23 professional coder associate jobs found

Inpatient Coder Remote (KY or IN) Remote role Compensation: $35 - $42 per hour Contract Length: 3 months with possible extension Hours: 40 hrs/week, Mon-Fri between 7AM - 7PM EST Start Date: ASAP ABOUT THE ROLE Baptist Health is seeking an experienced Inpatient Coder to join our team on a contract basis. This fully remote position requires residency in Kentucky or Indiana and offers the opportunity to support a leading healthcare provider committed to quality and compliance. As an Inpatient Coder, you will play a critical role in ensuring the accuracy and completeness of inpatient coding, directly impacting the measurement and reporting of physician and hospital outcomes. You will be responsible for maintaining up-to-date knowledge of clinical coding, adhering to documentation requirements and official coding guidelines, and contributing to continuous quality improvement initiatives. This is a full-time, 40-hour per week position with a competitive hourly...

Coder I The Coder I reviews, analyzes and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and Prospective Payment System and Medical Necessity guidelines for ethical and optimal reimbursement. Competent to accurately code and abstract all 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner....

ResponsibilitiesEvaluates coding based on Coding Guidelines.Reviews records for all care settings.Identifies high volume, high risk coding, and reimbursement and quality problems.Responsible for accurate assessment, analysis and summary of findings for coding validation.Provide auditing and feedback that is incorporated into training education programs.This position offers a fully remote work opportunity.Employees in this role must reside in one of the following states to be considered for fully remote positions :Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina or Louisiana.QualificationsRequired :One year coding in healthcare settingOne of :CCA or CCS or CPCDesired :DiplomaCertified Coding Associate OR Certified Coding Specialist OR Certified Professional Coder.

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...

Become a part of our caring community The Risk Adjustment Coder conducts quality assurance coding of medical records and ICD-10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Risk Adjustment Coder assumes ownership and leads advanced and highly specialized administrative/operational/customer support duties that require independent initiative and judgment. The Risk Adjustment Coder ensures coding is accurate and properly supported by clinical documentation within the health record. Reviewsmedical records toreport conditions that map toHCCs by reviewing medical record documentation and applying theappropriate ICD-10diagnosis codes. Followsstate and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. Works onprojects that may include making phone calls to providers. Works within broad guidelines with little...

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...

Department H4021: Revenue Management - Coding & Documentation Position Details Requisition Number: RE54791 Grade Level: 07 Salary Range: $17.50-27.31/hour Type: Staff Employment Status: Full-Time Work Location: Lexington, KY Shift: Monday through Friday, 8:00 a.m. – 5:00 p.m. Requirements Required Education: AA Required Experience: 1 year Required Certifications: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder–Apprentice (CPC‑A), Certified Coding Specialist (CCS) or Certified Coding Associate (CCA) Preferred: Associate degree and at least one year of paid, full‑time medical coding experience Physical Requirements This position requires regularly sitting at a computer workstation for extended periods; performing repetitive typing; and occasionally standing or walking with objects up to 10 pounds. Some travel (less than 10% of time) may be involved....

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Summary Job Description: Baptist Health is looking for an Inpatient Coder to join our team! This is a remote work position that requires residency in KY or IN Function in a fully accountable role with respect to ensuring the overall quality of inpatient coding withcontinuous quality improvement when indicated. The coder ensures that accurate and complete coding isperformed so it can be used for measuring and reporting physician and hospital outcomes. The codermaintains an extensive up to date knowledge of clinical coding and has an extensive knowledge of thedocumentation requirements and guidelines in accordance with Coding Clinic and AHA Official CodingGuidelines as they pertain to diagnosis and procedural coding. Qualifications: Associate degree. In lieu of associate degree, Certified Coding Specialist credential with two years of inpatient coding experience. Would consider a new AHIMA credential eligible graduate. Microsoft Office experience, EHR...

Job Title The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement. Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner. Ensures the final diagnosis...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided to ensure correct coding guidelines are met. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor confirms correct CPT coding assignments. Analyzes, enters and manipulates the claim in the respective database. Responds to or clarifies internal requests for medical information. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Review medical documentation for clinical indicators to ensure procedures meet clinical criteria and correct coding guidelines Utilize encoders and various coding resources Perform CPT Procedure reviews Maintain strict patient and physician...

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

ResponsibilitiesThe Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement.Assign and sequence ICD-10-CM / CPT codes by applying regulatory coding guidelines.Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books.Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record.Queries physicians for diagnoses or missing / ambiguous information for accurate coding.Apply organizational documentation policies and procedures in conjunction with official coding guidelines.Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement.Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and / or clinic records in a consistent, accurate and timely manner.Ensures the final diagnosis...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Orthopedic Billing Specialist Promotes the company's mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or online...

Description General Job Summary: Promotes the Companies mission to provide patients with premier orthopedic care while focusing on their individual needs. Responsible for ensuring timely claim submission, follow-up with no response from payers, payer rejections, correspondence, and appealing denial. Essential Job Functions: The ability to remain friendly and professional through communication with patients, providers, clinical staff, payers, and outside agencies through telephone, electronic, and written correspondence. Manages multiple work queues for an assigned portion of the Accounts Receivable (A/R) daily on registration, claim edits, aging, and denials, to include following up with insurance companies, reconciling accounts, filing corrected claims, appealing claims (when appropriate), and following up on all denials to ensure processing/reprocessing, and payments. Assists with verification of benefits information to determine coordination of benefits via phone, email, or...

General Job Summary Contributes in the delivery of excellent orthopaedic care in a patient centered environment by completing data entry and coding for all premier orthopaedic care provided within the multi-specialty practice. Essential Job Functions Establishes and maintains effective working relationships with coworkers, managers and providers. Collects, reviews, codes, and data entry of all charges for a multi-specialty practice. Responsible for quality control of all billable charges according to the coding compliance plan. Maintains current records of hospital admissions, surgeries, discharges, and consultations as necessary. Maintains required billing records, reports, files, etc. Responsible for educating providers regarding charges. Responsible for contributing to claims corrections and appeals. Provides accurate coding information to all pertinent departments. Maintains doctor’s standards according to coding compliance. Ensure certification is current. Ensure...

Job Title Ensures that coded data accurately reflects the patient's final diagnosis and his management in the Organization. Codes are to be used for diagnosis, procedure and physician indexing, statistics, trend analysis and reimbursement purposes. Exhibits the F.I.R.S.T. values (Friendliness, Innovation, Respect, Service, and Trust). Essential Functions, Duties and Responsibilities Codes all patient records using ICD-10-CM, PCS, and/or CPT classification systems. Maintains patient confidentiality. Handles incoming calls. Contributes to the efficient operations of the department. Maintains positive relationships with other departments and the Organization's staff. Considers the age of the patient served, applies knowledge of growth and development and age specific techniques through the life span (neonates/infants, pediatrics, adolescents, adults and geriatric patients) in planning and implementing care. Demonstrates a commitment to professional accountability and growth...

Description At ScionHealth, we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system Essential FunctionUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelinesEnsures that all factors necessary for assigning an accurate DRG (Diagnostic Related Group) are present, and that all diagnoses are ranked properlyContacts hospital designee...

Highmark Health is seeking a Medical Coder in Frankfort, Kentucky. This role involves reviewing medical information, ensuring accurate coding for diagnoses and procedures, and managing the associated documentation. Candidates must have a High School diploma/GED, 1 year of hospital coding experience, and certifications such as CCS or CIC. The position includes a competitive pay range of $23.73 to $37.14 per hour and a $10,000 sign-on bonus with a 2-year commitment. #J-18808-Ljbffr

Highmark Health is seeking a medical coder to review and abstract medical records, ensuring accurate coding with ICD-10 CM/CPT systems. Ideal candidates will have strong data entry skills and a background in coding within hospitals or clinics. The position requires at least a High School diploma, with preferred qualifications including an Associate’s Degree in Health Information Management. Pay ranges from $21.97 to $34.39 per hour. #J-18808-Ljbffr

At ScionHealth , we empower our caregivers to do what they do best.We value every voice by caring deeply for every patient and each other.We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking.Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.Job SummaryCodes medical records, including all diagnoses, operative and diagnostic procedures in patient medical records, using the International Classification of Diseases and enters coded information into an automated system.Essential FunctionUsing the coding system, assigns and records an accurate code to all diagnoses, procedures, and operations as documented in the patient medical record based on official coding guidelines.Ensures that all factors necessary for assigning an accurate DRG (Diagnostic Related Group) are present, and that all diagnoses are ranked properly.Contacts hospital designee regarding...

Job Description Job Description PetVet Care Centers' Hagyard Equine Medical Institute is currently seeking a Surgery Barn Technician/Assistant Supervisor to join their team! At PetVet Care Centers, our mission is to improve the lives of animals and people — providing exceptional and compassionate care at every stage — for all the moments that matter. Because life is better with pets. We deliver the Ultimate Care Experience — every pet, every client, every time. That starts with a Culture of Care that supports our team members as much as the pets and clients we serve. With more than 420 locally led hospitals and over 11,000 team members nationwide , we offer: Local autonomy with national support Career mobility and development opportunities A collaborative, inclusive environment where your wellbeing comes first You care for pets. We care for you. Position Overview Join our team as a Surgery Barn Technician/Assistant Supervisor who supervises...