25 profee coder jobs found

Job Summary As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding‑related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Responsibilities Review and code clinical notes and operative reports for assigned specialty/specialties. Coordinate and reconcile multiple schedules to ensure complete charge capture. Enter charge codes into the billing system in a timely manner. Work in conjunction with the A/R team on follow‑up and resolution of coding‑related denials and rejections, including recommendation of new/updated coding edits. Maintain...

Introduction Do you want to join an organization that invests in you as a Trauma Surgical Profee Coder? At Parallon, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits Candidates with Trauma/Surgical Profee experience are strongly preferred. Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long‑term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and...

Do you have the career opportunities as a Profee Coder you want with your current employer? We have an exciting opportunity for you to join Parallon which is part of the nation's leading provider of healthcare services, HCA Healthcare. Job Summary and Qualifications As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties. Coordinates and reconciles...

A leading healthcare provider in the United States is seeking a Profee Coder responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. The role involves coordinating schedules to ensure accurate billing and working with the denials team to resolve coding-related issues. A high school diploma or GED is preferred, along with two years of coding experience and certification through AHIMA or AAPC. Competitive benefits, including comprehensive medical and educational assistance, are offered. #J-18808-Ljbffr

HCA Healthcare in Nashville is hiring a Profee Coder responsible for reviewing and coding clinical notes and operative reports for assigned specialties. The role includes providing documentation advice to physicians and managing coding-related denials. Qualifications include a coding certification (AHIMA or AAPC) and at least two years of coding experience. The position offers comprehensive medical coverage and a 401(k) Plan with matching contributions. #J-18808-Ljbffr

Job Summary Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team‑based approach to care and is trained to meet the highest level of function for its role as per the State of Tennessee/Georgia guidelines. Responsibilities Review and analyze information available in the electronic medical record and/or paper record to accurately code the episode of care in multiple specialty areas. Provide various components of coding services...

Physician Billing Coder I, Hybrid Erlanger Baroness Hospital Chattanooga, TN Physician Billing Coder I, Hybrid Regular-Non-exempt-Full-time-Standard Hours 37.5 Description: Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Job Summary: Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based...

Join to apply for the Physician Coder III, Remote role at Erlanger 3 days ago Be among the first 25 applicants Join to apply for the Physician Coder III, Remote role at Erlanger Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, SC, TN, TX, VA, WI, WY REMOTE Job Summary: The Physician Coder III is responsible for coding of physician and/or mid-level provider professional services. Recognizes and completes a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follows set procedures to achieve goals. Displays professional office skills and ability to navigate a practice management system. Functions as liaison between management, the physician practices and employees working within physician practices. Coder will provide CPT, HCPCS and ICD-10-CM coding a minimum of 1-4 specialties. Specialties could include UR, Podiatry, Plastics,...

Overview Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period , Day Shift Covenant Medical Group is Covenant Health’s employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class...

Job Description Job Description Salary: Job Summary We are seeking a detail-oriented and knowledgeable Medical Billing and Coding Specialist to join our healthcare team. In this role, you will be responsible for accurately coding medical diagnoses and procedures, ensuring compliance with healthcare regulations, and managing medical billing processes. Your expertise in medical terminology and coding systems will be crucial in maintaining accurate patient records and facilitating timely reimbursements. Duties Review and analyze patient medical records to extract relevant information for coding purposes. Assign appropriate ICD-10 codes for diagnoses and procedures in accordance with established guidelines. Ensure accuracy of medical coding to support billing processes and compliance with regulations. Collaborate with healthcare providers to clarify documentation and resolve discrepancies in medical records. Process medical claims for reimbursement. Maintain up-to-date...

Medical Biller, CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health's employed and managed medical practice organization, with more than 300 top Physicians and providers spanning the continuum of care in 20 cities throughout East Tennessee. Specialties include cardiology, cardiothoracic surgery, cardiovascular surgery, endocrinology, gastroenterology, general surgery, infectious disease, neurology, neurosurgery, obstetrics and gynecology, occupational medicine, orthopedic surgery, physical medicine and rehabilitation, primary care, pulmonology, reproductive medicine, rheumatology, sleep medicine and urology. Position Summary: This position participates in various functions including the review, correction, submission/resubmission, and/or appeal of rejected, denied, unpaid, or improperly paid insurance claims. This position is responsible for billing and follow-up functions for payors in all financial class categories....

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient 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 CAHIIM 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 inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA)...

Medical Billing SpecialistThe Medical Billing Specialist for Nurse Practitioners is responsible for processing and mailing/transmitting claims, tracking claims, monitoring authorization and eligibility of payor benefits, managing the collections process and posting cash receipts.ESSENTIAL JOB DUTIES:Extract and verify billing information from medical recordsEnsuring collection of past due balances; follow up as neededEnsure all patient demographic and insurance is accurate prior to submitting claims to insurance companiesAnswer patient account inquiries; assists establish alternative payment plans when necessaryMaintain patient account records; settle third party payer issues as requiredReceive and review Daily Reconciliation Review (DAR) document for accuracy; enter charges into Practice Management System (PMS)Prepare and review patient statements prior to release through PMSEnsure timely filing of all Medicare, Medicaid, and third-party insurance claimsBalance daily charges;...

Hospital Inpatient Coder (Remote) page is loaded## Hospital Inpatient Coder (Remote)locations: US - Remote (Any location)time type: Full timeposted on: Posted Yesterdayjob requisition id: 37391**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**The Remote Inpatient Coder will review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10 and PCS Diagnosis codes, along with CPT/HCPCS codes as defined for the service type, for coding, billing, internal and external reporting, research as required, and regulatory compliance. Under the direction of the coding manager—the coder should accurately code conditions and procedures as documented and in accordance with ICD-10-CM Official Guidelines for Coding and Reporting, CMS and any other official coding guidelines established for use with mandated standard code sets.* Maintains a working knowledge of ICD-9-10 PCS and CPT coding...

Sr Med Bill Examiner - CJ10DN We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having every opportunity to achieve your goals - and to help others accomplish theirs, too. Join our team as we help shape the future. Successful candidates will be responsible for performing Medical Bill review and investigation of medical invoices to determine reimbursement based on applicable workers compensation statues and/or regulations including: -Analyzing of bill for proper assignment of detailed medical coding information -Interpreting workers compensation rules for repricing -Entering/correcting data of medical...

Physician Coder Hospital E/M and Procedure coding page is loaded## Physician Coder Hospital E/M and Procedure codinglocations: US - Remote (Any location)time type: Full timeposted on: Posted Todayjob requisition id: 38339**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:*** Code multispecialty Hospital E/M for physicians* Code multispecialty Hospital procedures* Work coding related edits and denials**What You Will Need:*** Minimum High School Diploma or equivalent* 3+ years of experience coding hospital charges for physicians* CPC from the AAPC* Good written and oral communication skills**What Would Be Nice To Have:*** Multispecialty surgical experience in Urology, General Surgery and/or Cardiology* Specialty specific credential from the AAPC#LI-DNIThe annual salary range for this position is $38,000.00-$64,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience...

The Coding Specialist is responsible for coding and abstracting of medical records. Other duties as assigned. Education: High School Diploma/GED required. Education and credentials as a Registered Health information Administrator, Registered Health Information Technician, Certified Coding Specialist, Certified Procedural Coder, Certified Coding Associate eligibility for certification/accreditation, or proven experience as a qualified coder Experience: Minimum of 1 year in medical records practice in a healthcare setting; coding experience preferred. Demonstrates excellent understanding of ICD-10-CM /PCS and CPT-4 coding functions, billing requirements and coding compliance. Knowledge of general office procedures, proficient keyboard and computer skills, knowledge of general office equipment and procedures.

Overview Coding Educator, C linical Document Integrity Full Time, 80 Hours Per Pay Period, Day Shift This is a hybrid position, with onsite requirements for education Covenant Medical Group Overview: Covenant Medical Group is the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team delivers expertise across a broad spectrum of specialties from primary care and walk-in clinics to preventive medicine and advanced surgical and subspecialty services. We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Provides consulting services to the organization’s management and staff and may coordinate requested coding investigations. Responsible for education and training for all Covenant coders,...

Summit Medical Group is seeking a PreVisit Planning Coder to join their team. This is a f ull-time opportunity in the KNOXVILLE, TN area due to onsite requirements. Examples of Duties (List does not include all duties assigned) Medical Records review and abstractions for the assessment of HEDIS and CMS STARS quality measures and communications to improve compliance. With use of specified reports, HCC database, Athena EHR, hospital portals, member summaries and Group Management, review all records, progress notes and diagnosis for accuracy and completeness of documentation to support ICD coding to the highest level of specificity. Through record review prior to scheduled appointments, accurately identify conditions not yet incorporated in Active Problem List, gaps in preventive services and support code transitions for greater specificity and accuracy. Ensure coding and documentation criteria, rules and guidelines are met. Ensure effective, necessary tasking...

Description Must Reside in AL, AZ, CO, CT, DE, FL, GA, IL, IN, KS, MA, MD, ME, MI, MS, NC, NH, NJ, NY, OH, PA, SC, TN, TX, VA Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees - including members of Northwell Health Physician Partners - who are working to change health care for the better. Summary: Appropriately analyzes and codes complex inpatient records. Position requires high-level expertise in coding and documentation guidelines, coding clinics and knowledge of MS DRGs, CC/MCC for appropriate reimbursement and...

Sr Coding Compliance Auditor Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. The Sr Coding Compliance Auditor is responsible for reviewing chart notes for proper coding with an emphasis on documentation, coding improvement, and revenue capture. Provides education to clinicians, clinic staff, and others as needed via face-to-face meetings, classroom settings, webinars, and online modules. Develops, maintains and presents coding and compliance educational materials to staff and clinicians. Collaborates with the coding team to support the needs of the organization. The...

Become a part of our caring community The 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

At Houston Methodist, the Lead Outpatient Coder position is responsible for providing administrative support to the department while ensuring diagnostic and procedure codes are assigned accurately to outpatient encounters based upon documentation within the electronic medical record and maintaining compliance with established rules and regulatory guidelines. This position serves as the liaison between management, staff and physicians for routine matters, resolving questions and issues. Duties may be varied and may include many of the following: organize work schedules, create work assignments, review timecards for accuracy, conduct quality assurance audits of staff performance, develop and implement quality improvement activities, train and mentor staff, provide feedback on staff performance and developmental needs, collect/analyze/report on data, prepare reports on performance and metrics, and other responsibilities of a similar nature and level. FLSA STATUS Non-exempt...

Outpatient Acute Care Coder You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Employment Type: Full Time Location: Remote Reports To: Coding Operations Manager Job Summary: Responsible for assigning appropriate diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, ICD-10-PCS, CPT, HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. The Outpatient Coder shall review hospital outpatient medical documentation or physician medical record documentation to assign, sequence, edit and/or validate the appropriate ICD-10-CM, CPT and HCPCS codes with outpatient encounters to ensure proper coding, billing and compliance. Will match outpatient coding area to experience (i.e. Same Day...