30 outpatient coder jobs found

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...

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...

Join CommunityThe Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health system.Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.Make a DifferenceReporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards.The Risk Adjustment Coder is responsible for :Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to completeworkflowsValidating diagnosis codes representing patient conditions along with necessary MEAT documentationEnsuring coding is consistent with guidelines from regulatory entitiesConducting audits to meet compliance with ACA standardsCreating post-visit queries with follow upCollaborating with...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviews medical records to report conditions that map to HCCs by reviewing medical record documentation and applying the appropriate ICD-10 diagnosis codes. Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works on projects that may include making phone calls to providers. Works within broad guidelines with...

The Supervisory Medical Records Technician (Coder) position will work in the Health Information Management (HIM) section at the VA Northern Indiana Health Care System. Medical Records Technicians (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. Applicants pending the completion of educational or certification/licensure requirements may be referred and tentatively selected but may not be hired until all requirements are met. Basic Requirements United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. English Language Proficiency: Candidates must be proficient in spoken and written English as required by 38 U.S.C. § 7403(f) Certification: You must have a Mastery Level Certification through AHIMA or AAPC. Current...

Job Description Job Description The Ambulatory Coding and Reimbursement Specialist is responsible for reviewing, analyzing, and accurately coding ambulatory and/or hospital-based encounters. This role performs initial charge review for E/M visits, diagnostic tests, and procedures across multiple specialty departments to determine the appropriate assignment of CPT, ICD-10, HCPCS codes, and modifiers for reporting physician services to third-party payers. The Specialist ensures all coding aligns with established coding standards, regulatory requirements, and reimbursement policies. 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 notes and charge documents to determine services provided and accurately assign CPT , Modifiers, and ICD-10 coding to these services. Performs...

Responsibilities Valle Vista Health System is a 132-bed, acute care psychiatric hospital located in Greenwood, IN. Valle Vista Health System features individual units for adolescents and adults, and offers inpatient acute care, and variety of outpatient services at multiple locations. On average, over 10,000 patients receive care from our compassionate health care team each year at Valle Vista Health System. Valle Vista Health System is proud to be a teaching facility that supports local nursing students and other behavioral health professionals. For more information, please visit us at vallevistahospital.com Position Summary : The Health Information Services Coder/Abstractor participates as an integral member of the Health Information Services team by ensuring the quality maintenance of patient information within laws, rules and regulations of federal and state licensing agencies, and The Joint Commission standards for the quality of patient care. The...

Responsibilities Valle Vista Health System is a 132-bed, acute care psychiatric hospital located in Greenwood, IN. Valle Vista Health System features individual units for adolescents and adults, and offers inpatient acute care, and variety of outpatient services at multiple locations. On average, over 10,000 patients receive care from our compassionate health care team each year at Valle Vista Health System. Valle Vista Health System is proud to be a teaching facility that supports local nursing students and other behavioral health professionals. For more information, please visit vallevistahospital.com. Position Summary The Health Information Services Coder/Abstractor participates as an integral member of the Health Information Services team by ensuring the quality maintenance of patient information within laws, rules and regulations of federal and state licensing agencies, and The Joint Commission standards for the quality of patient care. The Coder/Abstractor has primary...

Coder Clinic Location: St. John Outpatient Center, St. John, IN 46373; Remote availability Job Summary: Under general supervision and according to industry standards, identifies and assigns diagnostic and procedure codes for distinct patient encounters from source documentation using current ICD and CPT recommendations. Performs charge entry, review, reconciliation, and error correction tasks to ensure full and accurate charge capture. Performs regular manual and electronic charge and coding audits. Possesses a thorough knowledge of the coding process, coding resource material, coding rules and guidelines and applicable classification systems. Education/ Experience Requirements: High School graduate (or GED equivalent) required. Completion of college course work in health information degree or certificate program preferred. 1-2 years professional billing/coding experience. Physician practice setting preferred. Previous use of EPIC preferred. Evaluation and...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor audits medical charts and records for compliance with federal coding regulations. provide a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical billing conforms to legal and procedural requirements. Essential Functions You will verify and ensure the accuracy, completeness, specificity, and appropriateness of medical record documentation based on a patient's documented medical conditions You will confirm appropriate diagnosis and procedure code assignment, following all applicable coding guidelines You will use electronic tools (i.e., spreadsheets-web-based) that have been created based on the CMS-HCC model and established coding guidelines...

Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records in order to abstract relevant data from patient medical records into the on-line computer system. Assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. MISSION, VALUES and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Reviews and analyzes discharged patient medical records to ensure all applicable patient data is available for coding and abstracting by: Checking the diagnosis and procedure to ensure accurate coding and sequencing as specified by established coding principles and guidelines, following AHA, AHIMA, and CMS coding guidelines for outpatient...

Overview Reports to the Manager, Coding & Records. Reviews, codes, and analyzes medical records to abstract relevant data into the on-line computer system and assigns DRGs to Medicare, Medicaid, and other required payors. Determines DRG and APC assignment on outpatient and inpatient records. Maintains productivity and accuracy levels for the assigned job code. Responsibilities Review and analyze discharged patient medical records to ensure all applicable data is available for coding and abstracting, following established coding principles and guidelines (AHA, AHIMA, CMS) for outpatient and inpatient records. Obtain accurate and complete patient data through review of the medical record, discharge summary, history and physical, consultation, progress notes, laboratory, radiology, operative and pathology reports. Code all procedures on inpatient records (all payors) and outpatient surgical records according to ICD-9-CM Codes, CPT-4 or Physician E&M levels (as applicable)....

Radiology Medical Coder Radiology Medical Coder Job Description Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary - The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when...

Harrison County Hospital is seeking a Certified Inpatient Hospital Coder - CCS required.This position has the opportunity to be a remote position.Employee will be asked to complete training at Harrison County Hospital and must be able to come in for business purposes.Employees in the role must reside in Kentucky or Indiana.Position available :Full-time, Days, 32-40 hrs / wk.The Coder reports directly to the HIM Director.The Coder performs the assignment of ICD-10 diagnosis and procedures and CPT procedure codes for billing and classification of medical records for both Inpatient and Outpatient charts.REGULATORY REQUIREMENTS :Must have detailed knowledge of third party reimbursement rules and regulations including Medicare and Medicaid.Complies and adheres to the Corporate Compliance Program.LANGUAGE SKILLS :Must be able to speak English fluently.Must be able to speak and understand medical terminology.EDUCATION / EXPERIENCE :Must have high school education.Must have CCS...

Job Description The Patient Safety 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. The role generates highly complex audit findings recoverable claims for the benefit of the Company across all lines of business. The position focuses on very complex coding cases paid through various DRG methodologies such as APS-DRG, APR-DRG, AP-DRG, MS-DRG, or TRICARE, with findings that may be reviewed only by other DRG Coding Audit Principals or Executives. Responsibilities Analyzes and audits claims by integrating advanced medical chart coding principles found in Official Coding Guidelines, Coding Clinics, and the ICD-10 Alphabetic and Tabular Indices, as well as complex clinical guidelines, maintaining objectivity in audit activities. Draws on extremely advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate sophisticated...

Anticipated End Date: 2026-07-24 Position Title: Patient Safety DRG Coding Auditor Principal Job Description: Location: This role enables associates to work virtually full-time, except for 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 if candidates reside within a commuting distance from an office. 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 accommodation is granted as required by law. The Patient Safety 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...

Eskenazi Health in Indianapolis is seeking a Professional Coder responsible for accurate clinical coding and abstraction of inpatient and outpatient services. The coder will ensure compliant and optimized reimbursement, contributing to the healthcare mission focused on vulnerable populations. The ideal candidate will have a High School diploma, a coding credential from AHIMA or AAPC, and at least 3 years of relevant coding experience. Ideal qualifications include expertise in ICD-10, CPT-4, and HCPCS coding systems. #J-18808-Ljbffr

The Professional Coder provides timely and accurate clinical coding and abstraction of inpatient and outpatient services as appropriate to facilitate compliant and optimized reimbursement, research, and PI initiatives. The Professional Coder is responsible for the coding, abstraction, and charge entry (as applicable) of one or more of the following: professional and facility services which may include evaluation and management services, ancillary/diagnostic services, and behavioral health services. Essential Functions and Responsibilities Proactively contributes to Eskenazi Health’s mission: Advocate, Care, Teach and Serve with special emphasis on the vulnerable population of Marion County; models Eskenazi Health’s values Coding and Abstracting: Identifies and assigns the appropriate diagnosis, procedure, and evaluation and management (E&M) codes in accordance with coding guidelines and departmental standards; audits notes from providers to ensure the provider is coding in a...

Radiology Medical Coder Radiology Medical Coder Job Description Client Profile - An Indiana based Independent Physician-Owned radiology practices founded in 1967. Job Summary - The Radiology Coder is responsible for coding and charge submission activities, including abstracting CPT Professional Fee Coding and inpatient/outpatient coding and billing. This involves reviewing medical records and assigning appropriate ICD, CPT, and HCPCS codes. Job Duties Review and analyze medical records ensuring the correct assignment of ICD-10, CPT and HCPCS codes. Accurately code diagnostics imaging, interventional radiology procedures and other radiological services Ensure that documentation supports the assigned codes and matches physician orders and radiology reports Abstract relevant data such as procedural dates, providers, and patient demographics for billing and reporting. Collaborate with radiologists and other medical professionals to clarify diagnoses and procedures when...

Centers For Pain Control is seeking a dedicated professional coder in Valparaiso, IN. The role involves reviewing clinical documentation, validating coding for outpatient services, and training other medical coders. The ideal candidate has substantial experience in CPT and ICD-10 coding with 5 years in a physician practice, alongside supervisory skills. A CPC or CCS-P certification is preferred, and the position promises a dynamic work environment focused on accuracy and compliance with regulations. #J-18808-Ljbffr

Job Details Job Location: Valparaiso, IN 46383 Purpose Reporting to the Billing Team Supervisor, the professional coder is responsible for reviewing clinical documentation to abstract and/or validate CPT and ICD-10 coding for office based and outpatient professional services. Accountabilities and Job Activities Ensure that medical coders are trained, knowledgeable and consistently adhering to key responsibilities relevant to job description Train new employees Perform ongoing training and education as needed Conduct audits to ensure the accuracy of the coding team and re‑train and/or initiate coaching if necessary Monitor daily workload to ensure that claims are created in a timely manner Ensure that professional and facility service claims are created on a daily basis without interruption Responsible for alerting proper parties if any interruptions are discovered Analyze office progress notes, procedural and operative records to identify and independently assign accurate ICD and...

Overview Job Title: Medical Coder (Junior Level) | Location: Downtown Indianapolis, IN (Local candidates strongly preferred; occasional onsite presence required) We are looking for a detail-oriented Junior Medical Coder to support a healthcare client engagement. You will be responsible for reviewing clinical documentation, assigning accurate medical codes, and ensuring compliance with payer and regulatory guidelines to support clean and timely billing operations. Responsibilities Review and analyze clinical documentation to assign appropriate ICD-10-CM, CPT, and HCPCS codes Ensure all coding is compliant with CMS, payer-specific, and internal guidelines Identify and resolve coding discrepancies and documentation gaps in collaboration with clinical staff Support the revenue cycle team in maintaining accurate and timely billing submissions Stay current with coding updates, regulatory changes, and payer policy revisions Requirements Required Qualifications CPC, CCS, or equivalent...

Riverview Main Campus 395 Westfield Rd Noblesville, IN 46060, USA Review, code, data entry and interpret with accuracy and complete patient data for medical office, outpatient, inpatient, handwritten chart entries, practitioner orders and other related documentation to ensure accurate information is being submitted for billing. Obtain accurate and complete patient data through the review of the medical record, discharge summary, history and physical, consultation, progress notes, and laboratory, radiology, operative and pathology reports. Maintains competence in and up-to-date knowledge of healthcare compliance requirements, practices, trends, coding rules and standards in areas of responsibility. Maintains professional affiliations and credentials as appropriate. Consistently supports the compliance and principles of responsibility by maintaining confidentiality, protecting the assets for the organization, acting with integrity, reporting observed fraud and abuse and complies...

Join the Woodlawn Team as a Part-Time Pro Fee Coder – Hybrid position. Credentials must be currently held for this Pro Fee Coder – Hybrid position. It is required, the first 90 days be onsite in Rochester, Indiana. Furthermore, additional onsite required for meetings & additional training! EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS: Must have one or more of the following credentials: RHIA, RHIT, CCS, CCA, CPC, COC. Required: High School diploma/GED or relevant experience. Required: Formal education in anatomy and physiology, medical terminology, disease processes, content of a medical record, coding of diagnoses using ICD-10-CM and procedures using ICD-10PCS and Current Procedural Terminology (CPT). Demonstrate ability to communicate and work in a professional manner with members of the medical staff, government agencies, and third-party payers. Demonstrate good communication skills and excellent customer service skills. Knowledge and ability to read, interpret and...