24 outpatient facility coder jobs found

Reviews, interprets, and abstracts clinical documentation from inpatient and outpatient hospital records to assign accurate diagnosis and procedure codes (ICD10-CM, ICD-10-PCS, CPT, HCPCS). Codes complex orthopedic surgical cases across multiple subspecialties including spine, joint replacement, hand surgery, podiatry, and neurology-related musculoskeletal procedures. Applies appropriate DRG and/or APC assignment methodologies in compliance with federal and payer-specific regulations. Ensures coding accuracy and compliance with ICD-10-CM/PCS Official Guidelines, UHDDS definitions, CMS regulations, and other applicable standards. Utilizes hospital EMR and coding systems to capture all required clinical and demographic data for accurate billing and reporting. Collaborates with physicians and clinical staff to clarify documentation and ensure complete and accurate coding. Provides education and feedback to providers and staff regarding documentation improvement opportunities...

$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...

Job Description Your experience matters Canyon Vista Medical Center is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Coder I joining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. NOTE: This is an on-site role and is not open for remote work. How you'll contribute A Coder I who excels in this role: Applies the appropriate diagnostic and procedural codes to individual patient health information for data retrieval, analysis, and claims processing. Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies...

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....

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...

Certified Professional Coder Salary: $21.26-$29.23 Depending on experience Schedule: Monday-Friday Job Purpose The Certified Professional Coder coordinates and performs the implementation of concurrent coding and querying processes, as well as performing administrative and fiscal duties, tasks, and assignments in support of the Business Office Department and its varied operations. A Certified Professional Coder is responsible for the translation of healthcare providers' diagnostic and procedural phrases into coded form, as well as the review and interpretation of health record documentation to ensure accurate coding services are rendered and submitted. A Certified Professional Coder ensures that all technical aspects of the assignment of diagnostic and procedural coding are carried out in accordance with established standards and comply with CMS, NCQA, third-party payers, and other regulatory agencies. The incumbent will support and assist in the training and education 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 oversight. Demonstratesa...

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. Meet...

General Summary: A nonexempt position responsible for reviewing codes submitted by physicians/providers to assure accurate assignment of HCPCS, ICD 10 and CPT codes for inpatient/outpatient professional charges submitted via encounters, superbills and/or reports. Review encounters, superbills, reports and medical records to assign appropriate billing and diagnosis codes for provider services.Essential Job ResponsibilitiesKeys charge information into entry program and produces billing.Reviews physicians’ notes and charts for accuracy.Obtains any necessary clarification of information on the notes and charts.Ensures that all medical records have been signed by the appropriate parties.Assigns appropriate medical codes to all diagnoses or services.Identifies and optimizes revenue opportunities.Enters and organizes codes into management software.Reviews charge correction requests.Performs related duties as assigned by Coding Manager.Maintains compliance with Federal, State and payer...

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: The Lead Medical Coder serves as a certified professional coder and assists the Medical Coding Office Manager with oversight of daily coding operations. Performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; performs chart analysis, research coding issues; peer reviews; and serves as a medical documentation and coding technical expert to TONHC providers. Scope of Work: This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The...

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 implementing these updates in daily...

Senior Medical Biller Reporting to the RCM Manager, Community Medical Services (CMS) is hiring a Senior Medical Biller. This role will be responsible for analyzing, reporting and trending the impact of multi-state and multi-payer AR work processes. The ideal candidate will have experience with Medicaid, Medicare, Veteran Affairs and commercial lines of business. The candidate will also be responsible for managing high volume insurance plans or national contract payers. This role will identify claim denials and payment trends and work directly with payers to resolve using projects and appeals processes. 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 insurance Health savings account Short and long-term disability...

About Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and over 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management, and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.This position requires an initial 60-day training period at our corporate office in Scottsdale, Arizona.Upon successful completion of training, the position will transition to a fully remote role.Job Responsibilities :Audit Medical Records...

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...

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...

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...

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...

The CORE Institute in Phoenix, Arizona is seeking a full-time Inpatient Surgical Coder with expertise in complex spine coding. The role involves reviewing clinical documentation for accurate ICD-10 coding and independently coding high-acuity outpatient orthopedic cases. The ideal candidate will have a minimum of 4-5 years of coding experience and a proven ability to mentor coding staff. Competitive compensation and a collaborative environment are part of the offering. #J-18808-Ljbffr

Our client is seeking an experienced Quality Assurance Coder/Auditor in Phoenix, AZ on a Hybrid basis. This opportunity will transition from a 6-month contract to direct hire position while being trained as a replacement by a seasoned employee. The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. 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. Schedule 40 hours a week (plus any additional hours as requested or as needed to meet business requirements). Hybrid 1 day a week in office setting, remainder of week is remote Key Responsibilities Comprehensive understanding of HCC Coding rules, regulations and methodology Review medical records and supporting documentation, determine completeness and accuracy of medical records and supporting documentation, identify and eliminate barriers to correct coding, and recommend best...

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 Investigate...

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:...

Job Description Job Description Description: Specific Role: Medical Biller Reports To: Revenue Cycle Manager Department: Finance Location: Main Admin 85048 BLS Occ: Medical Records Specialist (SOC 29-2072) Salary Range: $20-$30/HR, DOE Schedule: FT M-F 8-5 Travel: None The Medical Biller is responsible for ensuring accurate, timely, and compliant billing for all patient encounters within a private medical practice. This role supports the revenue cycle by preparing claims, reviewing coding accuracy, resolving denials, and working closely with insurance, clinical staff, patients, and payers. The Medical Biller plays a critical role in maximizing reimbursement, reducing errors, and supporting financial stability for the practice. Key Responsibilities Claim Preparation & Submission Generate and submit clean claims (electronic and paper) for all services provided by the practice Review documentation, coding, modifiers, and charge capture...

Job Description Job Description   Specific Role:  Medical Biller  Reports To:  Revenue Cycle Manager  Department:  Finance  Location:  Main Admin 85048  BLS Occ:  Medical Records Specialist  (SOC 29-2072)  Salary Range:  $22.00-$28.00  Schedule:  FT M-F 8-5  Travel:  None    The Medical Biller is responsible for ensuring accurate, timely, and compliant billing for all patient encounters within a private medical practice. This role supports the revenue cycle by preparing claims, reviewing coding accuracy, resolving denials, and working closely with insurance, clinical staff, patients, and payers. The Medical Biller plays a critical role in maximizing reimbursement, reducing errors, and supporting financial stability for the practice.    Key Responsibilities  Claim Preparation & Submission  Generate and submit clean claims (electronic and paper) for all services provided by the practice  Review documentation, coding, modifiers, and charge capture for...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...