972 pfs coder jobs found

Job Details Location: Gibson City, IL 60936 Position Type: Full Time Salary Range: $21.00 - $32.00 Hourly GENERAL SUMMARY The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. PRINCIPLE DUTIES AND RESPONSIBILITIES Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes. Ensure codes are...

General Summary The PFS Medical Coder is responsible for the transformation of healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. The coder assigns and verifies the correct codes used to describe the type of service(s) the patient received. The coder ensures codes are applied correctly during the medical billing process, which includes removing information from documentation, assigning appropriate codes, and creating a claim to be paid by insurance carriers. Coders work with hospitals, clinics, and physician offices as needed to provide personalized, professional healthcare services to the communities we serve. Principle Duties And Responsibilities Assign codes to diagnoses and procedures using ICD-10, CPT, and HCPCS codes. Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations. Know and understand how to properly code using medical coding books. Follow up with the provider on...

Eisenhower Health is seeking a Revenue Cycle Auditor in Rancho Mirage, CA. The role involves auditing revenue cycle integrity and ensuring compliance with coding guidelines. Candidates should have a high school diploma and relevant certification within a year. Required experience includes two years in medical billing or auditing. The position offers full-time hours at a competitive salary range between $23.97 and $36.42 per hour, depending on experience. Join our team to contribute to our mission of improving financial accuracy in healthcare delivery. #J-18808-Ljbffr

Coding Manager This 1.0FTE/Full-Time position is scheduled to work Monday-Friday. Compensation: Exempt, $43.30/HR-$61.85/HR At Mason Health, we are committed to providing our employees with a comprehensive benefits package that supports both your professional growth and personal well-being. Whether you are a Part-time or Full-time member: Health & Wellness Benefits: Medical, Dental & Vision Insurance – With employer paid premiums for full-time employees Mental Health & Wellness Resources – Access to our Employee Assistance Program (EAP), Talkspace, and the Calm App. Life Insurance Short & Long-Term Disability Insurance Financial Benefits: Retirement/Deferred Compensation Plans – Mason Health contributes 8% of your compensation every pay period when you contribute at least 5%. Flexible Spending Account (FSA) Tuition Assistance Program Approved by the Health Resources and Services Administration (HRSA) for student loan repayment...

Summary: Works closely with the Revenue Integrity Coordinator, PFS and other revenue cycle departments to resolve issues, make recommendations and provide solutions related to patient charges, auditing and revenue management. Identifies revenue management opportunities, conducts charge reconciliation to ensure optimal charge capture, reimbursement, and compliant revenue. Video Testimonial Job Details Department Patient Fin. Services Shift Day Working Hours 8:00 a.m. - 5:00 p.m. Summary: Works closely with the Revenue Integrity Coordinator, PFS and other revenue cycle departments to resolve issues, make recommendations and provide solutions related to patient charges, auditing and revenue management. Identifies revenue management opportunities, conducts charge reconciliation to ensure optimal charge capture, reimbursement, and compliant revenue. Other Information: Minimum of one (1) of the following licenses or certifications required: LPN, CCS, CCA, CPC, or COC. Three years...

Inspire Health. Serve With Compassion. Be The Difference. To code medical information into the organization billing/abstracting systems and to complete the coding function through established best practice processes and professional and regulatory coding guidelines. This position will perform Inpatient coding including major traumas and Neonatal Intensive Care Unit (NICU) records by assigning International Classification of Diseases (ICD) and International Classification of Diseases-Procedure Coding System (ICD-PCS) codes as well as the Diagnosis Related Groups (DRG) assignment. Abstracts and assigns and verifies codes for Major Complications and Comorbidities/Complications and Comorbidities (MCC/CCs), Hospital-Acquired Condition/Patient Safety Indicator (HAC/PSI) and Quality Indicators capture as appropriate through documentation validation. Ensures that each diagnosis present on admission (POA) indicator is assigned appropriately. To code for multiple facilities. Adhere to...

Coder-Inpatient Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly...

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you’ll help our clients evolve and adapt to the rapidly changing healthcare...

Inpatient Lead Coder - Remote Assigns appropriate codes to reflect all diagnoses and procedures extrapolated from physician and appropriate nursing documentation during a patient encounter according to the most current coding methodologies, including ICD-10-CM/PCS, resulting in appropriate reimbursement. Abstracts required data to input into the Medical Center's computerized data base. Converts all patient visits and encounters into appropriate DRG (Diagnosis Related Group) assignments in order to correctly submit the optimal reimbursement for each patient encounter coded. Assists the IP Coding Manager in administrative duties such as assignment of coding work, analysis of the unbilled report, and other duties as assigned. Essential Responsibilities / Duties: Assists IP Coding Manager with assignment of work to Coders, analysis of the daily unbilled report, and follow-up on unanswered physician queries and missing documentation. Assists PFS in researching unbilled accounts...

Coding Specialist Assign ICD-10-CM, CPT-4, HCPCS, and modifier codes to the highest level of specificity based on documentation in the medical record, in compliance with all governmental regulations and hospital policies. Review data quality and documentation to facilitate improvement. Review medical records and assigned charges as needed to ensure accuracy. Essential Functions Apply appropriate outpatient coding guidelines according to patient type. Code the Reason for Visit (RFV) using the patient's own words describing why they are seeking services. Assign the principal diagnosis as "the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care," in accordance with Cibola General Hospital's Coding, Abstracting, and Data Retrieval Policy and AHIMA's Standards of Ethical Coding. Review secondary diagnoses in the medical record for clarification, agreement, comorbidities/complications, and...

Coder II Accurate assignment of ICD-10-CM/PCS, CPT-4 codes, HCPCS and Modifiers to the highest level of specificity as supported by documentation in the medical record in compliance with governmental regulations and hospital policies. Review of the quality of data and documentation and facilitate improvement. Responsible for reviewing medical records/assigned charges as necessary, for accuracy. Essential Functions: Understands and is able to apply inpatient, emergency room, observation, day surgery and clinic/outpatient coding guidelines depending upon the patient type being coded. This position is able to fill in when other coders are out of office. Codes RFV (Reason for visit), which are the patient's own words on why they are presenting for services. Codes as the principal diagnosis "The condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care", adhering to Cibola General Hospital's Coding,...

Job Type Part-time Description CIBOLA GENERAL HOSPITAL 1016 E. Roosevelt Avenue Grants, New Mexico 87020 Phone: 505-287-4446 Fax: 505-287-5309 Title: Coder II Department: HIM Reports To: Director of HIM Direct Reports: N/A Date: 12/2022 Compensation: Exempt Status: Non-Exempt Range Summary: Accurate assignment of ICD-10-CM/PCS, CPT-4 codes, HCPCS and Modifiers to the highest level of specificity as supported by documentation in the medical record in compliance with governmental regulations and hospital policies. Review of the quality of data and documentation and facilitate improvement. Responsible for reviewing medical records/assigned charges as necessary, for accuracy. Essential Functions: Understands and is able to apply inpatient, emergency room, observation, day surgery and clinic/outpatient coding guidelines depending upon the patient type being coded. This position is able to fill in when other coders...

ELLIS HOSPITAL POSITION DESCRIPTION TITLE: Accounts Receivable Representative/ Coder II DEPARTMENT: Physician Revenue Cycle REPORTS TO: Manager Patient Financial Services SECTION I BASIC FUNCTION: The Accounts Receivable Representative/ Coder will be responsible for achieving accurate and timely accounting for professional accounts receivable as set by policies and procedures. Responsible for reviewing and posting charges, payments and adjustments to the patient accounting system on a daily basis, and ensuring outgoing data is accurate. Review and resolve outstanding accounts receivable with insurance companies and patients. In addition to AR responsibilities this position will be responsible for coding review, resolving coding edits and denials with the focus on ensuring that the account is resolved in a timely and appropriate manner. SECTION II EDUCATION AND EXPERIENCE REQUIREMENTS: Education: High School Diploma or Equivalent...

Key Responsibilities Integrate Huron’s Vision and Values into daily work practices. Conduct audits of coders and auditors, ensuring a minimum coding accuracy of 95%. Perform quality checks on visits coded per client SOPs and conduct calibration audits. Suggest process improvements and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, provide direct feedback to coders and auditors, and participate in client and internal stakeholder meetings. Monitor compliance with clinical documentation and coding guidelines; ensure errors are corrected before claims are rebilled to payers. Analyze findings and present concise, actionable summaries to leadership. Utilize encoder software applications (3M/Solventum, Encoder Pro, Codify) and assign appropriate codes using CDC, CMS, AMA, AHA, AMA CPT, and other guidelines. Navigate patient health records and other systems to determine accurate diagnosis and procedure codes. Meet coding...

Memorial Community Hospital & Health System, located in Blair, NE, is seeking an experienced and detail-oriented Certified Medical Coding Specialist join our Revenue Cycle team. This position plays a critical role in ensuring accurate coding, billing compliance, and quality reporting for both inpatient and outpatient services. This is a hybrid position requiring regular onsite attendance for collaboration, training, meetings, audits, and operational needs, while allowing remote work on approved days. Candidates must be willing and able to work both in the office and from a home-based workspace as scheduled. At MCH, we are more than just a hospital—we are a community dedicated to healing, nurturing, and promoting wellness. What You’ll Do The Certified Medical Coder is responsible for reviewing clinical documentation, assigning accurate ICD-10-CM, ICD-10-PCS, HCPCS, and CPT codes, and ensuring compliance with federal regulations, payer requirements, and coding guidelines. The...

Default Work Shift: Day (United States of America) Hours: 40 Salary range: $23.97 - $36.42 Schedule: Full Time Shift Hours: 8 Employee Department: Patient Financial Services Job Objective Responsible for performing revenue cycle integrity audits within the Charge Descriptive Master and other revenue cycle charge capture and reconciliation processes. Job Description Education: Required: High school diploma, GED or higher level degree if hired after March 1, 2025. Preferred: Medical coding coursework or bachelor’s degree in related field. Licensure/Certification: Required: Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) within one (1) year if hired into position after January 1, 2021. Experience: Required: Two (2) years of medical billing, charge capture, coding or patient account auditing experience. Preferred: Revenue cycle experience, hospital/clinical experience. Reports To: Manager or Director. Supervises: N/A. Ages of Patients: N/A. Blood Borne...

Gibson Area Hospital & Health Services is seeking a PFS Medical Coder in Gibson City, Illinois. The role includes coding healthcare diagnoses and procedures into alphanumeric codes, ensuring compliance with regulations, and collaborating with healthcare providers. Ideal candidates will be proficient in ICD-10 and CPT coding and possess strong attention to detail. Join us in providing quality healthcare services to our community. #J-18808-Ljbffr

Gibson Area Hospital is hiring a full-time PFS Medical Coder to ensure correct coding for healthcare services. The role requires expertise in medical coding standards including CPT and ICD-10, and responsibilities include coding, follow-up on documentation, and collaborating with various health services. Candidates must possess a CPC or CCS certification and have at least two years of experience in medical coding. Good communication skills are essential for resolving coding queries and ensuring compliance with regulations. #J-18808-Ljbffr

Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing healthcare...

The Coding Auditor – ambulatory/professional coding/profee will be responsible for auditing coders and coding auditors to ensure coding accuracy standards are met. The role requires frequent and effective communication via phone, email, and instant messaging with various client teams and payers. The Coding Auditor will report to the Huron Managed Services Domestic Coding team. Key Responsibilities Demonstrates Huron’s Vision and Values in all behaviors. Functions as Coding Auditor Ensure coding accuracy of ≥95% through audit of coders and auditors. Perform quality checks and calibration audits on visits coded per client SOP. Suggest improvements, schedule calibration sessions with offshore counterparts and leaders. Assist in preparing audit reports and provide direct feedback to coders and auditors. Firm understanding of clinical documentation guidelines. Monitor compliance of coding guidelines and correct identified errors before claims rebill. Conduct analysis and...

Key Responsibilities Integrate Huron’s Vision and Values into daily work practices. Conduct audits of coders and auditors, ensuring a minimum coding accuracy of 95%. Perform quality checks on visits coded per client SOPs and conduct calibration audits. Suggest process improvements and schedule calibration sessions with offshore team counterparts and leaders. Assist in preparing audit reports, provide direct feedback to coders and auditors, and participate in client and internal stakeholder meetings. Monitor compliance with clinical documentation and coding guidelines; ensure errors are corrected before claims are rebilled to payers. Analyze findings and present concise, actionable summaries to leadership. Utilize encoder software applications (3M/Solventum, Encoder Pro, Codify) and assign appropriate codes using CDC, CMS, AMA, AHA, AMA CPT, and other guidelines. Navigate patient health records and other systems to determine accurate diagnosis and procedure codes. Meet coding...

Huron in the United States is seeking a Coder-Inpatient to analyze physician documentation in inpatient health records, determining principal and secondary diagnoses, principal and secondary procedures, and related indicators for accurate MS-DRG/APR DRG assignments. The role requires identifying POA, SOI and ROM indicators to ensure proper hospital reimbursement, while adhering to coding guidelines and maintaining quality standards. Collaboration with HIM and PFS teams is essential. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Coder Full Time, Wooster Community Hospital, Wooster, OH, US Main Function The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve reimbursement and revenue compliance concerns. Involved in the charge capture process. Responsibility Report to the System Director of Revenue Cycle. Must Have Requirements Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS or CCA eligible. If not credentialed at time of hire, applicant must become credentialed in one of the four areas within 12 months...

Baptist Health Arkansas is seeking a Charge Capture Specialist (LPN or Coder) to work with the Revenue Integrity Coordinator and PFS on charge reconciliation, auditing, and revenue management. The role focuses on identifying opportunities to optimize charges and ensure compliant revenue capture. The candidate should have licensure or certification as LPN, CCS, CCA, CPC, or COC, plus at least three years in healthcare, including one year in a financial/accounting setting, with strong data #J-18808-Ljbffr