34 professional fee coder jobs found

POSITION: Remote Professional Fee Surgical Coder - Ophthalmology DEPARTMENT: Health Information Management START: ASAP LOCATION: Remote JOB DESCRIPTION: This is a Profee Surgical coding position with a focus on Ophthalmology. Candidates must have experience coding all things Ophthalmology from complex surgery, eye correction, cancer removal, etc. Ideally, this person would also have ancillary experience in diagnostic radiology, interventional radiology, and radiation oncology. The candidate must have surgical coding experience for a Level 1 trauma center and E/M. Under indirect supervision, the coder is responsible for the accurate coding of Ophthalmology encounters for a University Health System. This includes outpatient visit procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-10-CM, CPT, Healthcare Common Procedure Coding System (HCPCS), and other specialty systems as required by...

Vascular Surgery Coder The job family is General Coding. Travel is not required. Clearance is not required. The Vascular Surgery Coder must be proficient in surgical coding for all Trauma Surgery type cases. E/M experience is also required for associated providers. The coder will review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10 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/MAC rules and the CPT rules established by the AMA, and any other official coding guidelines established for use with mandated standard code sets. The coder scope may involve reviewing coding related denials from payers and...

Pro Fee Coder 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 Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Medical Coder At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can't get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare systemdriving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a critical...

Pro Fee Coder 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 Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Job Description Job Description Seeking a highly accurate and detail-oriented Certified Medical Coder (CPC) with experience coding DME, specifically within the Workers’ Compensation sector to work in-office at our Tampa headquarters. This role involves strong knowledge of state-specific Workers’ Compensation guidelines, experience working with payer-specific rules, and prior experience coding services tied to injury-related care. The coder will be responsible for assigning accurate HCPCS codes to ensure compliant billing and optimal reimbursement. Pay range starts at $50,000+ dependent on experience. Any offer made will be based on the candidate's experience and skill level. DUTIES AND RESPONSIBILITIES: Making sure that codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Complying with medical coding guidelines and policies to apply appropriate state-specific Worker’s Compensation rules (including...

Position Highlights: Compliance Auditors conduct Compliance Department audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including detection and correction of documentation, coding, and billing errors. The Compliance Auditor evaluates the adequacy and effectiveness of controls designed to ensure that processes and practices lead to appropriate execution of regulatory requirements and guidelines related to professional or hospital documentation, coding and billing, and federal and state regulations and guidelines. The Compliance Auditor communicates audit results to physicians, physician leadership, senior management, management, and staff and provides physician and coder education. The Compliance Auditor will act as a liaison with assigned faculty members, developing relationships and functioning as a resource to all providers and their staffs and will serve as an institutional subject matter...

At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over 9,000 are dedicated to serving our patients and creating a workspace where every individual is recognized and appreciated. For this reason, Moffitt has been recognized on the 2023 Forbes list of America's Best Large Employers and America's Best Employers for Women, Computerworld magazine's list of 100 Best Places to Work in Information Technology, DiversityInc Top Hospitals & Health Systems and continually named one of the Tampa Bay Time's Top Workplace. Additionally, Moffitt is proud to have earned the prestigious Magnet® designation in recognition of its nursing excellence. Moffitt is a National Cancer Institute-designated Comprehensive Cancer Center based in Florida, and the leading cancer hospital in both Florida and the Southeast. We are a top 10 nationally ranked cancer...

Job Description Job Description Job Description A certified professional biller/coder (CPC) Salary 15-25 base on expertise and experience Responsibilities: ·        Overseeing the medical coding for all healthcare activities ·        Ensure that medical coding used is in compliance with all medical coding laws and regulations ·        Ensure that the coding used is for reimbursable expenses when necessary ·        Provide regular coding, Home Health coding, or hospital coding as appropriate ·        Communicating with patients regarding rejected claims or procedures ·         Interact with doctors, nurses, and office staff ·        Able to work during regular business hours and rarely work overtime or weekends as necessary ·        Responsible for entering charges in as accurate a manner as possible, which means coordinating with the doctor’s office to obtain any missing information (i.e., insurance cards, authorizations, op reports, etc.) Knowledge of correct CPT...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Normal office environment. Typically...

Clinical Data Analyst Same Day Surgery/Observation Coder Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst Same Day Surgery/Observation Coder. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the Clinical Data Analyst Same Day Surgery/Observation Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Essential Job Functions Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts Abstracts key data elements required for billing Reviews records for clinical pertinence Interacts with providers for clarification of documentation/education Abstracts and codes records, for patient currently in...

Coder Vi Specialist - Hospital Inpatient The Coder VI Specialist - Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. What You Can Expect Accurately review and code patient records in the following clinical areas: hospital acute inpatient services. Meet defined coding accuracy and production...

Medical Coding Auditor UNM Medical Group, Inc. is hiring for a Medical Coding Auditor to join our Compliance Team. This opportunity is a remote, full-time, day shift opening located in Albuquerque, New Mexico. This position requires extensive knowledge and experience with E/M coding. $2,000 Sign-on Bonus Minimum $56,173 - Midpoint $70,217* Salary is determined based on years of total relevant experience. Salary is based on 1.0 FTE (full time equivalent) or 40 hours per week. Less than 40 hours/week will be prorated and adjusted to the appropriate FTE. Summary: Under indirect supervision, audits medical charts and records for compliance with federal coding regulations and guidelines. Uses knowledge of UNM Medical group billing systems procedures to provide a review of evaluation and management codes, medical diagnoses and clinical procedures ensuring that accurate medical billing conforms with legal and regulatory requirements. Trains, instructs and provides technical support...

Virtua Health Coding Specialist At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency...

Certified Medical Coder Job Title: Certified Medical Coder (AAPC) - On-Site, Downtown Orlando Are you a skilled and detail-oriented Certified Medical Coder seeking an exciting opportunity to join Quest National Services, a thriving medical billing company? We are looking for a dedicated individual to join our dynamic team at our Downtown Orlando office. If you have a passion for accuracy, teamwork, and growth opportunities, we want to hear from you! Job Description Utilize your expertise as a Certified Medical Coder to accurately assign appropriate medical codes to diagnoses, procedures, and services, ensuring compliance with all relevant coding guidelines and regulations. Review medical documentation and superbills to extract essential information required for proper coding. Work collaboratively with medical providers and billing specialists at Quest National Services to clarify coding questions, resolve discrepancies, and optimize claim accuracy. Stay updated with the...

Coder, Hospital Inpatient It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Come join us as a Coder, Hospital Inpatient at SSM Health! You will be responsible for accurately coding and abstracting medical records for inpatient hospital stays. Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Department: Coding Patient Population or Ratio: N/A Schedule: Full Time, Day Shift Shift Differentials: Available for night, weekend, and additional shifts Location: Remote $1,000 sign on bonus available (Check with recruiter for eligibility) Starting pay: $26.01 per hour Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job Responsibilities and Requirements: Assigns accurate...

Coding Specialist I Your job is more than a job The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing...

Physician Compliance Auditor Grady Health System offers many career paths for experienced professionals. Whether you have many years of experience or are in the early stages of your career, you can find a rewarding career at Grady! Location: Atlanta, GA Job Type: FTE Shift/Schedule: Days This is a remote role, but the ideal candidate will be required to come into the office occasionally to meet with the providers. The Physician Compliance Auditor is responsible for conducting compliance audits, reporting results, researching/investigating issues, and establishing compliance monitoring processes. The Compliance Auditor is responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding accuracy, medical necessity, the appropriateness of treatment setting, HIPAA matters, and other compliance issues as directed by the Physician Coding Director, Compliance Director. This position requires effective communication with internal...

Coder II Professional It's more than a career, it's a calling $1,000 sign on bonus available (Check with recruiter for eligibility) Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Job Summary: Primarily focuses on coding of high complexity, such as surgical, specialty service, higher than average cost services, evaluation and management services. Responsible for resolving coding related denials. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately...

Coder VI Specialist - Hospital Inpatient The Coder VI Specialist - Hospital Inpatient analyzes the ICD 10 codes, suggested by computer assisted coding software, to ensure they align with official coding guidelines and the electronic medical record documentation. In collaboration with the Clinical Documentation Specialist, analyzes the circumstances of the visit to determine the most accurate diagnosis related group (DRG). This position also abstracts key data elements necessary for billing and data analysis. What You Can Expect Accurately reviews and codes patient records in the following clinical areas: hospital inpatient services. Reviews and analyzes the content of medical records and the autosuggested computer assisted codes (CAC) for the appropriate assignment of ICD diagnosis/procedure codes, present on admission indicators, hierarchical condition categories, complication and comorbidities in the proper sequence in accordance with official coding resources resulting in...

Coder II Professional It's more than a career, it's a calling $1,000 sign on bonus available (Check with recruiter for eligibility) Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Job Summary: Primarily focuses on coding of high complexity, such as surgical, specialty service, higher than average cost services, evaluation and management services. Responsible for resolving coding related denials. Job Responsibilities and Requirements: Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately...

Clinical Data Analyst Same Day Surgery/Observation Coder Be a part of a world-class academic health-care system at UChicago Medicine as a Clinical Data Analyst Same Day Surgery/Observation Coder. This is a remote, work from home opportunity and you may be based outside of the greater Chicagoland area. In this role, the Clinical Data Analyst Same Day Surgery/Observation Coder, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting. Essential Job Functions Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts Abstracts key data elements required for billing Reviews records for clinical pertinence Interacts with providers for clarification of documentation/education Abstracts and codes records, for patient currently in...

Inpatient Coder/Abstractor Norfolk, VA Work Shift: First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as an Inpatient Coder/Abstractor. Position Status: Full-time, Day Shift. This position is remote. Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. Standard Working Hours: 8:00AM to 5:00PM (ET). Position Summary: Codes inpatient accounts applying appropriate ICD-10-CM/ICD-10-PCS/CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records....

Medical Coder $3,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM Delivering quality care starts with ensuring our processes and documentation standards are being met and kept at the highest level possible. This means working behind the scenes ensuring a member-centric approach to care. As a Medical Coder you will determine and record the correct medical codes for all treatments and health services. Ensuring proper records is just one way...