6 lead profee coder jobs found

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...

Inpatient Hospital Certified Medical Coder III - remoteAre you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We're looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you'll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You'll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital's mission to serve the community with compassion and integrity.If you're a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you!Why You'll Love Working With Us :Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it's about ensuring the integrity of patient care,...

Position Summary Certified Medical Coder I is responsible for maintaining regulatory compliance to all applicable regulatory requirements. Job Responsibilities Reviews case documentation to confirm patient demographics and enter insurance information received for every case. Reviews completed patient reports to enter the appropriate diagnosis codes in accordance with established SOPs and healthcare guidelines. Maintains regulatory compliance to all applicable regulatory requirements (CLIA, NYS, CAP, FDA, ISO, etc.). Required Qualifications High school diploma and completion of a Medical Coding course. 0–2 years of experience in medical coding; completion of medical coding courses and certification are required. Must hold an active medical coding certification through AAPC or AHIMA. Must have a solid foundation of knowledge regarding medical terminology and anatomy. Ability to multitask and work in a fast‑paced, deadline‑driven environment. Enthusiasm and dedication to meeting...

At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives. We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day: "What would I do if this patient were my mom?" That question drives everything we do. But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose. Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins. Position Summary The Certified Medical Coder I is responsible for maintaining regulatory compliance to all...

Medical Biller Mountain View Surgery Center of Scottsdale is hiring a Full Time Medical Biller At Mountain View Surgery Center of Scottsdale, we believe health and care are inseparable. We focus on offering a high quality, service-oriented environment for your surgical procedure. Mountain View Surgery Center of Scottsdale is a multispecialty center doing pain, ortho, neuro spine and total joints. Job Summary: Experience billing in a surgical environment a plus After patient transactions have been properly coded, create billing batches. Review information from the patient's file on system chart. Verify insurance coverage. Bill per procedure and appropriate contract. Verify procedures and check modifiers. Write off per USPI policy and surgery center guidelines. Calculate correct fee and process billing transactions. Print bills. Post billings. Send bills. What We Offer As a valued member of USPI, your health and well-being are important to us. We...

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 US citizenship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members 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 Administration, Program Integrity, Quality Management and the claims subcontractor as needed. Functions as the designated...