98 professional fee coder educator jobs found

Job Summary Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA - AMA Guidelines, CMS and NGS. Core Job Responsibilities Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer Audit charges and establish proper coding in collaboration with providers Initiate and follow up on queries with providers Assist departments with diagnostic and procedural coding Respond to Insurance, compliance and RAC denials Review and assist in the maintenance of coding related policies and procedures Perform other duties as required. Education/Experience Requirements REQUIRED: AS in Health Information Management , a related degree or equivalent experience Knowledge of EMR, Coding Software, and...

Physician Anc Svcs Coder Department: GCH Ambulatory Support Location: Golisano Children's Hospital Location of Job: US:NY:Buffalo Work Type: Full-Time Scheduled Work Hours: 6:30a-2:30p, 7a-3p, 7:30a-3:30p, 8a-4p, 8:30a-4:30p, 9a-5p Shift 1 Job Description Position is responsible for validating/assigning CPT-4 codes for clinic based procedures and Evaluation & Management services. Also responsible for validating/assigning ICD-9-CM diagnostic codes for physician and ancillary services. Position is responsible for ensuring appropriateness and completeness of orders for ancillary tests from physician scripts or clinic records. Responsible for validation and posting of CDM based charges in the host system. Also, verifies medical necessity requirements for clinic ordered laboratory and ancillary tests in comparison to acceptable LMRP lists. This position may be required to move from site to site per work requirements and/or cross coverage. Education And Credentials RHIA, RHIT,...

Facility: Mercy Hospital of Buffalo Shift: Shift 1 Status: Full Time FTE: 1.000000 Bargaining Unit: CWA Local 1133 Exempt from Overtime: Exempt: No Work Schedule: Days Hours: 7:00am-3:00pm Summary: Codes hospital Ambulatory, ER / Urgent Care, Interventional Radiology and Local Surgery records for the purpose of accurate reimbursement, research and compliance with federal regulations. Diagnoses and procedures are coded through review of the entire medical record, utilizing International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) and Current Procedure Terminology (CPT) classifications. Queries physician for further clarification when there is uncertainty in the documentation of the medical record. Analyzes and reviews records for completeness. Responsibilities: EDUCATION B.S. in Health Information Management or AAS in Health Information Technology or Certification as an RHIA or RHIT. Certified Coding...

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. We're looking for experienced and credentialed outpatient 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 you to help shape the...

Now Hiring: Remote IP Facility Coder with CCS Build your Career. Make a Difference. Presbyterian is hiring a skilled IP Facility Coder with CCS to join our team. Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Days (United States of America) Responsibilities: Presbyterian is seeking a talented IP Facility Coder with CCS With minimal supervision directly supports the following responsibilities of the Coding and documentation quality assurance (CDQA) team: implementation of and compliance to enterprise-wide and department coding policies and procedures for PHS; compliance to all external regulatory agency coding rules and regulations; Demonstrates high-level of proficiency in performing and/or managing on-site internal audits or reviews to assess compliance/quality monitoring performed by PHS/PMG departments while serving as a resource on documentation, coding, billing, and coding compliance questions. Works on special coding...

Medical Coder Dutch Ridge Consulting Group, LLC (DRCG) is an ISO 9001:2015, Small Business Administration (SBA) Certified Service-Disabled Veteran-Owned Small Business (SDVOSB). DRCG provides cleared technical support staff throughout the United States with corporate offices in Ashburn, Virginia. DRCG offers expertise in Systems Integration (SI), Information Technology (IT) solutioning, Program Management, Risk Management, Business Process Reengineering (BPR), Requirements Engineering, Workflow Solutioning, and Business Consulting Services. Established in 2016, DRCG is 100% US owned and predominately supports the DoJ, DoW, and DHS. DRCG optimizes client investments by leveraging expertise to better manage the growth and transformation of existing IT environments. DRCG is seeking a highly motivated, Medical Coder, to support a federal client. The Medical Coder is responsible for performing remote coding and will use skills, training, and knowledge of International Classification of...

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: Benefits may vary based upon position type and/or level. Job...

Senior Professional Coder The Senior Professional Coder will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding/charging/denials follow-up. Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes. Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines. Provide education, instruction and training to providers and coding staff. Act as an expert for the HCC/Risk adjustment coding. This position is remote but does require onsite education to providers as needed. Essential Duties and Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

We appreciate that you are interested in pursuing your next career opportunity. As you complete the application below, here are a few tips you should consider: Visit Go/Develop forinformation on professional development, resume guidance, and interview best practices. Watch a quick video to discover how Humana’s Career Framework can help you identify meaningful growth opportunities. Visit Go/AskARecruiter for expert advice on your job search from our Talent Acquisition Team. Tailor your resume to highlight achievements and skills that align with the roleyou'reapplying for. Update your Workday profile to reflect your key accomplishments and experiences. Please read the job description carefully and ensure you meetallrequired qualifications. Consider having a conversation with your current leader about your career goals and interest in this opportunity. Their support can be valuable as you explore your next step. Job Profile Medical Coding Professional 2 Job Level...

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—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, Datavant 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. *****1,500 Sign on Bonus***** We’re looking for experienced and credentialed outpatient 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 you to help...

Apply for tomorrow’s opportunity today, with ComforceHealth!! Hiring for Remote Same Day Surgery Coder Facility Type/Size: Various locations, Comprehensive Cancer Center, 80,000+ patients a year Location: Remote Job Title: Remote Same Day Surgery Coder Number of Positions: 3 Start Date: March Duration/Job Type: Ongoing, Long term position. Schedule/Hours: 40 hours/week, Monday-Friday 1st shift Case Mix/Info: Analyze oncologic complex procedure reports and medical records to abstract critical clinical data by assigning ICD-10-CM, modifiers, and CPT codes from patient records. Strong knowledge in oncology/neoplasm coding guidelines with the ability to abstract medical record documentation to identify pertinent diagnoses/procedures assignment for the purpose of reimbursement, research, and compliance with federal regulations. Proficiency in abstracting specificity of diagnoses and procedures for optimized case mix index and reimbursement. Queries physicians when code assignments are...

Inpatient Coder Nesco Resource has partnered with a well-established healthcare organization in their pursuit to hire Inpatient Coders. Fully remote. Full-time with flexible scheduling options available. Competitive compensationup to $65,000 plus excellent benefits. The Inpatient Coder is responsible for accurately coding and abstracting diagnoses, procedures, and clinical information from inpatient medical records. This individual ensures compliance with established coding guidelines while maintaining high standards of data quality, integrity, productivity, and accuracy. Essential Responsibilities Assign ICD-10-CM/PCS diagnosis and procedure codes in accordance with Official Coding Guidelines, AHA Coding Clinic, CMS, and other regulatory requirements. Apply Uniform Hospital Discharge Data Set (UHDDS) definitions to determine principal diagnoses, secondary diagnoses, and procedures. Utilize MS-DRG and APR-DRG reimbursement methodologies to ensure accurate code assignment....

Clinical Coder To undertake the role of a Clinical Coder to clinical groups or specialties as appropriate, abstracting from patient notes and other information sources and assigning suitable codes onto the Trust's patient administration system in line with National standards. Attend training sessions as necessary and work to maintain allocated reference manuals and standards manuals so that they are always up to date with national guidance. We are recruiting Band 5 ACC-qualified Clinical Coders (with a 10% Recruitment & Retention Premium). Previous applicant need not apply. Please be advised that sponsorship is not eligible for this post. Please note that only the Band 5 role is subject to the R&R Premium (subject to renewal in December 2026). This will be applied upon commencement of the role. This will be included in the salary package from the start of employment. Closing Date: Please be advised that this job advert will close as soon as sufficient applications have been...

Beyond Blue Job Posting Title: PB Coder Associate Requisition Number: R-000002746 Department Name: Supervisor, PB Coding Work Location: Remote-KY Grade Level: 2 Type of Position: Regular Position Time Status: Full time Equivalency Link https://hr.uky.edu/employment/working-uk/equivalencies Shift: Days (United States of America) Job Description: Job Summary Responsible for learning and performing basic professional billing coding functions under close supervision. Applies knowledge of medical terminology, anatomy, and ICD-10, CPT, and HCPCS coding guidelines to assign codes for outpatient and physician services. Ensures accuracy and compliance with organizational policies, payer requirements, and regulatory standards. Develops foundational coding skills through training, mentoring, and supervised practice. Essential Functions • Assigns basic CPT, HCPCS, and ICD-10 to PB service with low-level of complexity. • Maintains consistent achievement of departmental productivity and...

Schedule - Shift - Hours Part Time (20 Less than 36 Hours) - Days The Medical Coder II is responsible for the revenue cycle activities of specific physician practices of Ellis Medical Group (EMG). This includes but is not limited to (1) managing the charge entry and charge reconciliation process for the assigned practice(s), (2) managing the Encounter Billing Exception Worklist (EBEW) and related work lists to ensure complete, timely and accurate submission of claims, (3) facilitating the accuracy and completeness of the practice’s codes and charges in the Service Catalog (Charge Description Master) and related encounter forms, (4) ensuring compliance with CPT/HCPCS and ICD-10 coding guidelines and government regulations, responsible for reviewing and coding from discharge data abstracts; and (5) ensuring the practice(s) is optimizing reimbursement from third party payors by following and utilizing reimbursement guidelines. This position requires interacting with EMG leadership,...

How you move is why we’re here. ® Now more than ever. Get back to what you need and love to do. The possibilities are endless... Now more than ever, our guiding principles are helping us in our search for exceptional talent - candidates who align with our unique workplace culture and who want to maximize the abundant opportunities for growth and success. If this describes you then let’s talk! HSS is consistently among the top-ranked hospitals for orthopedics and rheumatology by U.S. News & World Report. As a recipient of the Magnet Award for Nursing Excellence, HSS was the first hospital in New York City to receive the distinguished designation. Whether you are early in your career or an expert in your field, you will find HSS an innovative, supportive and inclusive environment. Working with colleagues who love what they do and are deeply committed to our Mission, you too can be part of our transformation across the enterprise. Emp Status Contractor Part time Work...

Coding Specialist The Coding Specialist is responsible for the accurate and timely review, abstraction, and assignment of diagnosis and procedure codes for outpatient and/or inpatient medical records. This position ensures compliance with ICD-10-CM, ICD-10-PCS, CPT, HCPCS, and applicable payer guidelines while supporting optimal reimbursement, data integrity, quality reporting, and regulatory requirements. The employee must maintain effective communication and good working relationships with the revenue cycle personnel, other departments, Medical Staff and the public, in conjunction with organization policies. Essential duties and responsibilities include the following. Other duties may be assigned: Review medical records and clinical documentation to assign accurate diagnosis and procedure codes. Abstract pertinent patient, physician, and clinical information into applicable information systems. Apply ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines according to official...

Senior Medical Coder 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. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules within Epic, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. Schedule: Monday to Friday, 8 AM- 5 PM Location: Remote Nationwide You'll enjoy the flexibility to work remotely from anywhere within the U.S. as you take on some tough challenges. Primary...

Now Hiring: Remote IP Facility CCS Coder Location: Remote Office Santa Fe, NM 87501 Compensation Pay Range: Minimum Offer $22.79 Maximum Offer $38.80 Summary: Codes more than one of the following: inpatient and/or outpatient hospital records, ED records, Home Health & Hospice records and/or professional fee services for PMG specialty providers for the purpose of reimbursement, research and in compliance with Federal regulation according to diagnosis, operation and procedure using the ICD-9/10 CM and CPT-4 classification system. Ensures adherence to Hospital and Departmental Policies and Procedures Type of Opportunity: Full time Job Exempt: No Job is based: Remote Workers New Mexico Work Shift: Varied Days and Hours (United States of America) Responsibilities: *Reviews patients entire current medical record, assigning appropriate codes including CPT, ICD and MS-DRG (as defined by UHDDS guidelines and CMS) to be used for financial reimbursement, research in accordance with...

The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This role is available for remote, onsite and hybrid work arrangements. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications...

Position Summary In this role, the successful candidate analyzes medical records, extracts clinical, pathological, therapeutic and epidemiologic data for Inpatient and/or Outpatient records in accordance with established ICD-10-CM/PCS and CPT coding principles and guidelines. Health Information Coders analyze, abstract, and code in order for the hospital to submit a bill for services rendered and various departments and clinics associated with patient care; perform other related duties as required. Medical coding is a critical aspect of HIM. Professionals assign standardized codes to diagnoses and procedures, which are used for billing, insurance claims, and statistical analysis. They use coding systems such as ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology). The selected candidate will work on site in Greenport, NY for all shifts. Job Duties & Essential Functions Abstracts and codes medical information from Inpatient...

Job DescriptionDepartment / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20Professional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.This position is remote but does require onsite education to providers as needed.This position has remote opportunityThis position requires a CPC Certification - Upon HireTwo years or more prior experience in professional fee coding - requiredEssential...

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location (Full Address): Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Worker Subtype: Regular Time Type: Time as Reported / Per Diem Scheduled Weekly Hours: As Scheduled Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.27 - $32.60 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to,...

Job Location (Full Address) 2619 W Henrietta Rd, Rochester, New York, United States of America, 14623 Job Details Opening: Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Compensation Range: $20.34 - $28.51 Responsibilities Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment. Prepares reports for designated leader(s). Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow. Completes system edit reviews to make corrections before transmittal. Ensures work queue and responsibilities are handled within established guidelines and timeframes. Troubleshoots problems that prevent claims from being...