18 outpatient complex coder jobs found

Our Revenue Cycle Team wants to meet YOU! Join us at our job fair on February 25. Register here . GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patients medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. EDUCATION/EXPERIENCE REQUIRED: High School Diploma or G.E.D. equivalent...

Remote Position GENERAL SUMMARY: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient’s medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. PRINCIPLE DUTIES AND RESPONSIBILITIES: • Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient’s medical record, including...

Business (Non-Clinical) Remote Position General Summary: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Principle Duties And Responsibilities: Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's...

Summary This position is located in the Health Information Management (HIM) section at the Battle Creek VA Medical Center. 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. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. Responsibilities 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. 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...

Medical Records Technician (Coder In/Out) This position is located in the Health Information Management (HIM) section at the Battle Creek VA Medical Center. 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. These coding practitioners analyze and abstract patients' health records, and assign alpha-numeric codes for each diagnosis and procedure. 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. 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...

Join Datavant, the leading data collaboration platform in healthcare. Our mission is to make health data secure, accessible, and actionable, providing vital data solutions for healthcare providers, health plans, researchers, and life sciences companies. Whether it’s managing a patient’s medical records or advancing AI in healthcare, our collaborative team is dedicated to significantly transforming the industry. We are seeking experienced and credentialed outpatient coders to enhance our team. The ideal candidate will demonstrate exceptional attention to detail and possess a comprehensive understanding of medical terminology. Enjoy the flexibility of this fully remote role while helping to shape the future of healthcare! Preferred: Outpatient coder specializing in Cath coding, Endo, Observation coding, and OP Surgery is highly desired. Experience with Cerner/3M is a plus. Key Responsibilities: Review medical records and accurately assign codes for diagnoses and...

Certified Medical Biller/Coder & Revenue Cycle Manager Direct Hire Only - No recruiters, staffing agencies, or outsourced contractors Focus Clinic is seeking a full-time Certified Medical Biller/Coder & Credentialing Specialist who is organized, proactive, and mission-driven. This is an in-person role in Wyoming, MI, working Monday-Thursday (32 hours/week). You will serve as the comprehensive revenue cycle manager for a rapidly growing clinic, with duties including coding, billing, patient balance follow-up, and compassionate financial guidance for families. The ideal candidate can confidently manage both insurance-billed and cash-pay services, streamline front-desk processes, and help families understand their out-of-pocket expenses with warmth and clarity. Key Responsibilities: Medical Coding Accurately code services using CPT/ICD-10 (and modifiers as appropriate) across Focus Clinic's multidisciplinary offerings (medical visits, diagnostic...

Coder III Healthcare Job Description Coder III 3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT)-4/ Healthcare Common Procedure...

DRG Coding Auditor Principal _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. 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...

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology (CPT)-4/ Healthcare Common Procedure Coding System (HCPCS) procedure codes, MS-DRG, POA, SOI & ROM assignments and...

Overview The Professional Coder provides timely and accurate clinical and administration data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care or physician offices to meet organizational needs. This position is responsible for ICD10CM diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. Works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with the office staff and physicians as needed. This position is responsible for the monitoring the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules. Primary patient contact is only social. He/she demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards...

JOB SUMMARY Under the direct supervision of Professional Coding and CDI Manager, The Professional Coder provides timely and accurate clinical and administration data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care or physician offices to meet organizational needs. This position is responsible for ICD10CM diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. Works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with the office staff and physicians as needed. This position is responsible for the monitoring the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules. Strives for superior performance by consistently providing a product or service to leadership and staff that is...

Join our compassionate community and prioritize health! Humana invites you to apply for an exciting opportunity as an Outpatient Medical Coding Auditor focused on Durable Medical Equipment (DME) auditing. In this role, you will be an essential member of the PPI Coding Disputes Team, where your expertise in medical coding will play a pivotal role in resolving provider disputes within a results-driven environment. Become part of a Fortune 100 company that values the well-being of both its employees and consumers. As a DME Outpatient Coding Auditor, you will report to the Manager and collaborate with fellow coding professionals across various departments. Your primary goal will be to uphold the highest standards of coding accuracy, compliance, and quality. Bring your extensive experience in outpatient DME coding disputes and expertise in CPT/HCPCS code assignments. Ensure accuracy by adhering to coding guidelines and professionally communicating dispute outcomes to...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

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...

Coding Specialist Assigns ICD diagnosis and CPT procedure codes to assigned Outpatient work types. Employment Type: Full Time Weekly Scheduled Hours: Mon-Fri 7am-3:30pm Wage Range: $21.14-$31.70 Requirements: - High school diploma/GED, or higher education - Registered Health Info Tech (R-RHIT) required Preferred Requirements: - Registered Health Info Admin (R-RHIA) - Certified Coding Specialist (C-CCS) Coding: Based on clinical documentation, computerized encoding, accepted coding classification principals, and reference material, efficiently and accurately assigns appropriate ICD diagnosis codes CPT procedure codes and modifiers on assigned chart types. Verifies accuracy of completed fields. Maintains credentials and ongoing education in order to apply current policies and principals for accurate coding. Assigns appropriate ICD codes. Assigns appropriate CPT codes. Assigns appropriate Modifiers on APC accounts. Searches chart documentation for appropriate code...

ASSOCIATE DIRECTOR Ross Education Holdings, Inc. Warren, MI - Campus based position Schedule: Full Time - Monday-Friday (3) days 8-5 and (2) afternoons 11-8 We are looking for a Medical Assistant with 3+ years of MA experience, an Associate's Degree or higher, and preferably some management experience to take your career to the next level. Apply with confidence knowing a human will read your resume. Come find your "WHY" at Ross Education! Ross Educations non-profit secondary education centers are working to provide all students with the tools to become much needed health care professionals. Ross is more than a place to work - we're a community built on shared values. As part of our team, you'll be asked to embody and uphold the Core Values that guide everything we do: Be Humble, Be Kind, Be a Good Steward, Embrace Accountability, Lead Responsibly and Deliver an Exceptional Student Experience If these principles resonate with you and you're looking to...