6 profee coder iii jobs found

Job Family : General Coding Travel Required : None Clearance Required : None What You Will Do : Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. What You Will Need : * High School Diploma/GED (relevant experience may be substituted for formal education) * 1+ years of medical coding experience * AAPC CPC or AHIMA CCS coding certification * Experience in ICD-10, CPT and HCPCS Level II Coding * Ability to determine medical necessity of services provided and charged based on provider/clinical documentation * Knowledge, understanding and proper application of Medicare,...

Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. ESSENTIAL JOB FUNCTIONS Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Concurrently codes Recurring records for interim billing. Processes records for deficiencies and return for completion. Enters codes into the Abstracting Module as needed, including use of the 3M encoder. Performs data quality reviews on outpatient encounters to validate the ICD-10-CM, CPT, and HCPCS Level II code and...

Overview Performs coding/DRG and abstracting functions for medical records, quality assessment and billing purposes. Codes all Huntsville Hospital medical records with ICD-10-CM/PCS and CPT-4 codes. Abstracts key data elements according to medical record review criteria. Performs coding quality assurance as needed. Qualifications Education/Certification HS/GED required. Prefer post high school education in anatomy, physiology and pathophysiology Require CCS certification (certified coding specialist) Experience ICD-10-CM/PCS or CPT coding experience in hospital or physician's office preferred. Additional Skills/Abilities Must have excellent communication skills with the ability to work in a fast paced environment, requiring prioritizing and changing tasks frequently and quickly. Must be able to maintain confidentiality. Must be able to use computer, word processing and spreadsheet software, fax machine, and copy machine. About Us Highlights of our...

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:...

Charge Corrections Medical Coder page is loaded## Charge Corrections Medical Coderlocations: US - AL, Birminghamtime type: Full timeposted on: Posted Todayjob requisition id: 38543**Job Family:**General Coding**Travel Required:**None**Clearance Required:**None**What You Will Do:**Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home.**What You Will Need:*** High School Diploma/GED *(relevant experience may be substituted for formal education)** 1+ years of medical coding experience* AAPC CPC or AHIMA CCS coding certification* Experience in ICD-10, CPT and HCPCS Level II...

Job Family General Coding Travel Required None Clearance Required None What You Will Do Review multi-specialty inpatient and outpatient and clinical Charge Correction requests for ICD-10, CPT and HCPCS coding for accuracy and make necessary corrections. Review LCD and NCD criteria and insurance billing guidelines. Report any changes as necessary to collections teams. Electronically file replacement claims and some payment posting as needed. M-F onsite training for approx. 3-6 months. After training hybrid with 90% being remote/working from home. What You Will Need High School Diploma/GED (relevant experience may be substituted for formal education) 1+ years of medical coding experience AAPC CPC or AHIMA CCS coding certification Experience in ICD-10, CPT and HCPCS Level II Coding Ability to determine medical necessity of services provided and charged based on provider/clinical documentation Knowledge, understanding and proper application of Medicare, Medicaid, and third‑party...