operations. The ideal candidate will have strong knowledge of medical billing practices, a commitment to accuracy and the ability to work efficiently in a fast-passed healthcare environment. This is an excellent opportunity to be part of a collaborative team dedicated to delivering high-quality patient care. PLEASE NOTE: This is an on-site position and not eligible for remote work. We are seeking serious qualified applicants who are ready to contribute and grow with our organization. Job Responsibilities On-site position (not eligible for remote) Prepares and submits medical claims to insurance companies. Determines appropriate charges based on services provided. Reviews patient accounts to ensure accuracy and completeness of claims billing for...

Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Performs routine and non-routine revenue cycle, billing, coding and insurance functions by: Extracting relevant information from patient records, examining documents for missing information. Liaison with physicians and other parties to clarify information. Analyzing documentation and accurately applies CPT, ICD, and HCPCS codes to support compliant coding. Working rejected and denied claims based on assigned reports, and assists in complex denial...

Job DescriptionJob DescriptionHarrison County Hospital is seeking a Certified Inpatient Hospital Coder - CCS required.This position has the opportunity to be a remote position.Employee will be asked to complete training at Harrison County Hospital and must be able to come in for business purposes.Employees in the role must reside in Kentucky or Indiana.Position available :Full-time, Days, 32-40 hrs / wk.The Coder reports directly to the HIM Director.The Coder performs the assignment of ICD-10 diagnosis and procedures and CPT procedure codes for billing and classification of medical records for both Inpatient and Outpatient charts.REGULATORY REQUIREMENTS :Must have detailed knowledge of third party reimbursement rules and regulations including Medicare and Medicaid.Complies and adheres to the Corporate Compliance Program.LANGUAGE SKILLS :Must be able to speak English fluently.Must be able to speak and understand medical terminology.EDUCATION / EXPERIENCE :Must have high school...

1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Medical Biller – Full Time (4 Days/Week) Location: Newburgh, Indiana Practice: Déjà Vu Skin & Health Center, Evansville Regional Vein Center, and Primary Care Plus+ We are a growing private practice seeking a Full-Time Medical Biller to join our dynamic team. This position offers the opportunity to work across multiple specialty areas, including dermatology, aesthetics, vein treatment, and primary care. This is a 4-day workweek position (full-time hours) with a comprehensive benefits package including: Health, Vision, and Dental Insurance Medical Biller – Full Time (4 Days/Week) Location: Newburgh, Indiana Practice: Déjà Vu Skin & Health Center, Evansville Regional Vein Center, and Primary Care Plus+ Email Resume To: Swright@drmanley.com We are a growing private practice seeking a Full-Time Medical Biller to join our dynamic team. This position offers the opportunity to...

Harrison County Hospital is seeking a PRN (per diem) Compliance Auditor. The Compliance Auditor verifies medical record documentation; supports billing charge and coding. EDUCATION/EXPERIENCE: CCS, CCS-P and/or CPC-H preferred. Coding experience required. Demonstrated knowledge of ICD-9, CPT-4 and HCPCS coding. Demonstrated knowledge of medical terminology and procedures. SKILLS: Ability to abstract medical chart contents Computer literacy for P.C. and hospital information system LANGUAGE SKILLS: Knowledge of current medical terminology and procedures. Excellent communications skills. Ability to establish smooth working relationship with physicians, their office staff, andancillary hospital staff. JOB DUTIES INCLUDE: Performs audits on all Observation accounts to ensure correct charges. Applies observation hours/procedure charges to account in hospital information system, Meditech. Maintains accurate and complete Observation Log for Finance. Performs chart audits...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ's and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Job Description In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. We’re looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company’s continued growth. Are you ready for this exciting challenge? ____________________________________________________________________________________________ First Databank (FDB) is currently seeking...

Job Description In Some Jobs You Take Orders. In This One, You Write History. Join the healthcare information technology team that’s turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you’ll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. We’re looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company’s continued growth. Are you ready for this exciting challenge? ____________________________________________________________________________________________ First Databank (FDB)...

Medical Assistant Supervisor Hot Job Centennial - South Bend, IN 46600 Description As an MA Supervisor, you will perform a combination of medical assistant care responsibilities as well as supervisory responsibilities of MA staff within the clinic to assure consistency in procedures and clinical outcomes. This position will oversee the Medical Assistant staff and will report to the Site Operations Director. Job Responsibilities Conducts daily rounds to give updates to the Site Leadership, and MAs and monitor the performance and wellbeing of the MAs. Exercises clinical and administrative supervision of the Medical Assistant team. Completes annual performance appraisals on all Medical Assistants in a timely manner. In accordance with HealthLinc policy and procedure, assists in hiring, training, and retention of medical assistant staff. Assures inventory is complete and orders the necessary medication, supplies, and equipment for medical office/clinical area...

Job Responsibilities Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies with applicable state, federal and local...

Harrison County Hospital is seeking a Certified Medical Coder (CCS). This position is full-time, Monday through Friday 8a-4:30p, 40 hours per week. The Coder reports directly to the HIM Director. The Coder performs the assignment of ICD-10 diagnosis and procedures and CPT procedure codes for billing and classification of medical records for both Inpatient and Outpatient charts. REGULATORY REQUIREMENTS: Must have detailed knowledge of third party reimbursement rules and regulations including Medicare and Medicaid. Complies and adheres to the Corporate Compliance Program. LANGUAGE SKILLS: Must be able to speak English fluently. Must be able to speak and understand medical terminology. EDUCATION/EXPERIENCE: Must have high school education. Must have excellent ICD-10-CM, CPT, and CCS coding skills. Must have detailed knowledge of medical terminology and anatomy/physiology. Desire one year coding work experience in the hospital or physician...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified Inpatient Medical Coding Auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality...

Medical Device In The Quality Department Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world. Partnering with our information system developer and healthcare institution customers, you'll help evolve leading-edge thinking into reality and make a measurable difference in improving human health. We're looking for people who are: Intelligent. Productive. Committed. Willing and able to go above and beyond. Passionate about making a difference. Innovative. Energized. And want to play an essential role in a successful company's continued growth. Are you ready for this exciting challenge? First Databank (FDB) is currently seeking a Medical Device in the Quality department. This position is responsible for researching data published from the FDA, device...

The Certified Medical Coder codes medical records utilizing ICD-10-CM and CPT-4 coding conventions. Handles confidential patient medical records and abides by HIPAA. Reviews each medical record to assure specificity of diagnoses, procedures and appropriate/optimal reimbursement for hospital and/or professional charges. This position will be coding for the hospital. Essential Duties and Responsibilities: Reviews the medical records and accurately code the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions for both inpatient and outpatient accounts. Sequences the diagnoses and procedures using current coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Consults with and educates physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing and ancillary services personnel for...

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by: Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient and inpatient...

Medical Assistant SupervisorHot JobCentennial - South Bend, IN 46600DescriptionAs an MA Supervisor, you will perform a combination of medical assistant care responsibilities as well as supervisory responsibilities of MA staff within the clinic to assure consistency in procedures and clinical outcomes. This position will oversee the Medical Assistant staff and will report to the Site Operations Director.Job ResponsibilitiesConducts daily rounds to give updates to the Site Leadership, and MAs and monitor the performance and wellbeing of the MAs.Exercises clinical and administrative supervision of the Medical Assistant team.Completes annual performance appraisals on all Medical Assistants in a timely manner.In accordance with HealthLinc policy and procedure, assists in hiring, training, and retention of medical assistant staff.Assures inventory is complete and orders the necessary medication, supplies, and equipment for medical office/clinical area weekly.Works with the Director of...

Job ResponsibilitiesReview, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing.Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports.Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate.Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies with applicable state, federal and local laws,...

Description Scope of Tasks & Responsibilities Analyze patient charts carefully to know the diagnosis and represent every item with specific codes. Collect health information as documented by medial provides and code appropriately. Consult with providers for further classification of items on patient charts to avoid misinterpretations. Maintain certification by staying up to date on new coding rules and regulations. Conduct audits of patient charts to verify appropriate coding was applied and review with physicians for training purposes. Review of patient medical charts to identify proper coding for denied claims. Collect and distribute coding related information and billing issues. Handle claims denial follow-up. Perform billing functions as it pertains to coding. Assist Clinic staff with patient coding and related procedures Collaborate with supervisor to increase revenue and system efficiency Communicate all outstanding billing required from Providers on a timely...

Coder II - InpatientRemote PositionHours: M-F, Flexible hours after training period.Sign-on BonusJob Description:The Coder II - Inpatient is responsible for accurately assigning ICD-10-CM/PCS diagnosis and procedure codes for inpatient encounters in accordance with official coding guidelines, hospital policies, and regulatory requirements. This role ensures the integrity of the patient medical record, supports appropriate reimbursement, and contributes to compliance, quality reporting, and data integrity for Powers Health hospitals.Reviews and evaluates inpatient medical records via the EMR to determine appropriate diagnosis and procedures to be coded based on industry standards, federal regulations and hospital guidelines.Accurately assigns the appropriate code set to the diagnosis and procedures documented in the EMR via the encoder and in compliance with accuracy and productivity requirements.Completes queries where necessary and works closely with the Clinical Documentation...

Position Status:Shift:Variable Less than 12 hour shift (United States of America)Hours per week:0Job InformationExemption Status: Non-ExemptA Brief OverviewReviews medical record documentation for assigning accurate ICD-10-CM diagnosis, procedure and CPT codes and chart abstracting for hospital related services, including "dual" medical coding, also known as Single Path Coding, for various specialties.Education QualificationsHigh School Diploma / GED RequiredExperience Qualifications2 years Coding experience. PreferredSkills and AbilitiesKnowledge of medical terminology. (Required proficiency)Knowledge of coding and regulatory guidelines. (Required proficiency)Licenses and CertificationsRegistered Health Information Administrator (RHIA) - AHIMA Required orRegistered Health Information Technician (RHIT) - AHIMA Required orCertified Coding Specialist - CCS Required orCertified Professional Coder - AAPC CPC also accepted. RequiredCertified Coding Associate - AHIMA CCA also accepted....