19 outpatient complex coder jobs found

Summary This position is in the Health Information Management (HIM) section of the Patient Business Services (PBS) at the Columbus VA Ambulatory Care 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. Learn more about this agency Duties Help Assigns codes to documented patient care encounters (inpatient or outpatient) covering the full range of health care services provided by the VAACC. 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. Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases-Clinical Modification...

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 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...

Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience Ob Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures, Verifying the diagnosis coding accuracy for complex and/or error prone encounters, Validating certain discharge dispositions, Reviewing charge and procedure mismatches, Reviewing codes with revenue integrity for NCD/LCD coverage, Reviewing invalid codes, code conflicts, and missing modifiers, Working with...

Job Description Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Responsibilities Coding quality: Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's. Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation. Maintains a coding accuracy rating of at least 95% on records assigned. Queries physicians when necessary to ensure documentation supports...

Job DescriptionUsing established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set.ResponsibilitiesCoding quality:Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRG's.Interprets health record content to ensure that all diagnoses and procedures coded are supported by physician documentation.Maintains a coding accuracy rating of at least 95% on records assigned.Queries physicians when necessary to ensure documentation supports the codes...

Overview Using established policies and procedures; the Certified Coder translates narrative descriptions of diseases, injuries, and medical procedures into numeric or alphanumeric codes needed for billing. The Certified Coder may code all types of inpatient, observation and outpatient cases (to include clinics, ancillary services, and ambulatory surgery, series, and emergency room cases) and may be called upon to code highly complex inpatient records (to include trauma, burns, open heart and transplant cases) based on experience and skill set. Qualifications High school graduate required. Associate Degree preferred | Registered Health Information Technician (RHIT) preferred, (or RHIT eligible) | 2 years experience in Health Information Management or related health care/office experience . Responsibilities Coding quality - 40% - Reviews inpatients, ambulatory, observation, emergency and outpatient accounts to assign accurate ICD-10 and/or CPT codes and DRGs. Interprets health...

Outpatient Coder (Remote)Full-time • Work From HomeMust have Surgical/OBS coding experience and documented billing edit experienceOb SummaryAs part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.Job ResponsibilitiesVerifying accuracy of assigned CPT codes for complex and/or error prone procedures,Verifying the diagnosis coding accuracy for complex and/or error prone encounters,Validating certain discharge dispositions,Reviewing charge and procedure mismatches,Reviewing codes with revenue integrity for NCD/LCD coverage,Reviewing invalid codes, code conflicts, and missing modifiers,Working with other team members in...

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 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...

Outpatient Coder (Remote)Full-time • Work From HomeMust have Surgical/OBS coding experience and documented billing edit experienceOb SummaryAs part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position.Job ResponsibilitiesVerifying accuracy of assigned CPT codes for complex and/or error prone proceduresVerifying the diagnosis coding accuracy for complex and/or error prone encountersValidating certain discharge dispositionsReviewing charge and procedure mismatchesReviewing codes with revenue integrity for NCD/LCD coverageReviewing invalid codes, code conflicts, and missing modifiersWorking with other team members in billing,...

Outpatient Coder (Remote) Full-time Work From Home Must have Surgical/OBS coding experience and documented billing edit experience Ob Summary As part of our hospital outpatient coding team, you will work outpatient coding quality and/or billing alerts/edits for hospital outpatient encounters (e.g., same day surgery, observation, wound care, emergency department, and/or diagnostic) to ensure complete and accurate code assignment. This is a great starting position for those wanting to move from production coding toward an outpatient coding quality review position. Job Responsibilities Verifying accuracy of assigned CPT codes for complex and/or error prone procedures Verifying the diagnosis coding accuracy for complex and/or error prone encounters Validating certain discharge dispositions Reviewing charge and procedure mismatches Reviewing codes with revenue integrity for NCD/LCD coverage Reviewing invalid codes, code conflicts, and missing modifiers Working with other...

University of Toledo Physicians' mission is to improve the human condition through excellence in patient care and medical discovery.Representing more than 200 physicians, UT Physicians are leaders in clinical care, research and education of the future physicians, providing care in a wide range of medical specialties from the most complex diagnoses and treatments to primary care for the entire family.The primary site of inpatient care services is at the University of Toledo Medical Center, but many of our physicians' practice at hospitals and medical offices throughout the region.University of Toledo Physicians offers competitive pay and benefits including:403B, Pension, health and tuition waiver at UT.POSITION SUMMARYThe Certified Coder is responsible for coding ICD diagnosis and CPT facility and professional codes.Assignment may include outpatient clinic visits, diagnostic procedures, outpatient surgeries, observation and inpatient encounters, and emergency room charges for the...

Job TitleJob DescriptionDutiesHelpsAssigns codes to documented patient care encounters (inpatient or outpatient) covering the full range of health care services provided by the VAACC.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.Selects and assigns codes from the current version of several coding systems to include current versions of the International Classification of Diseases-Clinical Modification (ICD-CM), Current Procedural Terminology (CPT), Diagnostic and Statistical Manual of Mental Disorders (DSM), and Healthcare Common Procedure Coding System (HCPCS).Adheres to accepted coding practices, guidelines and conventions when choosing the most appropriate diagnosis, operation, procedure, ancillary, or Evaluation and Management (E&M) code to ensure ethical, accurate, and complete coding.Applies codes based...

Community Memorial Hamilton, NY 13346, USA Pay and Shift Range $23 USD to $26 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. Description Performs timely and accurate coding of the visit; ensuring diagnosis to the highest specificity, accurate E/M level and capture of all procedures/modifiers. Reviews the medical record to ensure consistency and accuracy as well as compliance with established third-party reimbursement agencies. Participates in regular education with all Physicians, APPs and other team members. Maintains current status, in good standing, with coding certificate. Remains updated and fluent with AAPC and other coding bulletins, newsletters and guidelines. Be prepared coding new and upcoming procedures. Assists patients in implementing solutions to reduce back-end billing errors. Maintains patient confidentiality...

WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Coder MAIN FUNCTION: The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve re-imbursement and revenue compliance concerns. Involved in the charge capture process. RESPONSIBLE TO: System Director of Revenue Cycle MUST HAVE REQUIREMENTS: Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS/ or CCA eligible. If not credentialed at time of hire, then applicant must become credentialed in one of the four areas within 12 months of hire to remain employed. Ability to operate computer on a daily basis and perform basic office procedures. No written disciplinary action within the last...

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Coder Full Time, Wooster Community Hospital, Wooster, OH, US Main Function The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve reimbursement and revenue compliance concerns. Involved in the charge capture process. Responsibility Report to the System Director of Revenue Cycle. Must Have Requirements Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS or CCA eligible. If not credentialed at time of hire, applicant must become credentialed in one of the four areas within 12 months...

Cardiac Specialist Registered Nurse - CVORAt TriHealth, our corporate team thrives on a service-oriented mindset grounded in inclusivity, innovation, and collaboration. We cultivate a supportive culture where every team member is valued, empowered, and given a true sense of belonging. When you join us, you become part of a community that invests in your personal well-being and your professional future. You'll experience meaningful growth and development opportunities, excellent benefits, and a workplace where people actively support one another and share best practices every day. Here, your contributions matter—and together, we make a lasting impact.Location: This is a work from home role that requires the team member to live in the Greater Cincinnati/Northern Kentucky areaSchedule: Day ShiftJob Overview:Reviews and interprets clinical documentation to assign accurate and complete codes, modifiers, MSDRG's, APR-DRG's, SOI, ROM, POA indicators, discharge dispositions and any other...

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:...

**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 and...

Outpatient Medical Coder 2This area codes 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 codes are assigned for the diagnoses and procedures for all inpatients treated within the OSU Health System. ICD-10-CM diagnoses codes and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System. Medical record data is then abstracted into a clinical abstracting system. This position is responsible for coding some or all the following types of records: inpatient, outpatient clinic, and ancillary areas.The position is primarily responsible for coding/billing of medical records and other documents for the patient's visits. This requires selection of appropriate diagnosis, principal and secondary diagnoses, deciphering handwriting of professional staff, and sequencing diagnoses and procedures abstracted from medical records. Data is then entered into...