18 outpatient complex coder jobs found

Join to apply for the Ambulance Coder Remote role at Pafford Medical Services Join to apply for the Ambulance Coder Remote role at Pafford Medical Services Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes Prioritize workflow to ensure timely claim submission Knowledge of state and federal insurance regulations Ability to analyze and problem solve complex issues Knowledge of billing requirements, coverage and benefits Uphold Medicare, Medicaid and HIPAA guidelines Identifies and communicates documentation issue trends Utilize various resources to locate insurance payers for ambulance transportation Contact the hospital, patient’s family, and/or patient to obtain insurance information Fax partner hospitals requests for information Validate and update patient demographics in the practice management system Responsible for the accurate entry of data into the practice management system This position...

Join to apply for the Remote Ambulance Coder role at Pafford Medical Services Join to apply for the Remote Ambulance Coder role at Pafford Medical Services Job Title : Remote Ambulance Coder Work Location : Pafford Medical Services, Inc. - Division/Department: PMBS Reports To: AVP Revenue Cycle-Oklahoma Full-Time Nonexempt Job Description: Responsible for charge validation and assigning appropriate ICD-10 and HCPCS codes to ambulance claims. Responsible for reviewing ambulance trip reports to determine medical necessity and to assign the appropriate level of care. Includes fulfilling assigned duties and responsibilities for the accurate submission of all ambulance transports in order to process third party claims and patient bills. Essential Duties And Responsibilities: Researches all information to complete accurate billing processes including assignment of billing charge codes and ICD-10 diagnosis codes Prioritize workflow to ensure timely claim submission...

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company , is seeking a Medical Records Technician Coder V-Supervisor to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Leadership Matter. Koniag Advisory Business Solutions (KABS) is seeking an experienced, highly skilled, and mission-focused Medical Records Coder V (Supervisor) to lead a coding team supporting a large-scale healthcare mission serving hospitals and clinics. This is a critical leadership role supporting coding and billing for more than 300,000 patient visits, where technical expertise, accountability,...

Medical Records Technician Coder IV-Lead Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Technician Coder IV-Lead to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Expertise Matter. Koniag Advisory Business Solutions (KABS) is seeking highly skilled, self-directed Medical Records Coder IV (Lead) professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to bring your expertise to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance,...

Koniag Advisory Business Solutions, LLC, a Koniag Government Services company , is seeking a Medical Records Technician Coder IV-Lead to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid Vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Expertise Matter. Koniag Advisory Business Solutions (KABS) is seeking highly skilled, self-directed Medical Records Coder IV (Lead) professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to bring your expertise to a team responsiblefor coding and billing more than 300,000 patient visits, where accuracy, compliance, sound judgment, and accountability are...

Job Purpose The Lead Coder will code all patient types as needed; inpatient, swing bed, same‑day surgery, ancillary, ambulatory and provider‑based clinics, and will mentor, train, and assist coding staff, including newly hired staff. They must review documentation to assign appropriate CPT/HCPCS and ICD‑10‑CM‑PCS diagnosis codes and procedures for hospital and physician (professional) services for inpatient and outpatient records based on knowledge of coding systems. Essential Functions Ensures that coding compliance initiatives are met with all record types. Conducts regular internal coding audits and quality assurance reviews to monitor coding accuracy, identify areas for improvement, and implement corrective measures and education as needed. Assists with productivity reporting and reducing DNFC. Coding complex outpatient or inpatient accounts utilizing encoder software and references in the assignment of ICD‑10‑CM/PCS, CPT/HCPCS codes, DRG, POA assignments, APC assignment and...

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply. This position is ECB status - requires a minimum number of worked hours per month as needed by the department; limited benefit offerings. Variable Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients,...

Current Saint Francis Employees - Please click HERE (https://wd115.myworkday.com/saintfrancis/d/task/2998$46522.htmld) to login and apply. Full Time Job Summary: The Coder III Specialist codes ER, Outpatient, Outpatient Surgeries, Observations and Inpatient records. Minimum Education: High School Diploma or GED. Licensure, Registration and/or Certification: Certified Coding Specialist (CCS) by AHIMA. Work Experience: Minimum of 3 years related experience and a score of 80% or above on the outpatient and inpatient coding exam. Knowledge, Skills and Abilities: Demonstrated knowledge of Basic ICD 10 training and anatomy and physiology. Demonstrated PC and Software proficiency. Must be able to score 80% or above on the outpatient and inpatient coding exam. Essential Functions and Responsibilities: Codes ER's, outpatients, outpatients surgeries, observations and inpatients. Works CCI/medical necessity edits as needed. Monitors unbilled for all patient types coded on a...

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...

Inpatient Coder - Part Time Fully Remote Home Office - Oklahoma City, OK 73134 Overview Position Type Full Time Job Shift Day Education Level Certification Travel Percentage Occasional Category Health Information Management (HIM) Description JOB PURPOSE: To abstract and code compliantly, accurately and completely as well as group each account to the appropriate DRG to facilitate data quality and ensure accurate and timely reimbursement. Verifies reviews, analyzes, and abstracts medical information; researches missing medical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues to management; ensures valid orders are on the record prior to coding; communicates with HIM Director regarding obstacles with orders, charges, physician documentation. Demonstrates proficiency in the coding and grouping of inpatient accounts. ESSENTIAL FUNCTIONS INCLUDE BUT NOT LIMITED TO: Assures data quality by capturing codes and data...

Position Summary The Risk Adjustment Coder determines the appropriate ICD10-CM diagnoses codes based on clinical documentation that follows the Official Guidelines for Coding and Reporting and Risk Adjustment guidelines for risk adjustment and Hierarchical Condition Categories (HCC). Risk adjustment coding relies on ICD-10-CM coding to assign risk scores to patients. The incumbent reviews retrospective medical record documentation and ensures that the codes are appropriately assigned. The outcome will be documentation that accurately and completely captures the clinical picture/severity of illness/complexity of the patient while providing specific and complete information to be utilized in coding, profiling and outcomes reporting of both the facility and the physicians. The Risk Adjustment Coder utilizes standards of compliance, specifically in OP compliant query processes and clinical knowledge to identify opportunities and to achieve results Also required is advanced knowledge of...

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, andlife 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 andhighly 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 future of...

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. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

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...

Job Purpose The Billing Specialist is responsible for the accurate and timely billing of inpatient services; as well as outpatient clinic services across multiple specialties, including therapy, medical, and ancillary services. This role ensures claims are coded, validated, and submitted in compliance with payer-specific rules, with a strong focus on high-volume outpatient encounters, denial prevention, and revenue cycle optimization. While supporting overall billing operations, this position is primarily focused on outpatient workflows and payer requirements. Duty Percent of Time Primary Outpatient Billing Functions Prepare, review, and submit outpatient clinic claims for multiple service lines (therapy, medical visits, ancillary services) Prepare, review and submit inpatient claims. Ensure accurate claim creation based on CPT/HCPCS codes, modifiers, and visit documentation. Validate claims against payer-specific rules, authorization requirements, and...

JOB PURPOSE: This position is for an Outpatient Coder with Emergency Dept and Ambulatory Surgery coding experience. The coder will code Surgery, Emergency department, and Ancillary records. Emergency Dept coding includes injection & infusion coding as well as the assignment of the E&M Professional fee. Coder will demonstrate competency by meeting productivity standards and achieving an accuracy rate of 95% on all chart types coded.Will abstract and code every account compliantly, accurately, and completely, to ensure accurate and timely reimbursement and reporting. Verifies, reviews, analyzes, and abstracts medical information; researches missing clinical information; assigns accurate codes; appropriately queries physicians when required; elevates documentation issues to management; ensures valid orders are on the record prior to coding; communicates with Coding Manager daily regarding obstacles that prevent a chart from being coded. Demonstrates proficiency in the coding...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

This is a remote based position.Applicants can be located nationwide Back Medical Coder #2621 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who has Profee Outpatient Coding experience.We need someone who is responsible for assignment of accurate Evaluation and Management (E&M) ICD-10-CM, ICD-10- PCS, current procedural terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes, modifiers and quantities derived from medical record documentation (paper or electronic) for encounters dependent upon record type.Tell us about your experience with Profee Outpatient Coding.Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills.We are looking for someone UNCOMMON.What is uncommon about you? Are you highly committed? Are you team-oriented? Do you value...