20 outpatient facility coder jobs found

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.Job Description:Job PurposeThe purpose of the Certified Professional Coder is to input diagnostic codes for medical services rendered and ensuring that the assigned codes meet required regulations.Essential Job FunctionsInput appropriate diagnostic codes for various medical services.Make sure the assigned codes meet all federal,...

Inpatient Coder Assigns and sequences codes for complex inpatient DRG encounters according to established regulatory guidelines, industry best practices, and Infirmary Health (IH) policies and procedures. May also be required to assign codes for outpatient surgery and observation encounters as needed. Qualifications Minimum Qualifications: 3 years' coding experience in an acute care facility Knowledge of medical terminology, anatomy & physiology Knowledge of ICD-10-CM/PCS, CPT, HCPCS coding conventions Knowledge of CMS coding requirements Computer proficiency; ability to research coding questions and utilize educational resources Licensure/Registration/Certification: Credentialed through American Health Information Management Association in one of the following: Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) OR Credentialed through American Academy of Professional Coders...

Outpatient Coding Compliance Auditor 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Bellatrix HRM, Inc, is a Women Owned Small Business located in a HUBZone, that believes our team members are the stars of the organization. At Bellatrix all team members are shareholders. Drive like the Latin origin of the name Bellatrix, “Female Warrior”, we are resilient in creating an environment of respect, empowerment, agility and successful execution of solutions. If you have what it takes to join our team and are looking for a legitimate work from home position while serving our soldiers, please email your resume and phone number for interview. Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Concurrently codes Recurring records for interim billing. Processes records for deficiencies and return for completion. Enters codes into the Abstracting Module as needed, including use of the 3M encoder. Performs data quality reviews on outpatient encounters to validate the ICD-10-CM, CPT, and HCPCS Level II code and...

Inpatient Coder Assigns and sequences codes for complex inpatient DRG encounters according to established regulatory guidelines, industry best practices, and Infirmary Health (IH) policies and procedures. May also be required to assign codes for outpatient surgery and observation encounters as needed. Qualifications Minimum Qualifications: 3 years' coding experience in an acute care facility Knowledge of medical terminology, anatomy & physiology Knowledge of ICD-10-CM/PCS, CPT, HCPCS coding conventions Knowledge of CMS coding requirements Computer proficiency; ability to research coding questions and utilize educational resources Licensure/Registration/Certification: Credentialed through American Health Information Management Association in one of the following: Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Coding Specialist (CCS) OR Credentialed through American Academy of Professional Coders (AAPC) Certified...

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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws, regulations, and billing standards...

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: Job Purpose The purpose of the Certified Professional Coder is to input diagnostic codes for medical services rendered and ensuring that the assigned codes meet required regulations. Essential Job Functions Input appropriate diagnostic codes for various medical services. Make sure the assigned codes meet...

Job Title Coder 1 Job Description A coder 1 is responsible for utilizing coding policies and procedures in evaluating the diagnostic information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software. A coder 1 functions under the direct authority and supervision of the Coding Supervisor and Director of Health Information Management. Some of the many skills performed: Coding of diagnoses for ancillary outpatient services, i.e. Laboratory, Diagnostic Imaging, PFT, etc. Qualifications EDUCATION: High school graduate or equivalent 1 - 2 years of experience in a health care setting LICENSURE/CERTIFICATION: RHIA, RHIT, CCS or CPC-H certification preferred Certification must be...

Overview The following statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements, which may be inherent in the position. A coder 1 is responsible for utilizing coding policies and procedures in evaluating the diagnostic information within the medical record for determination of accurate APC assignment for reimbursement of services rendered and for verifying/abstracting clinical information into the organization's health database. A coder also makes medical necessity determinations for Medicare and Medicaid out-patient testing utilizing the appropriate software. A coder 1 functions under the direct authority and supervision of the Coding Supervisor and Director of Health Information Management. Some of the many skills performed • Coding of diagnoses for ancillary outpatient services, i.e. Laboratory, Diagnostic Imaging, PFT,...

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....

Medical Coding Specialist Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. High School Diploma/GED (relevant experience may be substituted for formal education) 1+ years of medical coding experience AAPC CPC or AHIMA CCS coding certification Experience in ICD-10, CPT and HCPCS Level II Coding Ability to determine medical necessity of services provided and charged based on provider/clinical documentation Knowledge, understanding and proper application of Medicare, Medicaid, and third-party payer HCFA-1500 billing and reporting requirements including resolution of CCI,...

Outpatient Coder 2 Cullman Regional Medical Center - Cullman, AL 35056 Overview Position Type: Full Time Job Shift: Any Category: Health Care Description Job Summary: Analyze medical records to assign appropriate diagnosis codes following coding guideline. Analyze medical records to assign appropriate procedure codes following coding guidelines. Perform analysis of medical records to perform medical record abstraction. Assist in the hospital revenue cycle. Demonstrate and encourage team behavior and exceptional patient/guest experiences. Uphold and promote patient safety and quality. Qualifications Education: Completion of medical coding from an approved health information technology program, currently a Certified Coding Associate (CCA), Certified Coding Specialist (CCS), Registered Health Information Management (RHIT), Registered Health Information Administrator (RHIA). Experience: Minimum one (1) year of experience. Additional Skills/Abilities: Analytical skills; strong computer...

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...

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...

This is a remote based position. Applicants can be located nationwide Back 1d Outpatient Coding Auditor #2814 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are a person who is passionate about performing quality reviews and audits of the assigned staff. We need someone who ensures standards are met in accordance with department and organization policy. In the role of Outpatient Coding Auditor, you will demonstrate skills in organization, prioritization, professionalism and coaching others. Tell us about your experience with Outpatient Coding Auditing. Are you a team player and a self-motivator? 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 professionalism, trust, honesty, and integrity? If so, we cannot wait to meet you. About The Position Advanced...

Ability to accurately assign ICD-10-CM, CPT, ICD-10-PCS codes to applicable patient encountersaccording to established guidelines. Review patients' medical records on the nursing units, and work closely with the CDI staff to promote specificity in physician documentation. Serves as educational/informational resource to the Medical Staff, as needed to ensure compliance with state and federal regulations. Assist with auditing records retrospectively to validate accuracy of concurrent process and identify opportunities for improvement. Assigns inpatient and outpatient hospital coding as well as all other assignments given by supervisors as needed.QualificationsEducation:Associate degree in Health Information Management OR graduate of an approved coding course OR equivalent coding experience.Experience:Five (5) years medical record coding experience.Licenses, Certifications and/or Registrations:Credentialed in Health Information Management as an RHIT, RHIA, CCS, CCA, CPC, COC,...

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:...

Charge Corrections Medical Coder page is loaded## Charge Corrections Medical Coderlocations: US - AL, Birminghamtime type: Full timeposted on: Posted Todayjob requisition id: 38543**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home.**What You Will Need:*** High School Diploma/GED *(relevant experience may be substituted for formal education)** 1+ years of medical coding experience* AAPC CPC or AHIMA CCS coding certification* Experience in ICD-10, CPT and HCPCS Level II...

Job Family General Coding Travel Required None Clearance Required None What You Will Do Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. What You Will Need High School Diploma/GED (relevant experience may be substituted for formal education) 1+ years of medical coding experience AAPC CPC or AHIMA CCS coding certification Experience in ICD-10, CPT and HCPCS Level II Coding Ability to determine medical necessity of services provided and charged based on provider/clinical documentation Knowledge, understanding and proper application of Medicare, Medicaid, and third‑party...