11 outpatient professional lead coder jobs found

At Houston Methodist, the Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to outpatient, emergency room, therapy, and/or clinic encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate's degree or higher in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant outpatient coding experience or completion of the Houston Methodist Coding Apprentice Program LICENSES AND CERTIFICATIONS Required Must have one of the following:-RHIT - Certified Health Information Technician (AHIMA)-RHIA - Registered Health Information Administrator (AHIMA)-CCS...

Outpatient Surgery Coder Outpatient surgery coder with at least 2 years of experience coding in cardiology preferably cardiovascular, cardiology, IVR procedures. Must be experienced with edits and denials. Experience with bariatric cases a plus. Cerner experience is a plus. The project will be working denials and edits primarily in cardiology with some bariatric as well. This is short term project estimated to be 3 months. This is open to fulltime or parttime candidates. The preferred schedule is M-F with hours worked between 7a-5p CST. Required Experience: NCCI/CCI edits and modifier indicators Medically Unlikely Edits (MUEs) Medical necessity denials Modifiers 59, XE, XS, XP, and XU Looking up NCDs and LCDs Cardiac Caths Interventions (PCI, stents, atherectomy, thrombectomy) Electrophysiology studies and ablations Device procedures (pacemakers, ICDs, CRT, lead revisions, generator changes) Structural heart procedures (TAVR/TMVR, Watchman) Experience...

DRG Coding Auditor - MS-DRG and APR-DRG Virtual: This role enables associates to work virtually full-time, with the exception of 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 an accommodation is granted as required by law. The DRG Coding Auditor is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for performing clinical reviews of medical records and other documentation to...

Job Requirements Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work Position Summary To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. Primary Responsibilities Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider documentation. Literacy and...

Summary The Medical Record Technician (Coder) will work in the Health Information Management Section (HIMS) of the Medical Administration Service (MAS). Two vacancies available at the Malcom Randall VA Medical Center as well as the Jacksonville VA North Clinic and will be responsible for performing a quality review of patient care documents and assigning codes specific for the type of care provided. Learn more about this agency Duties Help Total Rewards of a Allied Health Professional Assign diagnosis and procedure codes to the most basic and routine inpatient admissions and outpatient encounters. Develop skill and knowledge of medical record coding. Has basic knowledge of medical terminology, anatomy & physiology, and pathophysiology. Learn to select diagnosis and/or procedure codes based on the accepted coding practices, guidelines, conventions and policies with guidance from a senior coder or supervisor. Identifies the principal diagnosis and/or...

Job Requirements ** Candidate to be considered must reside in the state of Florida. This is a work from home opportunity with majority being remote work** Position Summary To be fully engaged in providing timely, complete, and accurate data collection for quality clinical analysis and revenue enhancement. PRIMARY ACCOUNTABILITES 1. Uphold regulatory compliance by assigning and sequencing accurate ICD 10 and CPT 4 codes to reference lab, ancillary, emergency room, endoscopy, ambulatory surgery, observation, and other outpatient records as per coding guidelines demonstrating behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. 2. Validate accuracy of codes assigned by the computer assisted coding software, recognizing inappropriate application of clinical coding rules/guidelines, and revising the codes assigned based upon expert subject matter knowledge and provider...

Summary MRTs 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. These coding practitioners analyze and abstract patients. health records and assign alphanumeric codes for each diagnosis and procedure. Learn more about this agency Duties Help ** *THIS IS AN ON SITE POSITION, YOU MUST LIVE WITHIN OR BE WILLING TO RELOCATE WITHIN A COMMUTABLE DISTANCE OF THE DUTY LOCATION*** Duties of the Medical Records Technician (Coder) In/Outpatient include, but not limited to: Assigns codes to documented patient care encounters (outpatient and/or inpatient professional services) covering the full range of health care services provided by the VAMC. Selects and assigns codes from the current versions of the International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and/or Healthcare...

Overview Baptist Health is the region’s largest not-for-profit healthcare organization, with 12 hospitals, over 28,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we’ve been named one of Fortune’s 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors. What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families...

Summary This position is located in the Health Information Management (HIM) section at the Orlando VA Medical Center. MRTs (Coder) Auditor 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. Responsibilities Auditors serve as experts of current coding conventions and guidelines related to professional and facility coding, perform audits of encounters to identify areas of non-compliance in coding. Duties include but are not limited to: Reviews, analyzes and reports performance monitors for PTF, PCE, VERA and Non-VA medical Care (purchased care) coding. Audits accurate and complete assignment of ICD-10-CM and ICD-10-PCS codes, MS-DRG, POA status, and discharge disposition values for inpatient health records. Reviews coding and assist coders in improving coding accuracy, provides coding guidance to various levels of staff...

This is a senior outpatient medical billing and revenue cycle role focused on denials, AR follow-up, payer portals, EOB/ERA review, payment posting, and claims cleanup. Seasons Psychotherapy Associates is a growing behavioral health group practice with four Florida offices and roughly 50 clinicians. We provide outpatient mental health care to children, adolescents, and adults. Our back office runs on documented processes, modern systems, and clear administrative career ladders. The role This is our first dedicated senior seat in the revenue cycle lane. You will help build the way this function runs. You will own the claims pipeline for outpatient behavioral health services: clean claim submission, payment posting and reconciliation, denials management, AR follow-up, payer portal work, and documentation of the playbook. You will work in our EHR, SimplePractice, and report to our Practice Manager. This is not a remote billing-company role, a contract seat, or a narrow data-entry...

Job Details Job Location: Marion - Central Ocala - Ocala, FL 34471 Position Type: Full Time Travel Percentage: Up to 5% Job Shift: On Site Job Category: Operations “Sanitas is a global healthcare organization expanding across the United States. Our services include primary care, urgent care, nutrition, lab, diagnostic, health care education and resources for ourpatients. We strive to attract professionals who believe in our mission, vision and are dedicated to the service of ourpatients and their families creating a memorableexperiencethrough compassion, respect,and kindness.” Job Summary The Medical Center Supervisor will be in charge of the successful management and operation of medical practices to include all specialty disciplines and clinic sites. They provide all medical specialists with resources necessary to meet the needs of patients and meet the financial objectives of the practice and group. Management and Leadership skills are essential to the success of this...