15 med records coder iv complex jobs found

Medical Coder IV, Complex The Medical Coder IV, Complex functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation for multiple specialties and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG). Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Essential Functions: Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines. Reviews and resolves coding denials. Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up. Abstracts data and reviews codes for accuracy. Performs system edit checks and...

General Summary Reviews electronic health records to retrieve, collect, and assign appropriate ICD-10-CM diagnoses and CPT codes, by careful review and analysis of medical documentation of emergency department, ambulatory surgery, observation and invasive procedure outpatient records for the purposes of compliance with regulations, data and statistical compilation, clinical research, clinical care analysis, provider profiling and optimal reimbursement. The ideal candidate will have ICD-10 CM coding, CPT, and IV (infusion) experience. Duties and Responsibilities Essential Functions: Reviews documentation in current electronic health record to accurately code and sequence diagnosis codes according to "ICD-10-CM Official Guidelines for Coding and Reporting" and to support medical necessity. Assigns appropriate first-listed and secondary CPT/HCPCS codes and modifiers for outpatient surgical and invasive procedures according to CPT, OCE/NCCI and department...

Summary This position is located in the Health Information Management (HIM) section at the Southern Arizona VA Health Care System (SAVAHS). MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. Responsibilities Duties include, but are not limited to: Outpatient MRTs (Coder) at this level perform the full scope of outpatient coding including ambulatory surgical cases, diagnostic studies and procedures, outpatient encounters, and/or inpatient professional services. Outpatient duties consist of the performance of a comprehensive review of documentation within the health record to accurately assign ICD-10-CM codes for diagnoses, CPT/HCPCS codes for surgeries, procedures and evaluation and management services. They independently review and abstract clinical data from the record for documentation of diagnoses and...

YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: Benefits Information Position Summary: The Coding Specialist IV, under the supervision of the Coding Supervisor, Inpatient Coding analyzes and interprets the most complex clinical electronic health documentation by physician and applicable clinical support in compliance with AHA Coding Guidelines for purposes of reporting. Accurately applies federal, state and organizational regulatory guidelines for coding and abstraction of inpatient accounts. Maintains and increases personal knowledge and education for purposes of applying the guidelines. Utilizes computerized encoder and other systems to...

UPMC Corporate Revenue Cycle is hiring a Coder II- Technical to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. In this role, you will be handling same-day surgery and observation coding. Coding diagnosis & procedure codes ICD10 & CPT codes and charging for injections, infusions, hydrations, and reconciling NCCI edits. Ideally, we are looking for someone with experience with interventional radiology and cardiology coding. Responsibilities: Review coding for accuracy and completeness prior to submission to billing system utilizing CCI edits. Utilize standard coding guidelines, principles and coding clinics to assign the appropriate ICD-10-CM, CPT and DSM IV codes for all record types to ensure accurate reimbursement. (i.e. use of coding clinics, CPT Assistant, etc). Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific...

Summary This position is in the Health Information Management Service (HIMS) within the Business Office at the VA New Jersey Healthcare System located at either the East Orange or Lyons Campus. New Jersey Healthcare System is a Level 2 facility and ranks among a complex system in the Department of Veteran Affairs serving the New York/New Jersey VISN 2 Network. Duties Help Total Rewards of a Allied Health Professional VA New Jersey Healthcare System MRTs (Coder) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings, such as physician offices, group practices, multi-specialty clinics, and specialty centers. These coding practitioners analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. To perform this task, they must possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare...

Medical Billing Specialist III/IV - Behavioral Health Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/5037514) Apply  Medical Billing Specialist III/IV - Behavioral Health Salary $54,060.11 - $76,162.64 Annually Location Ventura and may require travel throughout Ventura County, CA Job Type Full-Time Regular Job Number 0840HCA-25AA (NW) Department Health Care Agency Division Behavioral/Mental Health Opening Date 08/27/2025 Closing Date Continuous Description Benefits Questions Description THE POSITION Under general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal....

The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization’s core information technology and information management competencies to bring value to business processes and quality improvement initiatives. The Supervisor interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Supervisor is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographic and clinical coding data as well as managing and tracking results. SECTION II: EDUCATION AND EXPERIENCE REQUIREMENTS:...

YOU BELONG HERE What Awaits You? Career growth and development Employee and Dependent Tuition Assistance Diverse and collaborative working environment Affordable and comprehensive benefits package Our competitive Benefit Package is designed to support the well-being and financial security of our employees. You can explore the details of our benefits offering by visiting the following link: https://jhhs.mybenefitsjhhs.com/ Position Summary: The Coding Specialist IV, under the supervision of the Coding Supervisor, Inpatient Coding analyzes and interprets the most complex clinical electronic health documentation by physician and applicable clinical support in compliance with AHA Coding Guidelines for purposes of reporting. Accurately applies federal, state and organizational regulatory guidelines for coding and abstraction of inpatient accounts. Maintains and increases personal knowledge and education for purposes of applying the guidelines. Utilizes...

UPMC Corporate Revenue Cycle is hiring a Coder I- Technical to join our Coding Department! This position will be a work-from-home position working Monday through Friday during business hours. This Coder I will work on Emergency Medicine Coding. Code Ancillary outpatient accounts, diagnosis coding only. Code Ancillary Service patient type (single visit service such as lab, x-ray, pathology specimen); require ICD-10 diagnosis coding skills only. Coder reviews the physician script, order, or chief complaint as documented in a diagnostic report to determine the appropriate ICD-10 code. Ensure diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered- require knowledge of billing and coding guidelines. Respond to Cirius errors identified by coder ID # on the daily report. Responsibilities: Refer problem accounts to appropriate coding or management personnel for resolution. Meet appropriate coding productivity and quality standards within...

Medical Billing Specialist III/IV Under general direction, performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they ensure timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. Experienced in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billing Specialist III ($25.99 - $32.99 per...

Schedule - Shift - Hours Full Time (40 Hours) - Days The Supervisor, Medical Coding - Outpatient is responsible for the oversight and development of the office coding department. This includes mentorship and direct management of the outpatient medical coding team. The Supervisor of Medical Coding understands the organization’s core information technology and information management competencies to bring value to business processes and quality improvement initiatives. The Supervisor interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Supervisor is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient demographics and clinical coding data as well as managing and tracking results. SECTION...

**DO NOT SUBMIT - OPEN FOR REBOOKING PURPOSES** **This is an AFSCME covered position with a minimum hourly pay rate of $74.34** Job Title: Health Information Coder IV - WBP 4732 Location: Remote (Candidate with California only) Duration: 16 weeks Bill Rate: $104.25 Qualifications Required: One of the following certifications: Certified Coding Specialist (CCS), Certified Coding Specialist - Physician-based (CCS-P), Certified Professional Coder (CPC), or Certified Professional Coder - Hospital (CPC-H) Minimum of 5 years of acute, multi-specialty hospital coding experience At least 2 years of both professional (pro-fee) and facility coding experience Strong knowledge of ICD-10 CM, CPT, and HCPCS coding systems Solid understanding of anatomy, physiology, disease processes, and medical terminology Proven ability to lead staff and function as a technical resource Experience as a Medical Record Abstractor Proficiency in Microsoft Office Ability to research coding guidelines and payer...

We are recruiting for a motivated Coder IV to join our team! We are here for life's journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department HB & PB Coding Services Job Summary The Coder IV is a key member of the Coding Team and has shared accountability for the success of the department. The Coder IV reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. This includes, but is not limited to, various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related tasks. The Coder IV maintains an understanding of...

THE POSITION Under general direction (III, IV), performs and is responsible for billing and processing claims appropriately for timeliness in reimbursement and billing compliance with Medi-Cal, Medicare, and general insurance reimbursement requirements. IDEAL CANDIDATE The ideal candidate has specialized expertise in mental health billing, including CPT, ICD-10, and HCPCS coding for Medicare and Medi-Cal. Skilled in the Medi-Cal Provider Manual and TAR process, they ensure timely, compliant submissions that support access to behavioral health services. They communicate effectively with peers, patients, and payers, resolve billing discrepancies, and address compliance issues in collaboration with the compliance office. Experienced in leading and training staff on Managed Care, Medicaid, Medi-Cal, Medicare, and Commercial Insurance, they ensure accuracy, efficiency, and regulatory adherence in all mental health billing operations. Medical Billin g Specialist III ( $ 25.10 - $31.86...