22 outpatient complex coder jobs found

Join to apply for the Professional Billing Coder II role at Onvida Health 2 days ago Be among the first 25 applicants Join to apply for the Professional Billing Coder II role at Onvida Health Get AI-powered advice on this job and more exclusive features. Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Job Description Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks Shift: Days Pay Rate Type: Hourly Location: Remote Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates. Min = $22.62 Mid = $28.28 Max = $33.93 Summary The Professional Billing Coder II is an intermediate-level coding professional responsible for independently reviewing medical documentation and assigning accurate diagnostic and...

Surgery HIM CoderWe are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity.This is a remote position with a 4 day on-site work rotation, every 6-7 weeks.Essential Job DutiesReview operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes.Abstract relevant information from medical records into the health information system.Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific).Query physicians when documentation is unclear, conflicting, or incomplete.Meet productivity and accuracy...

Surgery HIM Coder We are seeking a highly detail-oriented and experienced Surgery HIM Coder to join our Health Information Management team. This position is responsible for reviewing, analyzing, and accurately assigning ICD-10-CM, CPT, and HCPCS codes for surgical procedures based on clinical documentation in the patient medical record. The Surgery Coder ensures coding compliance with federal regulations and internal policies to optimize reimbursement and ensure data integrity. This is a remote position with a 4 day on-site work rotation, every 6-7 weeks. Essential Job Duties Review operative reports, physician documentation, and other clinical records to assign accurate and complete ICD-10-CM, CPT, and HCPCS codes. Abstract relevant information from medical records into the health information system. Ensure compliance with all coding guidelines (AAPC, AHIMA, CMS, and payer-specific). Query physicians when documentation is unclear, conflicting, or incomplete....

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We’re looking for a motivated, experienced Inpatient Facility Acute Care Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code a wide...

Quality Assurance Coder/Auditor The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation. The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education. The Quality Assurance Coder/Auditor will perform medical record reviews...

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Immediate eligibility for health and welfare benefits 401(k) savings plan with dollar-for-dollar match up to 5% Tuition Reimbursement PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level. Job...

Job Description Job Description We are seeking a full-time Medical Biller/Coder to join our team in Phoenix or Peoria. The ideal candidate is detail-oriented, dependable, and thrives in a fast-paced environment. Experience with vascular and wound care billing is preferred. Position Overview Responsible for overseeing the complete medical billing process, including accurate claim preparation, submission, and follow-up to ensure timely reimbursement. This role requires strong attention to detail, proficiency in resolving claim discrepancies, and expertise in managing multiple payer requirements. Key Responsibilities Scrub and submit claims using billing software. Follow up on unpaid claims within standard billing cycles. Review EOBs for accuracy and compliance. Communicate with insurers to resolve claim or payment discrepancies. Identify and bill secondary and tertiary insurance. Audit patient bills for accuracy and completeness. Research and appeal denied...

Job Description Job Description WE’RE HIRING: Medical Coding Specialist (In-Office) | $1,000 Sign-On Bonus If you’re looking for a coding role that challenges your skills, grows your career, and comes with benefits you can actually count on - welcome to  MY DR NOW . Why This Role Stands Out: $1,000 signing bonus  to get you started Performance-based bonuses  that reward your results FREE UHC PPO medical insurance option - yes, free 401k with company match  and full benefits package No layoffs in 19 years  and growing stronger every year Work with Epic , the #1-rated EMR in healthcare Career advancement that’s real - we promote from within Fun workplace culture : Taco Tuesdays, Feast Fridays, and even dogs at the office About MY DR NOW: We’re Arizona’s largest privately owned primary care group. We’ve built something different - accessible, affordable care available every day of the year, because patients deserve more. Our...

Quality Assurance Coder/AuditorThe Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at-risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation.The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at-risk single occurrence of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid diagnoses. This analysis combined with QA findings and EDPS claims errors will drive the content and audience for provider education.The Quality Assurance Coder/Auditor will perform medical record reviews and...

ED / Observation Coder (Full Time)Unlock your potential for professional development! We are hiring an ED / Observation Coder to join our Imaging Services Team!Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play!Position Purpose:All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI's vision to be among the kindest, highest quality health systems in the country. The ED / Observation Coder oversees assigned departments' charging through software systems.Benefits (Full Time Employees):We offer you an excellent total compensation package, including a competitive salary, comprehensive benefits, and growth opportunities:Exceptional Colleagues Join us and you'll be a part of a culture where we support each other and celebrate...

Unlock your potential for professional development! We are hiring a ED / Observation Coder (Full Time) to join our Imaging Services Team! Located in northwest Arizona, Kingman has a mild climate with stunning Arizona sunsets! In the shadows of beautiful mountain ranges and nearby lakes, Kingman is an outdoor enthusiasts' paradise with abundant sunshine and is a great community to live, work and play! Position Purpose All KHI employees are expected to perform their respective tasks and duties in such a way that supports KHI’s vision to be among the kindest, highest quality health systems in the country. The ED / Observation Coder oversees assigned departments’ charging through software systems. Benefits (Full Time Employees) We offer you an excellent total compensation package, including acompetitivesalary, comprehensivebenefits, andgrowthopportunities: Exceptional Colleagues Join us and you'll be a part of a culture where we support each other and celebrate what makes each of us a...

Job Description While professional experience and qualifications are key for this role, make sure to check you have the preferable soft skills before applying if required. Job Description Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday Our multi-location healthcare organization is seeking a highly organized professional who understands both medicalbilling/coding and provider credentialing and can support operational improvements within the revenue cycle. Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accuratebilling, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and...

PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center. Position Summary: Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. Scope of Work: The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential Duties and Responsibilities: Responsible for received claims up until Third-Party Payer has paid the claim....

Summary This position is under the HIM Department of the Phoenix Indian Medical Center in Phoenix, Arizona. The incumbent serves as the Lead Medical Records Technician (Coder) performing a full range of coding, assigning ICD-10-CM, CPT/HCPCS codes; abstracting records; chart analysis; peer review. Incumbent will report directly to the Supervisory Health System Specialist (Coding Supervisor). A REAL ID will be required beginning May 7, 2025, in accordance with 6 C.F.R. 37.5 (2021). Responsibilities Total Compensation Package - Check out IHS's outstanding total compensation package for this job: Medical Records Technician Total Compensation | Pay (ihs.gov) Distributes and balances the workload among employees in accordance with established work flow or job specialization, assures timely accomplishment of the assigned workload, and assures that each employee has enough work to keep busy. Assigns the appropriate ICD-10 codes for all diagnoses and surgical procedures as required and...

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions. At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements: Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week Hybrid 2 (Operational Roles such as but not limited to: Customer Service,...

Primary City/State: Virtual - Arizona Category: Health Information Shift: Day Department: Coding Outpatient Coder I Great care starts with great people. (Like you.) At HonorHealth, you'll find something special. From humble beginnings in 1927 to one of Arizona's largest nonprofit healthcare systems, our culture is built on warmth and neighborly kindness. Behind every smile is a highly skilled professional with deep expertise and an unwavering dedication to what matters most - caring for the health and well-being of people and communities across the greater Phoenix area. Job Summary Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. Essential Functions Inpatient: * Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within...

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...

Medical Biller Under general supervision, the incumbent is responsible for examining, verifying, and maintaining data involved in processing medical care claims for alternate resources reimbursement and performing other third-party billing-related duties. The primary function of this position is to bill/process all medical care claims timely to ensure reimbursement from third-party payers. The work involves the review of medical claims to ensure accuracy and completeness and obtain missing information. The incumbent performs various accounting, budget, or financial management support-related duties or assignments related to medical billing. Essential duties and responsibilities include: Responsible for received claims up until Third-Party Payer has paid the claim. Receives and examines alternate resource claims to ensure they are complete with appropriate supporting documents. Verifies accuracy of health claim number that claimed amounts are authorized and that the...

Location: Tucson Employment Type: Full-Time Schedule: Monday – Friday Position Overview The Medical Biller / Coder & Credentialing Specialist will manage key functions of the revenue cycle including coding accuracy, claims processing, payer credentialing, denial management, and provider enrollment. This role works closely with providers, leadership, and clinical teams to ensure accurate billing, compliance with payer requirements, and efficient reimbursement processes. Key Responsibilities Medical Coding Review provider documentation and assign accurate ICD-10, CPT, and HCPCS codes. Ensure coding complies with payer regulations and industry guidelines. Identify documentation gaps and communicate with providers when clarification is required. Support coding compliance and documentation improvement. Claims & Billing Prepare and submit electronic claims through the practice management system. Monitor claim status and follow up on unpaid or denied claims....

Medical BillerCommunity Medical Services (CMS) is hiring a Medical Biller that will be responsible for performing all aspects of billing functions including identifying and resolving complex claims issues adversely impacting the revenue cycle management process and achieve resolution through coordination, reconciliation and denied claim management. This role will ensure proper follow-up is performed on the back-end aspects of the revenue cycle process related to reimbursement including projects, problem and issues escalation, A/R management and research.As part of our mission to help individuals recover from substance use disorders, you'll thrive in a supportive, engaging, and fulfilling work environment where your contributions are valued.Along the way, we'll invest in your well-being through a benefits package that includes:Subsidized medical, dental, and vision insuranceHealth savings accountShort and long-term disability insuranceLife insurancePaid sick, vacation, and holiday...

OverviewNAH reserves the right to make hiring decisions based on applicants state of residence if outside the state of Arizona.NAH currently hires for remote positions in the following states :AlabamaArizonaFloridaGeorgiaIdahoIndianaKansasMichiganMissouriNorth CarolinaOhioOklahomaPennsylvaniaSouth CarolinaTennesseeTexasVirginiaThe Coder 3 electronically records stores and reports on reams of data.Responsible for coding the following service types based on department and assignments.Facility HIM :Inpatient outpatient emergency room and outpatient clinical.Ambulatory :Coding and auditing professional inpatient outpatient emergency and clinic.Coders will need to apply a broad knowledge of procedure coding diagnosis coding medical terminology and anatomy / physiology.Hospital Coder Proficiency :ICD-10 PCS / DRG / CPT / HCPCS / ICD-10 CM.Professional Coder Proficiency :CPT / HCPCS / ICD-10 / CM.ResponsibilitiesCommunicationWorks in collaboration with physicians in tracking un-coded...