10 pfs coder jobs found

COMPANY MISSION AC3 was founded by a group of oncologists who built solutions to optimize their own practices. Now, we give specialty health practices the power to make decisions with better data. Our mission is to help them thrive through people, purposeful technology, and collaboration. The work we do empowers healthcare practitioners and their teams to provide the highest quality of care in a sustainable way. That’s what motivates us. POSITION SUMMARY The Certified Medical Coder is responsible for ensuring all diagnoses and procedures are coded appropriately for all claims. This position will need to remain current on coding and billing regulations as well as any CPT, ICD10 or HCPCS updates. This role supports the department to design the capture of associated coding and billing various medical specialties. They will work cooperatively as a team with revenue cycle, client practices and management associates. He/she will provide courteous and professional assistance with coding...

Job Description Job Description ESSENTIAL FUNCTIONS Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. · Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. · Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. · Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. EDUCATION · High school diploma/GED or equivalent working knowledge preferred. · Accredited by the American...

Humana Inc. is seeking an experienced Certified Inpatient Medical Coding Auditor to review hospital inpatient claims, assign ICD-10-CM/PCS and DRG codes, and ensure accurate reimbursements. The role supports cost reduction through precise coding, requires 4+ years in MSDRG auditing and RHIA/RHIT/CCS certification, and offers a remote-friendly schedule with potential travel for training. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to...

Overview Responsible for ensuring accuracy and quality coding assignments for all records requiring DRG and/or APC coding; ensures optimal and timely reimbursement. Responsibilities Principal Duties and Responsibilities (*Essential Functions) Performs comprehensive pre-billing coding audits, through the use of eValuator , to ensure claims are accurately coded and charged in compliance with coding and regulatory standards. Performs comprehensive pre-billing coding data quality reviews on inpatient and/or outpatient records to ensure proper coding guidelines have been followed and appropriate DRG (MS/APR) or APC assignments have been made for appropriate reimbursement. Responsible for completion of reviews within 72 hrs of import date to include new reviews of up to or exceeding 12 to 15 per day for inpatients and/or completion of reviews within 48 hrs of import date including up to or exceeding 50 per day for outpatient accounts. Maintains an audit response...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

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:...

Join the Woodlawn Team as a Part-Time Pro Fee Coder – Hybrid position. Credentials must be currently held for this Pro Fee Coder – Hybrid position. It is required, the first 90 days be onsite in Rochester, Indiana. Furthermore, additional onsite required for meetings & additional training! EDUCATIONAL REQUIREMENTS AND QUALIFICATIONS: Must have one or more of the following credentials: RHIA, RHIT, CCS, CCA, CPC, COC. Required: High School diploma/GED or relevant experience. Required: Formal education in anatomy and physiology, medical terminology, disease processes, content of a medical record, coding of diagnoses using ICD-10-CM and procedures using ICD-10PCS and Current Procedural Terminology (CPT). Demonstrate ability to communicate and work in a professional manner with members of the medical staff, government agencies, and third-party payers. Demonstrate good communication skills and excellent customer service skills. Knowledge and ability to read, interpret and...

Essential Functions Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD‑10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing and maintains effective communication with providers concerning coding issues. Education High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Health Information Management...

Responsibilities Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate ICD-10 diagnosis and CPT procedure codes. Utilizes practice management system (PMS) to accurately account for demographics and services performed for all scheduled and unscheduled surgical cases according to standard procedures and coding guidelines. Utilizes individual hospital medical record systems and coordinates with physicians and staff to obtain clinical documents and demographics required for appropriate coding and billing for all hospital procedures. Provides education and support to clinical areas regarding appropriate documentation and coding of services to achieve accurate billing. Maintains effective communication with providers concerning coding issues. Education High school diploma/GED or equivalent working knowledge preferred. Accredited by the American Health Information Management Association...