44 outpatient facility coder jobs found

Job TitleClinical Documentation SpecialistJob DescriptionThis position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines.Principal ResponsibilitiesResponsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic and...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Job Title Clinical Documentation Specialist Job Description This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines. Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities,...

Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder. Job Title: Certified Inpatient/Outpatient Medical Coder (Medical Records Technician) Candidates must hold at least one current certification from AHIMA or AAPC, including: Registered Health Information Technician - RHIT Certified Coding Specialist - CCS Certified Coding Specialist–Physician Based - CCS-P Registered Health Information Administrator - RHIA Certified Professional Coder - CPC Candidates must provide documentation verifying their current certification. DESCRIPTION OF SERVICES: The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries,...

Jamison Professional Services, Inc. (“Jamison”) is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder. Job Title: Certified Inpatient/Outpatient Medical Coder (Medical Records Technician) Candidates must hold at least one current certification from AHIMA or AAPC, including: Registered Health Information Technician - RHIT Certified Coding Specialist - CCS Certified Coding Specialist–Physician Based - CCS-P Registered Health Information Administrator - RHIA Certified Professional Coder - CPC Candidates must provide documentation verifying their current certification. DESCRIPTION OF SERVICES: The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries, and...

Certified Inpatient/Outpatient Medical Coder - RemoteJamison Professional Services, Inc. ("Jamison") is currently seeking a qualified and motivated candidate for the position of Certified Inpatient/Outpatient Medical Coder (Medical Records Technician).Candidates must hold at least one current certification from AHIMA or AAPC, including:Registered Health Information Technician - RHITCertified Coding Specialist - CCSCertified Coding Specialist–Physician Based - CCS-PRegistered Health Information Administrator - RHIACertified Professional Coder - CPCCandidates must provide documentation verifying their current certification. The Medical Records Technicians - Inpatient/Outpatient Coders will provide remote medical coding services in support of a federal healthcare client. The selected candidates will perform inpatient and outpatient medical records coding, coding validation, documentation review, provider queries, and related health information management functions. The work will...

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient‑first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better? Job Description Utilizes technical coding expertise to assign appropriate ICD-10-CM codes to outpatient visit types. Primary focus of this Coder level will be on physician order documentation for focused outpatient visit types. Reviews all available documentation to report appropriate diagnoses. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets...

Job Description Job Description Horizon Health  is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors. Position Summary: Codes and/or bills the patient's medical record using pertinent information according to departmental and Horizon Health policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries. Essential Functions: Data entry for the facility...

Job Title Clinical Documentation Specialist Job Description This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines. Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications,...

Job Title: Pre-Payment Clinical Auditor (RN/Coder) Contract Duration: 6 months, possible extension Work Arrangement: Remote Summary Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key Responsibilities Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive...

Outpatient Coder II, HB Coding, Full-time, Days (Remote - Must reside in IL, IN, IA, WI, MO - Sign-on bonus eligible) Full-time Job Shift: Day Job (1st) Compensation: USD 30 - USD 40.5 - hourly Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Required: 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the mission, vision, and...

Health Information Management Coder Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally mandated requirements, corporate requirements, and hospital policy. Maintains productivity standards and...

Description: Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key responsibilities: Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment....

OP/ED/OBS Coding AuditorBe a part of a world-class academic health-care system at UChicago Medicine as a OP/ED/OBS Coding Auditor in the HIM Coding/CDI department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.In this role, the OP/ED/OBS Coding Auditor, under general direction, is responsible for reviewing and ensuring the accuracy and quality of coding assignments for all records requiring Ambulatory Payment Classification (APC) coding. This role ensures compliance with coding guidelines and standards to support optimal and timely reimbursement and ensure accurate quality reporting. The auditor collaborates with coding and billing teams to identify discrepancies, recommend corrections, and maintain high coding integrity across patient records.Essential Job FunctionsPerforms data quality reviews on inpatient and outpatient records to ensure proper coding & charging guidelines have been followed and appropriate DRG or...

Medical Coder (Remote) - Contract Opportunity Job ID: 297083 Location: Remote Facility: Hopedale Medical Complex Employment Type: Contract Duration: 13 Weeks Schedule: Day Shift Start Date: ASAP (Quick Start Available) Position Summary Hopedale Medical Complex is seeking an experienced Medical Coder to join its team on a contract basis. This remote opportunity is ideal for a coding professional with strong experience across multiple healthcare service lines and a commitment to coding accuracy, compliance, and revenue cycle integrity. The Medical Coder will be responsible for reviewing clinical documentation and assigning accurate diagnostic and procedural codes for a variety of patient encounters within a Critical Access Hospital environment. This position plays a key role in supporting compliant billing practices, reimbursement accuracy, and regulatory requirements. Key Responsibilities Assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on...

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Required:3-4 years of coding experience in an acute healthcare settingRHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation...

Description Required: 3-4 years of coding experience in an acute healthcare setting RHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. Follows ICD-10-CM Official Guidelines for Coding and Reporting, Coding Clinics, interprets ICD-10-CM coding conventions and instructional notes to select appropriate diagnoses with a minimum of 95% accuracy. Meets established minimum coding productivity per departmental protocol and guidelines. The Outpatient Coder IIis the coding and reimbursement expert with ICD-10-CM diagnosis coding, HCPCS and CPT codes and modifiers. The focus is on complex outpatient encounters that include Observation stays, Same Day Surgery, Surgery Center, and Outpatient in a bed. Should have more in-depth knowledge of...

Horizon HealthHorizon Health is a Critical Access, Rural Health Facility comprised of 25-inpatient beds located in Paris, IL & a multitude of outpatient clinic settings including Family Practice and Specialty Clinics in Paris and surrounding cities. We have been serving residents of Edgar County since 1968 though community education, emergency services, and outpatient care. As we continue to expand our services & locations, our community has grown far beyond Paris. Our rich history and strong community support pave the way for the future of healthcare as we serve you—our family, friends, and neighbors.Position Summary:Codes and/or bills the patient's medical record using pertinent information according to departmental and Horizon Health policy and procedures. Uses the healthcare coding systems to accurately assign codes to patient accounts and may require entering billing entries.Essential Functions:Data entry for the facility software using the electronic health record and...

Job Summary We are seeking an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team.The Medical Coder is responsible for accurately reviewing and coding inpatient and outpatient hospital medical records in accordance with official coding guidelines, CMS requirements, payer regulations, and hospital policies.This position plays an essential role in ensuring coding accuracy, regulatory compliance, timely reimbursement, and the integrity of clinical and financial data.The successful candidate will demonstrate strong knowledge of hospital coding, medical terminology, anatomy and physiology, reimbursement methodologies, and regulatory requirements.Essential Duties and Responsibilities Review inpatient and outpatient medical records and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on assigned account type. Assign and validate appropriate MS-DRG/APR-DRG, APC, Present on Admission (POA),...

Hospital Outpatient Coding Specialist Expected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. MDH Benefits package includes: Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTD Job Summary: Codes and abstracts hospital outpatient medical records, including but not limited to, emergency department encounters, outpatient surgical services, observation services, rehabilitation services, infusion, and other hospital outpatient visits, for reimbursement, data reporting, research, and compliance with applicable coding guidelines and regulatory requirements. Assigns appropriate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS codes based on provider documentation and applicable coding guidelines. Reviews medical records for completeness, accuracy, and appropriate code assignment; identifies documentation deficiencies and coding discrepancies; and coordinates follow-up or...

Expected pay for this position is $21.71-$31.48. Actual pay will be determined by experience, skills and internal equity. MDH Benefits package includes: Medical, Dental, Vision 457B and employer match for FT Employees Company paid STD and LTD Job Summary Codes and abstracts hospital outpatient medical records, including but not limited to, emergency department encounters, outpatient surgical services, observation services, rehabilitation services, infusion, and other hospital outpatient visits, for reimbursement, data reporting, research, and compliance with applicable coding guidelines and regulatory requirements. Assigns appropriate ICD-10-CM diagnosis codes, CPT procedure codes, and HCPCS codes based on provider documentation and applicable coding guidelines. Reviews medical records for completeness, accuracy, and appropriate code assignment; identifies documentation deficiencies and coding discrepancies; and coordinates follow-up or clarification when...

Responsibilities Job Description: The Inpatient Coder participates as an integral member of the records management team by ensuring the quality maintenance of patient information/medical records, within all laws, rules and regulations of federal and state licensing agencies, and JCAHO standards for the quality of patient care. The Inpatient Coder- has the primary responsibility of assigning accurate ICD-9-CM, ICD-10-CM codes upon patient discharge (inpatient and outpatient). The Inpatient Coder communicates with physicians for any related coding questions. The inpatient coder must possess the interpersonal skills and effective communications necessary to interact with all levels of department personnel and other departments. Must be able to use standard office equipment and information systems. Must possess the ability to prioritize and shift workloads to ensure departmental goals for revenue cycle goals. Skills in organizing and prioritizing workloads helpful. The Pavilion : The...

Become a part of our caring community Humana is looking for an experienced medical coding auditor to handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, consider a Fortune 100 company that prioritizes its consumers' and staff's well-being. This company rewards performance, and you should strongly consider the Outpatient Medical Coding Auditor position. This role focuses on Outpatient Behavioral Health Coding disputes and is part of the PPI Coding Disputes Team with Humana. The Outpatient Behavioral Health Coding Auditor on the Disputes Team reports to the Manager. This role consults and collaborates with coding professionals within and across departments. The goal is to ensure high accountability of coding disputes outcomes for timeliness, compliance, and quality. Will be an experienced medical coding auditor with in-depth experience in outpatient Behavioral Health coding disputes and expertise in CPT/HCPCS code...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...