38 outpatient coder jobs found

Allegheny Health Network Job Posting Company: Allegheny Health Network Job Description: 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. (60%) 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...

Outpatient Medical Coder 3 Department: Health System Shared Services | Revenue Management Scope of Position: Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary: The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate...

Job Description Job Description *MUST LIVE IN ILLINOIS OR A STATE SURROUNDING ILLINOIS TO APPLY* The Ambulatory Coding and Reimbursement Specialist is responsible for reviewing, analyzing, and coding ambulatory and/or hospital encounters, diagnostic and procedural information used in the billing of charges for physician's services. Ensures compliance with established coding procedures, regulatory guidelines and reimbursement policies. Reviews medical record documentation for E/M encounters from multiple specialty departments for proper assignment of ICD-10, CPT, HCPCS and modifiers. Performs initial charge review to determine appropriate CPT and ICD-10 codes to be used in reporting physician services to third party payers. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit...

7 months ago Be among the first 25 applicants Summary Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Summary Responsible for assignment of accurate Evaluation and Management (E&M) codes, ICD diagnoses, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for outpatient encounters. Trains and educates MTF staff on coding issues and plays a significant role in coding compliance activities. Duties & Responsibilities Responsible for the assignment of accurate E&M, ICD, CPT, and...

Overview The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient and/or professional fee encounters using appropriate ICD10/ICDPCS, CPT, or HCPCs codes and appropriate coding software such as computer assisted coding and encoders as a means to ensure compliant billing of Carle claims. HIM Certified Coder is responsible for understanding and applying all regulatory coding guidelines, such as National and Local Coverage Determinations and application of CPT modifiers. HIM Certified Coder is also responsible for understanding and applying coding knowledge to resolve billing edits related to coding. HIM coder uses Carle electronic medical record systems to review clinical encounters. Qualifications Education: High School Diploma or G.E.D Certifications: Certified Inpatient Coder (CIC) — American Academy of Professional Coders (AAPC) Registered Health Information Administrator (RHIA) — American Health Information Management...

Work Schedule 100% FTE, full-time. Day shift, 8-4:30 pm CST. Remote position. Additional components of compensation may include Evening, night, and weekend shift differential Overtime On-call pay At UW Health in northern Illinois, you will have Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance Annual wellness reimbursement Opportunity for on-site day care through UW Health Kids Tuition reimbursement for career advancement--ask about our fully funded programs! Abundant career growth opportunities to nurture professional development Strong shared governance structure Commitment to employee voice Qualifications High School diploma or equivalent and a graduate of or currently enrolled in a Medical Coding Program. In lieu of a Medical Coding education, an active coding certification is required. Required Associate degree in a...

Get AI-powered advice on this job and more exclusive features. Direct message the job poster from Carle Health. The HIM Certified Coder is responsible for accurate and timely coding of hospital inpatient, hospital outpatient, and/or professional fee encounters using appropriate ICD-10/ICD-PCS, CPT, or HCPCS codes, along with coding software such as computer-assisted coding and encoders. This ensures compliant billing of Carle claims. The HIM Certified Coder must understand and apply all regulatory coding guidelines, including National and Local Coverage Determinations, and CPT modifiers. They are also responsible for applying coding knowledge to resolve billing edits related to coding. The coder uses Carle electronic medical record systems to review clinical encounters. Responsibilities Accurately code all records according to the appropriate coding classification system (ICD-10, CPT, HCPCS, and modifiers). The assigned codes should accurately reflect the diagnoses and procedures...

Join to apply for the Coder lll - Inpatient Coder role at Insight Health Systems . 3 weeks ago. Be among the first 25 applicants. Insight Health Systems provided pay range This range is provided by Insight Health Systems. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more. Base pay range $31.00/hr - $36.00/hr At Insight Hospital and Medical Center Chicago, we believe there is a better way to provide quality healthcare while achieving health equity. Our Chicago location looks forward to working closely with our neighbors and residents, to build a full‑service community hospital in the Bronzeville area of Chicago; creating a comprehensive plan to increase services and meet community needs. With a growing team that is dedicated to delivering world‑class service to everyone we meet, it is our mission to deliver the most compassionate, loving, expert, and impactful care in the world to our patients. Be a part of the Insight Chicago...

South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group. South County Health has received numerous distinctions for patient care and safety, including a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A’s for hospital quality and patient safety by The Leapfrog Group. Having celebrated over 100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible while enjoying a healthy work-life balance. Our worksite wellness program was recently recognized as one of the top fifty such programs nationally. We offer competitive salaries and an attractive benefits package which includes, health, dental, vision, tuition...

Full-Time Medical Coder Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office, hospital inpatient...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. 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 record and attending...

MRT Coder Position The MRT Coder is a position located under the Health Information Management Division of the Resources Directorate at the Captain James A. Lovell Federal Health Care Center (FHCC) in North Chicago, Illinois. This position is responsible for maintaining the quality of patient records, assigning of appropriate International Classification of Diseases (ICD), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, and other duties as assigned. Responsibilities duties and responsibilities of this position include, but are not limited to the following: Basic Functions Assigns codes to documented patient care encounters (inpatient and outpatient) covering the full range of health care services provided by the FHCC. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. 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...

Job Posting Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM) Pay Range: $29.36 - $47.79 per hour Summary: Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. Other Information: Knowledge, Skills, and Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with...

Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office, hospital inpatient and outpatient visits for...

Overview Your Career. Our Company. Together, We Grow. At Southern Illinois Healthcare (SIH), we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees. As a non-profit system of almost 4000 employees, we have won national acclaim for our cancer, cardiac, stroke, bariatric, breast imaging, and rehabilitation services. Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits. Responsibilities Role...

Job Description Job Description Description: ABOUT US For over 55 years, we have been considered one of the innovative world leaders in the enhancement and improvement of care for foot and ankle medical conditions, sports medicine and clinical programs. Our mission is to improve the quality of life in a patient focused environment by providing the most advanced and knowledgeable foot and ankle care. WFAI has experienced phenomenal development, with expansion into 5 states and a future dedicated to continuing with that growth strategy. As our family expands, we stand by our core values, which include integrity, excellence, trust, caring, tradition and innovation. Position Summary: Responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for Podiatry based coding experience, including evaluation & management (E/M) and surgical coding experience. The coder will ensure that medical records are coded in an accurate and timely...

Horizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors. Base pay range $21.35/hr - $34.17/hr Position Summary Codes and/or bills the patient’s medical record using pertinent information according to departmental and HMFP policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries. Essential Functions (Responsibilities/Accountabilities) Data entry for the...

A healthcare provider seeks a Coding Specialist responsible for applying ICD-10 CM, ICD-10 PCS, and CPT coding rules. The role ensures timely and precise coding of inpatient, outpatient, and ancillary accounts while maintaining compliance and confidentiality. Candidates should possess AHIMA or AAPC certification, preferably with at least two years of coding experience. This position offers a supportive environment committed to professional development and the best patient experience. #J-18808-Ljbffr

Anticipated End Date: 2026-01-05 Position Title: Diagnosis Related Group Clinical Validation Auditor (CDI, MS-DRG, AP-DRG and APR-DRG) Job Description: Be Part of an Extraordinary Team 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. Build the Possibilities. Make an Extraordinary Impact. Title: Diagnosis Related Group Clinical Validation Auditor (CDI, MS-DRG, AP-DRG and APR-DRG) Virtual: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work‑life integration, and ensures essential face‑to‑face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the...

The Senior / Super Coder serves as a high-performing coding professional responsible for the accurate and timely assignment of ICD-10-CM/PCS, CPT, and HCPCS codes for all hospital services including inpatient, outpatient, emergency, surgery, and RHC encounters. This position functions as the department’s top-tier coder and provides advanced coding expertise, mentorship, and support to the Coding Team Leader, enabling her to focus on quality assurance, compliance, and education. The Senior Coder must maintain exceptional accuracy, productivity, and compliance with official coding guidelines, payer requirements, and FMH policy. Key Responsibilities Independently review and abstract complex clinical documentation for accurate code assignment. Assign appropriate ICD-10-CM/PCS, CPT, and HCPCS codes using the 3M encoder across multiple service lines. Resolve coding edits, medical necessity issues, and payer rejections efficiently. Collaborate with providers and the Coding Team...

Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder - Hospital Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. Coder - Hospital Job Description Coders - Hospital are responsible for technical coding includes the assignment of ICD-CM/PCS, CPT, and HCPCS codes, modifiers, selection of MD Diagnosis Related Groupings (MS-DRG), Ambulatory Payment Classification (APC), and coding for severity of illness. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations. Department: Medical Record Management Hours: Full-time Required: High School Diploma, CCA coding certification is preferred Pay: Based on experience, starting at $22.72 Responsibilities Assists physicians with record documentation needs by requesting clarification for additional information. Assists in educating physicians and...

Pro Fee Coder, Surgical Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Position Type: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations. What You Will Do: Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing...

Abstractor/Coder Under moderate supervision, the Abstractor/Coder is responsible for accurate and timely review and coding of inpatient and outpatient physician services including procedures and surgeries. Ensure that all external regulations affecting the coding process are administered to compliance. Review physician reports and append appropriate CPT, HCPCS, ICD-10 codes, and modifiers verifying that physician documentation supports the billing. Perform and facilitate accurate charge capture of physician services through the review of provider documentation to abstract and/or validate ICD and CPT codes. Responsibilities include: Obtain appropriate reimbursement levels for professional services by reviewing and coding physician services including but not limited to procedures, evaluation and management services, diagnoses, and modifiers. Analyze denial and rejection reports, and appeal wherever appropriate. Submit charges in a timely manner. Work in collaboration with the...