65 physician coder jobs found

Coding Specialist Remote Position General Summary: Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Principal Duties and Responsibilities: Identifies all diagnostic and operative procedures for coding by thoroughly reviewing the patient's medical...

Employment Opportunities Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Essential Functions: Knows, understands, incorporates, and demonstrates the Trinity Health...

Job Description Job Description Why Professionals Love Theoria Medical At Theoria Medical, accuracy, integrity, and collaboration matter. Our compliance and coding professionals play a critical role in supporting quality patient care while ensuring our clinical and billing practices remain aligned with evolving industry standards and regulations. We believe meaningful work should come with flexibility, support, and opportunities for growth. Our teams are empowered with advanced technology, collaborative leadership, and a mission-driven culture that values expertise and innovation. Build a career where your knowledge drives impact across a growing national healthcare organization. About Theoria Theoria Medical is leading the charge in healthcare innovation and quality of care — offering a unique blend of medical excellence and technological advancement, serving the post-acute sector. Our network includes multispecialty physician services covering skilled nursing...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

Job Posting Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered. Candidate must have Denials experience to be considered. This position is responsible for coding all services including major and minor surgical cases performed in both the office and hospital setting for MyMichigan Medical Group, Family Practice Center and the MyMichigan Urgent Care locations. This position monitors compliance with third party payers guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with, in addition to analytical skills to ensure all procedures are coded correctly for a timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of current procedure terminology (CPT) and International Classification of Diseases...

Summary **Candidates must have a primary address located within the state of Michigan or willing to move to Michigan to be considered.** Travel to provider office location/offices for HCC education as determined by manager Mandatory on-site team meetings in Midland 1 x per month To be part of our organization, every employee should understand and share in the MyMichigan Health Vision, support our Mission, and live our Values. These values include excellence, integrity, teamwork, and accountability - must guide what we do, as individuals and professionals. The HCC Coder, working under the direction of the Clinical Documentation Integrity Manager, utilizes coding expertise to identify areas of opportunity that impacts the quality and the completeness of the medical record documentation. Through prospective, concurrent, and retrospective evaluation of the medical record documentation, the HCC Coder will be responsible for working collaboratively with the clinical...

Non-Certified Coder NKC Health Coding and Denial team is hiring a Non-Certified Coder. This role focuses on coding procedures, posting charges, and communication with practice teams. Benefits Comprehensive benefits (Medical, Dental, Vision, Life, FSA) Employer matched retirement plan Competitive wages Paid time off for personal/vacation/sick Six paid holidays per year Educational assistance Day shift schedules Responsibilities Review procedures, HCPCS, and diagnosis coding for accuracy. Assign proper codes based upon medical record documentation. Work with denials team and central billing office to resolve claims denials and billing issues. Post charges accurately and timely. Work with providers to ensure coding accuracy. Knowledge of risk adjustment processes and coding is a plus. Requirements High school graduate or GED equivalent. Minimum 2 years of experience in physician coding and billing. Knowledge of CPT and ICD‑10 coding and medical terminology....

Memorial Physician Practices is seeking a Coder to join our team in Ishpeming Township, Michigan. The role involves assigning accurate ICD and CPT/HCPCS codes, interpreting physician documentation, and enhancing coding knowledge. Preferred qualifications include a high school diploma and a Certified Coder license. Our organization values employee well-being and offers comprehensive benefits including medical coverage, career growth opportunities, and wellness programs for a fulfilling work-life balance. #J-18808-Ljbffr

Your experience matters UP Health System-Bell is a part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well‑being so you can provide exceptional care to others. By joining our team, you're embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and obtains clarification from physicians regarding vague or ambiguous...

Overview Meritas Health has a need for a Certified Coder to join our team. If you’re looking for a great opportunity to serve our community and be part of a growing team, join our Meritas family where there is more for you. NKC Health has a need for a Certified Coder to join our team. If you’re looking for a great opportunity to serve our community and be part of a growing team, join our NKC Health family where there is more for you. Job Responsibilities Review procedures, HCPCS, and diagnosis coding for accuracy. Assigns proper codes based upon medical record documentation. Work with denials team and central billing office to resolve claims denials and billing issues. Post charges accurately and timely. Work with providers to ensure coding accuracy. Knowledge of risk adjustment processes and coding is a plus, but not required. Qualifications High school graduate or GED equivalent Must possess a current AAPC certification Minimum 1 year of experience in physician coding and...

Job Description Your experience matters UP Health System- Bell is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Byjoining our team, you're embracing a vital mission dedicated to making communities healthier ®. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve. How you'll contribute A Coder who excels in this role: Assigns accurate ICD diagnosis codes, using compliant documentation. Assigns accurate CPT/HCPCS codes to records, using compliant documentation. Applies knowledge of Coding Guidelines to select the appropriate diagnosis code. Uses available research and reference tools to understand the disease process and diagnosis. Interprets physician documentation within the coding guidelines and...

Summary Position for OB/GYN and Urology - Sault This position plans, directs, controls and supervises the overall financial, operational and functional activities of assigned physician practices within MyMichigan Health, assists in the short and long-term planning of assigned practices to maximize growth, efficiency, profitability and maintenance of the practices. Manages the day-to-day practice operations to ensure compliance to all organizational and department policies and procedures follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement (CLIA) regulations, and all appropriate regulatory agencies. The Medical Office Supervisor will be responsible for scheduling and processing worked hours for pay; will assist in the annual budget process; and may have responsibility for patient record transfer and retention process. They will oversee the training and evaluations of any employees, students, and float staff. They serve as...

POSITION SUMMARY This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services. ESSENTIAL JOB FUNCTIONS 1. Examines patient care reports to gather essential information for insurance documentation. 2. Contacts facilities, hospitals, or patients to acquire missing information and physician certification statements. 3. Collects data such as insurance company names, policyholder details, policy numbers, and services provided to accurately complete claim and/or billing records. 4. Communicates with insurance companies to verify coverage, determine payor schedules, and gather benefit details. 5. Assigns relevant codes based on documented information in the patient care report and determines the appropriate level of ambulance service. 6. Allocates charges for services supported by...

Coder - Hospital Outpatient Services - Revenue Cycle Mid Service * Days - 40hrs/wk Shift: Days FTE status: 1 On-call: No Weekends: No One year ambulatory surgery/OBV experience required. General Summary: Under the direction of the Coding Supervisor and Manager, the Coder for Hospital Services is responsible for accurately coding outpatient conditions and procedures. The Coder reviews clinical documentation and diagnostic results in order to extract data for billing, internal and external reporting, and research, ensuring all codes are appropriately applied per the ICD-10-CM Official Guidelines for Coding and Reporting. When applicable, the Coder is responsible for accurately and completely capturing charges for hospital services provided by reviewing clinical documentation. This data is utilized for revenue processing, internal and external reporting, research and regulatory compliance as documented in the CPT guidelines. Knowledge, Skills and Abilities: High...

OB/GYN and Urology - Sault This position plans, directs, controls and supervises the overall financial, operational and functional activities of assigned physician practices within MyMichigan Health, assists in the short and long-term planning of assigned practices to maximize growth, efficiency, profitability and maintenance of the practices. Manages the day-to-day practice operations to ensure compliance to all organizational and department policies and procedures follow Occupational Safety and Health Administration (OSHA) guidelines, Clinical Laboratory Improvement (CLIA) regulations, and all appropriate regulatory agencies. The Medical Office Supervisor will be responsible for scheduling and processing worked hours for pay; will assist in the annual budget process; and may have responsibility for patient record transfer and retention process. They will oversee the training and evaluations of any employees, students, and float staff. They serve as administrative...

Description Codes outpatient charts and/or professional charts and abstracts all required data from records according to established procedures; including medical necessity for Medicare charts. Uses ICD-10 CM/PCS/CPT-4/chargemaster to code all diagnoses, operative procedures and physician procedures performed for outpatient procedures. Verifies/changes levels of care provided according to level of care guidelines. Captures all missing records and documentation, i.e. IV start/stop times, etc. Interacts with physicians and physician's offices regarding diagnoses or coding questions. Performs other work as needed to help within the department. Keeps current with coding practices and skills through in-services, seminars, workshops and current literature to increase coding knowledge. Reviews the entire medical record for identification of all documented conditions, diagnoses and procedures. Demonstrates the ability to read physicians handwriting and interpret...

Health Information Management Coder Inpatient Level 2 The Health Information Management Coder Inpatient Level 2 provides timely and accurate clinical and administration data to ensure optimal reimbursement for inpatient, rehab and/or skilled nursing coding to support the facility needs. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adheres to current coding rules, regulations and requirements for inpatient coding, DRG/APR-DRG assignment, rehab coding,...

Health Information Management Coding Specialist Outpatient The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adhere to...

Yeo & Yeo Medical Billing & Consulting Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future – we...

Health Information Management Professional Contributes to organizational success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients and other staff members of departments encountered. Adhere to coding rules for coding professional services for multiple specialties (such; neurosurgery, pediatric surgery, rehab, orthopedic, cardiology, etc.), urgent care, occupational health, family practice and other to ensure quality coding based upon documentation within the patient record. Follows policies, procedures and guidelines to assure consistent coding quality. At the same time utilizes analytical skills when reviewing charts, interpreting documentation and applying codes, sufficing edits, etc. Assures coding is completed timely and all work queues are maintained at a reasonable completion rate/turnaround timeframe. This includes the willingness to help others,...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these...

Certified Coder Huron Gastro, P.C. is an adult medical gastroenterology practice specializing in the diagnosis, treatment, and management of disorders that affect the esophagus, stomach, small intestine, large intestine (colon), rectum, liver, gallbladder, bile ducts, and pancreas. Our practice includes 25 physicians who are board-certified in gastroenterology by the American Board of Internal Medicine, 9 Advances Practice Providers, and an outstanding staff of clinical and administrative personnel. Huron Gastro has been a leader in the field for over 5 decades, with expertise in every leading-edge technology that is currently available for the practice of gastrointestinal medicine. Huron Gastro is committed to high quality, efficient, compassionate, cost-conscious care. We value our culture which holds high the values of dignity and respect, and we focus much time and effort on continuing education for our health care professionals. We currently have an opportunity for a...

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: Benefits may vary based upon position type and or level. Job...

Job Description Job Description Medical Biller Job Type: Full-time | Day Shift (No nights, weekends, or holidays) Locations: Grand Rapids, MI   Join Our Team at Grand Valley Medical Specialists Grand Valley Medical Specialists (GVMS) is a well-established, physician-owned private practice that’s been serving the Grand Rapids community since the 1930s. Our team includes 15 internal medicine, pediatrics, and family medicine physicians, along with 5 advanced practice providers—all working together to provide compassionate, high-quality care.   We’re currently seeking a detail-oriented Medical Billing Specialist with strong analytical skills and a thorough understanding of revenue cycle management. This role is essential to ensuring accurate coding, timely billing, and effective follow-up on claims, helping our practice maintain financial health while supporting excellent patient care.   What You’ll Do • Accurately code medical services and procedures to...