1627 outpatient coder jobs found

Coding Specialist Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts. Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures. Verifies/changes levels of care provided according to level of care guidelines. Captures all missing records and documentation, i.e. IV start/stop times, etc. Interacts with physicians and physician's offices regarding diagnoses or coding questions. Performs other work as needed to help within the department. Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge. Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures. Demonstrates the ability to read physicians handwriting and interpret diagnostic...

Job Title: Outpatient Coder Level II Job Summary: Oneida Health is actively searching for a skilled Revenue Integrity Outpatient Coder Level II to join our dynamic team. The successful candidate will play a crucial role in ensuring accurate and compliant coding of outpatient services, optimizing revenue capture, and maintaining regulatory compliance. Key Responsibilities: Review outpatient services (primarily surgical, emergency, oncology, and wound care) medical records to assign appropriate CPT, HCPCS, and ICD-10 codes. Ensure accuracy and completeness of coded information for billing and reimbursement purposes. Stay updated on coding guidelines, regulations, and compliance requirements related to outpatient services. Collaborate with physicians, nurses, and other healthcare professionals to resolve coding discrepancies and obtain additional documentation if necessary. Work closely with the Revenue Integrity team to identify and address coding-related...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Job Title Core business hours will be ideal, but there is room for flexibility.

About Us Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Healths robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor...

Outpatient Payment Integrity Coder Auditor At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10...

Job Description Job Description Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.  Follows ICD-10-CM Official Guidelines for Coding and...

Job Description Job Description Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule,...

Outpatient Coder 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 Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance. Responsibilities For hospital encounters, routes to billing charge entry errors and/ or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections when advised and follows procedure to notify billing. Reviews chargemaster generated CPT/HCPCS codes, when errors are found Coding Management is notified to alert Charge Management to educate department making errors. Makes appropriate coding corrections when advised and follows...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

A healthcare organization seeks a qualified Coder II in Sioux Falls to accurately assign diagnostic codes for outpatient charts. The role involves reviewing health records and cooperating with clinical staff to maintain high coding standards. Candidates must be certified in coding and possess effective communication skills. Avera offers various benefits, including retirement plans and career development opportunities. #J-18808-Ljbffr

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 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...

A leading healthcare provider in Ohio is seeking a Medical Coder to review and analyze diagnostic information for billing purposes. The role requires a high school diploma, coding certification, and at least two years of coding experience. Knowledge of anatomy and medical terminology is essential. The position is part of the Corporate Services department, ensuring compliance with all coding guidelines and enhancing patient care continuity. This role contributes significantly to healthcare data management and research. #J-18808-Ljbffr

A regional healthcare provider in Troy, Ohio is seeking a Health Information Technician to review, analyze, and code diagnostic information from patient medical records for billing purposes. The successful candidate will ensure compliance with established coding guidelines, contributing to patient care evaluation and administrative decision-making. Required qualifications include a High School Diploma or G.E.D. with certification in health information management. This full-time role offers a day shift in the Corporate Services department. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Outpatient Coder I – Harris Health Job Summary JOB SUMMARY: Performs coding on all diagnoses, procedures, and related services according to applicable coding guidelines for outpatient clinic accounts. Uses ICD-9-CM, CPT-4, and HCPCS code sets to appropriately assign and sequence codes identified within the outpatient medical record. Applies the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient's treatment. Maintains the confidentiality of patient records and procedures. Minimum Qualifications Education/Specialized Training/Licensure: COC/CPC and/or CCA/CCS/CCS-P and/or RHIA/RHIT Credential(s) OR graduate of an HIM Administration/Technology program OR attendance/completion of the Harris Health System's Coder Training. Certification credential (listed above) must be achieved within two years of employment. Work Experience...

Coder III The Coder III is responsible for coordinating, performing, and completing Medicare compliance. Coding consists of outpatient services in outpatient and inpatient services including procedures. To ensure coders provide technical aspects of the assignment diagnostic and carried out in accordance with established standards and in compliance with NCQA and other regulatory agencies, and Tenet policy. Responsibilities Performs all assigned billing in a timely manner Communicates with the physician the documentation needed to complete job functions Ensures accurate coding from the medical record regarding ICD-9 and ICD-10, appropriate evaluation and management CPT code Updates patient record with patient's current insurance, address, and telephone numbers Identifies primary care doctor and referral source with contact information and documents it in the medical record Performs claims follow up and reviews with billing agent in a timely manner Protects patient...

Overview At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. We are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines. This role supports the development and implementation of payment integrity initiatives by identifying coding and billing inaccuracies, trends, and potential cost savings opportunities across outpatient facility claims. The ideal candidate has advanced knowledge of outpatient coding, APC and EAPG payment methodologies, and clinical documentation requirements, with strong analytical and auditing skills. Responsibilities Perform detailed coding audits on outpatient facility claims to validate appropriate CPT/HCPCS, revenue codes, modifiers, and ICD-10 coding in accordance with CMS, NCCI, and...

Company: Allegheny Health Network Job Overview: Join our dynamic team at Allegheny Health Network as an Outpatient Coder, where you will play a crucial role in ensuring the accuracy of medical coding and billing processes. This position involves a thorough review of medical records to extract critical data, interpret information, and apply appropriate ICD and CPT codes while also aiding in improving our financial operations. Key Responsibilities: Review and interpret detailed medical documentation and treatment plans to accurately assign ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract essential data for hospital and health system statistical requests, entering all coded information into our designated systems. (15%) Manage medical information workflow efficiently, focusing on the unbilled coding report to enhance cash flow. (10%) Stay updated with changes in ICD-10 CM/CPT guidelines by attending training sessions and reviewing...

Company: Allegheny Health Network Job Overview: Join our dynamic team at Allegheny Health Network as an Outpatient Coder, where you will play a crucial role in ensuring the accuracy of medical coding and billing processes. This position involves a thorough review of medical records to extract critical data, interpret information, and apply appropriate ICD and CPT codes while also aiding in improving our financial operations. Key Responsibilities: Review and interpret detailed medical documentation and treatment plans to accurately assign ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract essential data for hospital and health system statistical requests, entering all coded information into our designated systems. (15%) Manage medical information workflow efficiently, focusing on the unbilled coding report to enhance cash flow. (10%) Stay updated with changes in ICD-10 CM/CPT guidelines by attending training sessions and reviewing...

Company: Allegheny Health Network Job Overview: Join our dynamic team at Allegheny Health Network as an Outpatient Coder, where you will play a crucial role in ensuring the accuracy of medical coding and billing processes. This position involves a thorough review of medical records to extract critical data, interpret information, and apply appropriate ICD and CPT codes while also aiding in improving our financial operations. Key Responsibilities: Review and interpret detailed medical documentation and treatment plans to accurately assign ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract essential data for hospital and health system statistical requests, entering all coded information into our designated systems. (15%) Manage medical information workflow efficiently, focusing on the unbilled coding report to enhance cash flow. (10%) Stay updated with changes in ICD-10 CM/CPT guidelines by attending training sessions and reviewing...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. We're looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses...

Company: Allegheny Health Network Job Overview: Join our dynamic team at Allegheny Health Network as an Outpatient Coder, where you will play a crucial role in ensuring the accuracy of medical coding and billing processes. This position involves a thorough review of medical records to extract critical data, interpret information, and apply appropriate ICD and CPT codes while also aiding in improving our financial operations. Key Responsibilities: Review and interpret detailed medical documentation and treatment plans to accurately assign ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstract essential data for hospital and health system statistical requests, entering all coded information into our designated systems. (15%) Manage medical information workflow efficiently, focusing on the unbilled coding report to enhance cash flow. (10%) Stay updated with changes in ICD-10 CM/CPT guidelines by attending training sessions and reviewing...