34 outpatient coder 3 jobs found

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...

Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here (https://www.myworkday.com/umiami/d/task/1422$7248.htmld) to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet (https://my.it.miami.edu/wda/erpsec/tipsheets/ER_eRecruiting_ApplyforaJob.pdf) . 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...

Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will :Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG / APR DRG / APC grouper.Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter.Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and / or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record.Be knowledgeable in the requirements of the industry with regard to Medicare and / or Managed care regulations, the International...

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. 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. Requirements: 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,...

Summary MRTs 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 alphanumeric codes for each diagnosis and procedure. Learn more about this agency Duties Help ** *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare...

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 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. 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...

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...

PRIMARY FUNCTION The Professional Fee Coding Auditor is responsible for conducting comprehensive coding audits (prospective and retrospective), ensuring documentation and coding compliance, identifying revenue integrity opportunities, and providing feedback to providers and clinical staff. This role serves as a key partner to physicians, advanced practice providers, operational leaders, and revenue cycle teams to promote accurate coding, documentation integrity, regulatory compliance, and reimbursement optimization. This role ensures compliance with applicable coding guidelines and/or payer requirements as well as regulatory standards while supporting revenue cycle integrity through education and process improvement. In addition to audit and education responsibilities, this position maintains coding proficiency by performing production coding activities as needed to support business operations, staffing coverage, backlogs, special projects, and organizational priorities....

Certified Medical Coder CCC is seeking a self-motivated Certified Medical Coder, who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. What You Will Be Doing: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding...

Miami, FL | Full-Time Health Information Management Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies...

Job Description Location Requirement: Candidates must reside in Florida, Alabama, or Georgia. If offered the position, they will be required to come onsite in Pensacola, FL for orientation. The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider. This position validates that the coding methodology correctly reflects how the tests were performed and meets all state, federal, local, and payer guidance. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation. Maintains knowledge of coding and diagnostic procedures, staying current with federal legislative changes that affect outcomes. Communicates questions or concerns to the Coding Manager, HIM Services Director, or BHC’s Revenue Integrity...

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...

Summary This position is located in the Health Information Management (HIM) section at the Orlando VA 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. Responsibilities Duties Include:: Assigns codes to documented patient care encounters (Inpatient /Outpatient facility and/or professional services) covering the full range of health care services provided by the VAMC. Patient encounters are often complicated and complex requiring extensive coding expertise. Applies advanced knowledge of medical terminology, anatomy & physiology, disease processes, treatment modalities, diagnostic tests, medications, procedures as well as the principles and practices of health services and the organizational structure to ensure proper code selection. Selects and assigns codes from the current version...

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 Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address:...

Outpatient Surgery Coder Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required Experience: NCCI/CCI edits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community.We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.Position Details:Location:Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status:Full time (non-exempt) Shift:7:00 AM to 3:30 PM Days:Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position.Sign on bonuses available! Responsibilities:The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems.Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis.Formulates physician queries and monitors bill hold...

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...

Position Summary CCC is seeking a self‑motivated Certified Medical Coder who is detail oriented. The Certified Medical Coder is responsible for the accurate selection of ICD‑10, CPT, modifier(s) and HCPCS codes based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high‑volume position. Responsibilities Reviews clinical documentation to extract data and apply appropriate ICD‑10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD‑10‑CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding questions and research...

*Description* JOB SUMMARY: Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems. JOB RESPONSIBILITIES: * KEY RESPONSIBILITY 1: Serves as a clinical coding subject matter expert, and utilizes critical thinking to analyze and evaluate documentation issues with consultation from the medical and clinical staff, and clinical documentation specialists as needed. o Audits ICD-10 diagnostic codes and CPT-4 procedure codes to outpatient, ambulatory surgery, and observation visits for the purpose of reimbursement, research and compliance with federal and state regulations. o Audits complex inpatient cases such as trauma, rehab, neurology, critical care, etc. utilizing the ICD-10-CM and ICD-10-PCS nomenclature to ensure...

Overview BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Medical Records Outpatient Coder III will work remotely on a full-time basis. Sign on bonuses available! Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of...

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. Benefits Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance Paid Time Off from Day One 403-B Retirement Plan 4 Weeks 100% Paid Parental Leave Career Development Whole Person Well-being Resources Mental Health Resources and Support Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 3100 E FLETCHER AVE City: TAMPA State: Florida Postal Code: 33613 Job Description Performs quality reviews on coded...

Certified Medical Coder CCC is seeking a self-motivated Certified Medical Coder, who is detail oriented. The Certified Medical Coder is responsible for accurate selection of ICD-10, CPT, modifier(s) and HCPCS codes, based on the medical record documentation for office, outpatient, and inpatient medical services. This is a high-volume position. What You Will Be Doing: Reviews clinical documentation to extract data and apply appropriate ICD-10 Diagnosis codes, along with CPT/HCPCS codes for coding and billing. Accurately codes conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC rules and the CPT rules established by the AMA. Reviews provider medical records to identify opportunities for improvement in coding and documentation. Works closely with the A/R Denial Team to review coding related denials from payers and recommend the appropriate action to resolve claims issues. Assists with coding...

IP CoderWe are seeking an IP coder, the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG. The Coder Inpatient uses 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. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures.Essential Job FunctionsResponsible for abstracting, coding, sequencing, and interpreting clinical information from inpatient, outpatient, emergency department, pro-fee, and clinical medical records.Responsible for assigning correct principal diagnoses, secondary diagnoses, and principal procedure and secondary procedure codes with attention to accurate sequencing.Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes.Abstracts and codes pertinent...

JOB DESCRIPTIONLocation Requirement :Candidates must reside in one of the following states- Florida, Alabama, or Georgia.If offered the position, will be required to come onsite in Pensacola, FL for orientation.The Coder is responsible for ensuring that claims reflect accurate diagnosis as ordered by the health care provider.This position validates that the coding methodology correctly reflects how the tests was performed and meets all state federal local and payer guidance.RESPONSIBILITIESReviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines.Applies sequencing guidelines to coded data according to official coding rules.Reviews medical records to ensure appropriate documentation.Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that affect outcome.Communicate questions or concerns to the Coding Manager, HIM Services...