93 professional coding specialist jobs found

A leading healthcare organization in Corpus Christi is seeking an Acute Care Inpatient Coding Specialist to ensure accurate coding and compliance for inpatient records. The ideal candidate will have at least 1 year of hospital coding experience and a preferred background in health information management. This role offers a competitive compensation package with extensive benefits including medical, dental, and educational assistance. Join our team to support high-quality patient care and make a difference! #J-18808-Ljbffr

42910BR Extended Job Title: Medical Coding Auditor Org Level 1: Texas Tech Unv Hlth Sci Ctr El Paso Position Description: Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding accuracy and assure regulatory requirements are met. Requisition ID: 42910BR Travel Required: Up to 25% Major/Essential Functions: Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and...

Coder II Job Summary: The Coder II is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder II may code low acuity inpatients', one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. For professional fee coding, individuals in this job code will be proficient for inpatient and outpatient, for multi-specialties. The Coder II utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) The Coder II will abstract and enter required data. Essential Functions Of The Role: Analyzes and interprets documentation from medical...

Job Description Job Description About Monarch Behavioral Health  We are a San Antonio-based group of clinicians who provide a wide range of services including therapy & counseling, psychological assessments and testing.  We serve children, teens, and adults who are struggling with personal or family concerns. Our Mission To cultivate growth and reduce suffering by creating safe spaces for connection and understanding while providing therapeutic support to members of our community and making accessible mental healthcare services to our community. Monarch Behavioral Health is currently searching for an Insurance Billing Specialist, preferably with experience in the mental health field. This is a new position with the practice, and the incumbent will have the opportunity to set up new processes and procedures to ensure efficient and timely accounts receivable. General Responsibilities: Conduct accurate insurance verifications and pre-authorizations online and via...

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Position responsible for ensuring the accuracy and completeness of clinical coding resulting in the appropriate reimbursement and data integrity and validation of the coded information for external and internal affairs. This position typically reports to the Coding Compliance Manager. Job Description Minimum Qualifications Education : High school diploma or GED,...

Overview At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Responsibilities PEOPLE ESSENTIAL FUNCTIONS Interacts and communicates effectively with members of the coding team and the appropriate stakeholders. Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders. SERVICE ESSENTIAL FUNCTIONS Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy. Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the...

Hours of Work : Flexible 8 am - 4:30 pm Days Of Week : Monday through Friday Work Shift : Job Description : Remote or On-Site (Dallas, TX) Employment/Education History Requirements : Certifications : High school education or equivalent; some college credit; Bachelor's degree preferred. Certified Professional Coder ( CPC ) certification from AAPC or Certified Coding Specialist - Physician-based ( CCS-P ) certification from AHIMA with the appropriate level of experience for auditing and abstracting. Preferred : Certified Professional Medical Auditor (CPMA) certification from AAPC Experience/Knowledge : 2+ years of multispecialty auditing medical documentation experience for appropriate E&M level and CPT assignment or 4-5 years of multispecialty coding experience. Thorough knowledge of anatomy/medical terminology. Proficient with Microsoft Word and Excel. Experience with Epic preferred. Ability to communicate effectively via written and...

Job Description Job Description About Us MedAR is a dedicated medical billing company specializing in pathology, radiology and anesthesia services. We partner with healthcare providers to streamline their revenue cycle and ensure accurate reimbursement. We are currently seeking a meticulous and experienced Pathology Medical Coder to join our expert team. Job Summary The Pathology Medical Coder will be responsible for accurately applying billing codes to pathology reports for our client base. This role is crucial for ensuring compliance and maximizing revenue for our clients. The ideal candidate will have a deep understanding of CPT, ICD-10-CM, and HCPCS coding guidelines, with a specific focus on pathology services. Key Responsibilities Review provider documentation and accurately assign CPT, ICD-10-CM, and HCPCS codes to pathology and laboratory services, including surgical pathology, cytology, and molecular diagnostics. Apply correct modifiers and ensure NCCI...

Details Salary: $23.60 - $31.92 per hour Department: Revenue Cycle Management Schedule: Monday - Friday, 8:00 am - 5:00 pm Hospital: Seton Family Hospital System Location: Remote Benefits Paid time off (PTO) Various health insurance options & wellness plan Retirement benefits including employer match plan Long-term & short-term disability Employee assistance programs (EAP) Parental leave & adoption assistance Tuition reimbursement Ways to give back to your community Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer. Responsibilities Apply the appropriate diagnostic and procedural code to patient health records for purposes of document retrieval, analysis and claim processing. Responsibilities: Abstract pertinent information from patient records....

Certified Coder II - Inpatient Hospitalist (Remote) at Memorial Hermann Health System Job Summary Fulltime Remote Position (40 hour work week). Inpatient Hospitalist Experience needed for this role. Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Typically reports to Coding Manager. Minimum Qualifications Education: High School Diploma or GED required; Associate Degree in medical area preferred. Licenses/Certifications: Certified Coding Specialist (CCS) Certified Professional Coder (CPC) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Medical Coder (CMC) Certified Coding Associate (CCA) Experience /...

Allegheny Health Network Job Posting 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 updates in daily work. (5%) Performs other duties as...

Job Description Job Description Fast growing Dermatology Office in South Austin, Texas is seeking a full-time Medical Biller - Insurance A/R Specialist to join our team. Responsibilities/ Tasks include, but not limited to: Work rejects/denials, send corrected claims, appeals Electronic claims building and submission Stay up to date on CPT, ICD, and LCD guidelines Chart and coding review Check eligibility and benefits Obtain prior authorizations Call patients when necessary to verify insurance information Provide excellent customer service to patients paying their bill or inquiring about their account Work to reduce backlog of unpaid claims in legacy systems Read and analyze EOBs and ERAs Payment posting Maintains HIPAA patient confidentiality standards for medical and financial information Knowledge, Skills, and Abilities Knowledge of CPT, ICD, and LCD guidelines Ability to communicate clearly and concisely, both orally and in writing Competency with...

Job Description Job Description Description: Job Title: Certified Coder Job Type: Full-time Location: Remote Worker, Texas We are seeking a highly skilled Certified Coder to join our team. The successful candidate will be responsible for reviewing and analyzing medical records to ensure accurate coding of diagnoses and procedures. The ideal candidate will have a strong attention to detail, excellent analytical skills, and the ability to work independently. Strong background in pain management, orthopedic surgery, neurosurgery, and ASC billing. Responsibilities: - Review and analyze medical records to ensure accurate coding of diagnoses and procedures - Assign appropriate codes to medical procedures and diagnoses using ICD-10 and CPT coding systems - Ensure compliance with all coding guidelines and regulations - Communicate with healthcare providers to clarify diagnoses and procedures as needed - Maintain accurate and up-to-date records of all coding...

Baylor Scott & White Health Job Posting 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. 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: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to...

Fully Remote Medical Coders TekSystems is currently hiring for several fully remote medical coders! These positions would start at the end of January! Must have: 1-3 or more years of medical coding experience, must be CPC certified! Must have your own equipment! These coders will be taking the work from the client coordinators. They will be looking at what the provider sends and coded for payment and what the payer sends and coded for payment. They will be reviewing the case to decide which one is correct, is the correct code being used, and make a determination of what code and payment is recommended by MCMC. Then they pass it off to QA for review. They will do these cases over and over again to push them through. All of the cases are going to be emergency services, so they would like for everyone to have experience in emergency services, inpatient coding, or DRG (diagnosis-related group) coding. This would allow them to understand what they are looking at. Does not have to be...

ICD-10 Coding Specialist You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must be willing to travel to NYC twice a year for required meetings. Position Purpose: The focus of this position is to establish processes to respond to ICD-10 coding changes and its effect on inpatient claims payment. Chart review will include DRG pre-payment review, hospital readmission review and outlier payment review. Analyze moderately complex health care information; reviews medical records; integrate medical coding and reimbursement rules; provide pricing guidance. Ensure medical coding rules and regulations including compliance requirements are adhered to for the appropriate handling of medical necessity, claims denials, and bundling issues. Provide...

A leading healthcare provider is looking for a Coding Specialist to join their team in Richardson, TX. This full-time hybrid remote position involves coding medical records, maintaining high accuracy standards, and supporting the Surgery Urology Department. The ideal candidate will have strong medical coding experience, knowledge of ICD-9 and CPT-4 systems, and excellent communication skills. This role offers flexibility, a supportive work environment, and opportunities for professional growth. #J-18808-Ljbffr

HIM Coder Analyst III page is loaded## HIM Coder Analyst IIIlocations: Fort Worth, TXtime type: Full timeposted on: Posted Todayjob requisition id: JR-112592**Location:**Medical Center - Fort Worth**Department:**HIM-Coding**Shift:**First Shift (United States of America)**Standard Weekly Hours:**40**Summary:**The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the...

Senior Outpatient Coder At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Houston Methodist Experience Expectations Provide personalized care and service by consistently demonstrating our I CARE values: INTEGRITY: We are honest and ethical in all we say and do. COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs. ACCOUNTABILITY: We hold ourselves accountable for all our actions. RESPECT: We treat every individual as a person of worth, dignity, and value. EXCELLENCE: We strive to be the best at what we do and a model for others to emulate. Practices the Caring and Serving Model Delivers personalized service using HM Service Standards Provides for exceptional...

Coding Specialist III Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Coding Specialist III can maintain up to two concurrent client assignments that are short-term in nature. For each client, the Coding Specialist III reviews documentation to code diagnoses and procedures for inpatient hospital-based claims and data needs. For both professional and technical claims and data needs, the Coding Specialist III reviews clinical documentation to code diagnoses, EM level, and surgical CPT codes. Additionally, this role also validates MS-DRG and APC calculations, abstracts clinical...

Coder II The posted compensation range of $21.23 - $29.20 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder II is able to work independently with limited oversight and may require direction from supervisor or more senior co-workers on complex cases. Accurately abstracts information...