12 observation coder jobs found

Coder II - ProFee Surgery Abstracts data from medical records into Epic and 3M 360 to provide a detailed case summary of medical, demographic, and statistical information. Identifies and codes diagnoses and procedures for medical records according to ICD-10-CM and CPT-4 guidelines, including department modifications. Identifies primary diagnosis and procedure as well as pertinent secondary diagnoses and procedures. Follows procedures mandated by government and other payers for completion of coded data including APC assignments. Facility Specific: Responsible for coding SDS, Observation, and as needed ED, Diagnostic, and Ancillary records. Professional Fee Specific: Responsible for coding Surgical Records, Evaluation & Management Encounters, ED (with E&M) and as needed Diagnostic, Documentation Quality Assurance, and Ancillary records. Education: High School diploma or equivalent required. Experience: Minimum of 1 Year of outpatient multidisciplinary coding and or...

Coding Auditor Location: Miramar, Florida At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Reviews Ambulatory Payment Classification (APC), Medicare Severity Diagnosis Related Groups (MSDRG) and All Patients Refined Diagnosis Related Groups (APRDRG) assignment and queries following official coding guidelines and regulatory requirements. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines. Responsibilities Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines; possesses substantial...

Outpatient Coder 3 The University of Miami/UHealth Department Health Information Management has an exciting opportunity for a full-time Outpatient Coder 3 to work in Miami, FL. Under the general direction of the Outpatient Coding Manager, the Outpatient Coder 3 reviews documentation in the electronic medical record (EMR) and assigns and sequences ICD-10-CM diagnosis codes and CPT procedure codes in accordance with national coding guidelines. The primary focus of this role is to capture all encounter specific diagnoses and procedure codes for accurate reimbursement, data collection, and research purposes. Core Job Functions Review, analyze, and interpret the entire electronic medical record (EMR) to identify all diagnoses and procedures documented during a patient's admission. Guidelines and knowledge of anatomy and physiology, medical terminology, and disease processes. Reviews documentation and reaches out to physicians for additional information when information for proper...

Job Requirements Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work Position Summary To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. Primary Responsibilities Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient recordsas per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. Literacy and proficiency in...

Coder I | Remote | GA, FL, NC, NH Residents ONLY Join to apply for the Coder I | Remote | GA, FL, NC, NH Residents ONLY role at UF Health Coder I | Remote | GA, FL, NC, NH Residents ONLY 1 day ago Be among the first 25 applicants Join to apply for the Coder I | Remote | GA, FL, NC, NH Residents ONLY role at UF Health Monday - Friday Under minimal technical or managerial supervision, this position assigns codes to diagnoses and/or procedures using ICD-10-CM and CPT-4 for observation, ambulatory surgeries, outpatient procedures, outpatient clinics and emergency room encounters. A Coder I will also research medical necessity needs if necessary and have a good working knowledge of Medicare Local Medical Review Policy (LMRPs). Overview Full Time - Remote Position GA, FL, NC, NH Residents ONLY Monday - Friday Under minimal technical or managerial supervision, this position assigns codes to diagnoses and/or procedures using ICD-10-CM and CPT-4 for observation, ambulatory surgeries,...

Job Requirements ** Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work** Position Summary To be fully engaged in providing timely, complete, andaccurate data collection for quality clinical analysis and revenue enhancement. PRIMARY ACCOUNTABILITES 1. Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. 2. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. 3....

Job Description Job Description Description: Role Summary Responsible for reviewing medical records and assigning accurate CPT, HCPCS, ICD-10-CM, and appropriate modifiers for outpatient services. This role supports compliant coding and consistent performance across a variety of outpatient encounter types. Requirements: Core Responsibilities Review medical records and assign accurate CPT/HCPCS, ICD-10-CM, and modifiers. Ensure documentation supports coded services and identify/escalate discrepancies or gaps. Ensure compliance with CMS, payer-specific rules, and official coding guidelines (including NCCI edits). Maintain established quality metrics (e.g., =95% coding accuracy) and meet productivity standards. Minimum Qualifications Credentials: CPC, CCS, RHIA, or RHIT (active). Experience: Minimum 3+ years outpatient coding experience across multiple outpatient service types. Skills & Knowledge: Strong knowledge of?CPT, HCPCS, ICD-10-CM, modifiers, and...

Coder I Remote GA, FL, NC, NH Residents ONLYJoin to apply for the Coder I Remote GA, FL, NC, NH Residents ONLY role at UF HealthCoder I Remote GA, FL, NC, NH Residents ONLY1 day ago Be among the first 25 applicantsJoin to apply for the Coder I Remote GA, FL, NC, NH Residents ONLY role at UF HealthMonday - FridayUnder minimal technical or managerial supervision, this position assigns codes to diagnoses and / or procedures using ICD-10-CM and CPT-4 for observation, ambulatory surgeries, outpatient procedures, outpatient clinics and emergency room encounters.A Coder I will also research medical necessity needs if necessary and have a good working knowledge of Medicare Local Medical Review Policy (LMRPs).OverviewFull Time - Remote PositionGA, FL, NC, NH Residents ONLYMonday - FridayUnder minimal technical or managerial supervision, this position assigns codes to diagnoses and / or procedures using ICD-10-CM and CPT-4 for observation, ambulatory surgeries, outpatient procedures,...

OverviewThe Coder II position assigns diagnoses and procedure codes to Observation and Same Day Surgery medical records.ResponsibilitiesAssigns correct ICD-10-CM code to all diagnoses and correct CPT code to all procedures documented in the medical record.Thoroughly reviews the entire medical record in order to retrieve proper documents (i.e.discharge summary, progress notes, operative report, pathology report, anesthesia report, etc.) to provide coding specificityReads and understands operative reports in order to classify to the most accurate CPT codes.Researches complex operations as necessary.Selects the principal diagnosis and procedure according to the Uniform Health Data Discharge Set definitions and coding rules published in Coding Clinic.Accurately abstracts attending and operating physicians in the Sunrise Record Manager abstracting system.Assigns the correct modifier on CPT codes that are required under the Medicare APC reimbursement.Maintains a thorough knowledge of the...

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 and CPT 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-10 CM/CPT 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-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily...

Position Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With...

Our promise to you :Joining AdventHealth is about being part of something bigger.It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit.AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ.Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team.All while understanding that together we are even better.All the benefits and perks you need for you and your family :Benefits from Day One :Medical, Dental, Vision Insurance, Life Insurance, Disability InsurancePaid Time Off from Day One403-B Retirement Plan4 Weeks 100% Paid Parental LeaveCareer DevelopmentWhole Person Well-being ResourcesMental Health Resources and SupportPet BenefitsSchedule :Full timeShift :Day (United States of America)Address :900 HOPE WAYCity :ALTAMONTE SPRINGSState :FloridaPostal Code :32714Job Description :Education...