11 payment integrity coder jobs found

Coder III Cardiology Job ID: R207422 Shift: 1st Full/Part Time: Full Time Pay Range: $28.05 $42.10 Location: Remote, WI Hours Per Week: 40 Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more so you can live fully at and away from work, including: Compensation Base compensation within the position's pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses...

Description NOTE: This is not a Remote position General Statement of Duties The Certified Coder is a member of the Billing Team and is responsible for insuring the accuracy and completeness of clinical coding. Also assists with claims submission and follow up, researches claim denials and follows up with insurances and patients. Communicates with patients, insurance companies, and staff to ensure the health center’s billing and collections processes are carried out in accordance with established policies. Overall responsibility is to maximize revenues and cash flow to the organization. Responsibilities and Essential Functions Certified Medical Coder Review codes for all documented professional services provided Applies CPT, ICD, HCPCS and modifiers following coding guidelines New vs Established evaluation and management code selection Missing orders for services that are documented but not coded Age mismatch on wellness CPT codes and ICD codes Other age or gender coding...

Major Responsibilities Acts as a resource and role model to team members, which includes training/orienting, providing day‑to‑day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues. Codes routine to complex procedures and diagnoses including hospital‑based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards. Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies. Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding...

divh2Medical Coder/h2pOur hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve./ppThe Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice./ppEssential Functions Include:/pulliAssigns codes using the International Classification of Disease-10th Revision-Clinical Modification (ICD-10-CM)./liliEnsures codes are accurate and sequenced correctly in accordance with government and insurance regulations./liliMaintains a 95% threshold for coding accuracy./liliReceives and reviews patient charts and documents for accuracy. Identifies discrepancies and follows up with the provider on any documentation that is insufficient or...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Wausau Hospital in Wausau, WI is seeking a Nursing Supervisor to join our Adult Medical Unit combined with a smaller Pediatrics Unit ! The Nursing Supervisor has day to day responsibility for the coordination, leadership and development of the nursing department, personnel, and operations. Assists with patient safety, quality efforts, financial management, employee satisfaction and community accountabilities. Assumes leadership responsibility in the absence of the manager or director. Promotes an environment where nursing/clinical staff can flourish through professional development, improvement in workflow and workload, optimization of talent and resources, implementation and validation of best practices, consistent and clear communication including closed loop feedback,...

Join to apply for the Medical Coder (PRN) role at ClearSky Health 5 days ago Be among the first 25 applicants Join to apply for the Medical Coder (PRN) role at ClearSky Health Get AI-powered advice on this job and more exclusive features. Our hospital provides high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Medical Coder reviews and assigns diagnostic and procedure codes to patient records for reimbursement and data purposes, in keeping with state and federal regulations. This position must integrate company values into daily practice. Essential Functions Include Assigns codes using the International Classification of Disease-10th Revision-Clinical modification (ICD-10-CM). Ensures codes are accurate and sequenced correctly in accordance with government and insurance regulations....

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise the coding auditor/educator or manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. JOB RESPONSIBILITIES Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into a computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record. Advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow-up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other duties as...

Join our team at Sixteenth Street Community Health Centers! We are dedicated to the highest quality health care. Job Responsibilities Review, abstract, and code clinical data such as diseases, operations, procedures, and therapies into the computer system for billing and data collection within the established time frame. Assign appropriate ICD-10, CPT, HCPCS and modifiers to accurately report and support the need for each physician service. Identify physician services provided but not adequately documented in the medical record and advise coding auditor/educator or Manager of deficiencies. Code and abstract patient care records to provide information for insurance/billing and to establish accurate working indices. Perform void/re-enter of charges and changes to insurance as indicated by the medical record and insurance nuances. Perform follow‑up claim duties as required and assigned. Comply with the Sixteenth Street TB Control Plan including PPD testing. Perform other...

Job Description About the Role: We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact...

POSITION ELIGIBLE FOR $2,000 SIGN ON BONUS Discover. Achieve. Succeed. #BeHere Location: US:WI:MENOMONEE FALLS at our WOODLAND PRIME 400 facility. This job is REMOTE. FTE: 1.000000 Standard Hours: 40.00 Shift: Shift 1 Shift Details: Holidays: Weekends: Job Summary: Job Summary: This is a remote, high-level position functioning under general supervision and utilizing independent decision making. The Coder III correctly assigns ICD diagnosis and procedure codes, MS-DRGs, and APR-DRGs for inpatient hospital services for Froedtert Health, which includes an academic, Level I Trauma Center. The level III Coder completes coding on highly complex trauma and acutely ill patients, including mortality, extended length of stay, and high dollar cases. This position is differentiated from the Coder II level by the high complexity and longer lengths of stay. The Coder III will also be required to perform chart audits as needed for Coder Inpatient I's and...