69 professional medical coder jobs found

Vascular Surgery Coder 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 as appropriate 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 recommending the appropriate action to resolve the claim based on payer...

Job Description Job Description Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office,...

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

Job Posting Work Schedule: 100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote. At UW Health in northern Illinois, you will have: Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance Annual wellness reimbursement Opportunity for on-site day care through UW Health Kids Tuition reimbursement for career advancement--ask about our fully funded programs! Abundant career growth opportunities to nurture professional development Strong shared governance structure Commitment to employee voice Qualifications: High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. RequiredGraduate of a Health Information Technology program. Preferred Work Experience: Two years of progressive inpatient facility coding experience....

Job Description Job Description *MUST LIVE IN ILLINOIS OR A STATE SURROUNDING ILLINOIS TO APPLY* The Ambulatory Coding and Reimbursement Specialist is responsible for reviewing, analyzing, and coding ambulatory and/or hospital encounters, diagnostic and procedural information used in the billing of charges for physician's services. Ensures compliance with established coding procedures, regulatory guidelines and reimbursement policies. Reviews medical record documentation for E/M encounters from multiple specialty departments for proper assignment of ICD-10, CPT, HCPCS and modifiers. Performs initial charge review to determine appropriate CPT and ICD-10 codes to be used in reporting physician services to third party payers. Essential Duties and Responsibilities: Analyzes provider documentation to assure the appropriate Evaluation & Management levels are assigned using the correct CPT and current Evaluation and Management Guidelines Interprets outpatient office visit...

Job Description Job Description Description: Remote position. HIM Inpatient Coder - Strong academic, trauma and/or research university coding experience. Principal Duties and Responsibilities: • Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail • Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail • Completes UHDDS data abstraction as required • Maintains a log of work performed • Completes other assigned duties as directed by management Knowledge, Skills, and Abilities: • Knowledge: RHIA, RHIT, and/or CCS Certification • Minimum 3 years' experience Inpatient medical record coding • Knowledge of medical terminology and anatomy and physiology required • Windows applications, Outlook, WebEx and other apps as needed to perform role Abilities: • Ability to concentrate on task at hand in open distracting environment independent manner;...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Job Description 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...

Pro Fee Coder, Surgical Hourly Pay Range: $26.61 - $39.92 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors. Position: Pro Fee Coder, Surgical Location: Hybrid (Skokie, IL and remote) Position Type: Full-time Hours: Monday-Friday, standard 8.5 hour workday, must be flexible to accommodate early am or pm physician meetings as needed. Travel: Flexible WFH arrangement, however this is not a fully remote position. Candidate must be able to occasionally travel between NS locations. What You Will Do: Provide virtual and in-person coding and documentation education to physicians, advance practice providers, practice managers, and revenue cycle coders. Perform billing provider audits to identify missed revenue and/or compliance risk. Analyze progress notes, op reports, pathology reports, explanation of benefits, patient insurance information, and various other health information documents for coding and billing...

Job Posting 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. Remote Work - New York, Albany, New York, United States of America, 12224 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 105 H Compensation Range: $19.96 - $27.94 Responsibilities General Purpose: 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). Essential Functions: Uses knowledge of...

Coding Specialist Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited to, medical, surgical behavioral health, IP Rehabilitation and others. Position Responsibilities Key Areas of Responsibility Coding Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses...

Job Posting Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM) Pay Range: $29.36 - $47.79 per hour Summary: Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures. Other Information: Knowledge, Skills, and Abilities: High School (GED) required RHIA, RHIT, and/or CCS Certification required Minimum 3 years experience in medical record coding required Knowledge of medical terminology and anatomy and physiology required Windows applications, Outlook, WebEx and other apps as needed to perform role Cooperates well with others Competent attention to detail and accuracy Proficient with...

Contract Position: Automation Support This is a 6-9 month set contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support - prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Responsibilities: Assigns procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborate with Clinical Auditors to...

Contract Position: Automation Support This is a 6-9 month contract need to support automation within the business office. Contract needs may extend longer. 100% remote role; must sit in driving distance to a facility for equipment support - prefer candidates that sit in Iowa, Illinois, and Wisconsin. Open to candidates that sit in the Midwest. Responsibilities include: Assigning procedural codes according to coding conventions defined by the American Medical Association's CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable. Assigning diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting. Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations. Researching and resolving coding related issues accordingly per established EPIC Charge Review Work Queue functionality. Collaborating with Clinical...

Physician-Based Coder Certified Join Loyola Strong. Be part of something greater. Loyola Medicine, part of Trinity Health, is a nationally recognized academic health system in Chicago's western suburbs. We are seeking a Certified Physician-Based Coder to join our team and support accurate coding and compliance across multi-specialty services. What you'll do: Review and accurately code procedures and surgeries from physician documentation. Assign CPT, HCPCS, ICD-10 codes, and modifiers to ensure proper billing and reimbursement. Confirm documentation supports codes assigned and query providers when clarification is needed. Apply coding regulations and payer guidelines to reduce audit risk and support compliance. Work with revenue cycle teams to ensure timely, consistent billing. What you'll need: Associate degree or equivalent education/experience Graduate of an accredited medical coding program 12 years of relevant coding experience One of the following...

Full-Time Medical Coder Innovative Ventures (affiliated with Metro Infectious Disease Consultants) is seeking a Full-Time Medical Coder who would be responsible for abstracting clinical information from a variety of medical documents and assigning appropriate ICD 10 C and/or CPT codes for the purpose of billing, using the International Classification of Disease and the Current Procedural Terminology. This role would be located in-person (M-F) at the corporate location in Burr Ridge, IL. Specific Duties (examples): Review paper and electronic documents to abstract diagnosis and identify specific coding. Detects billing compliance issues and addresses appropriately. Clarify information or diagnosis by communicating with health care providers. Consult with and educate physicians on coding practices and conventions in order to provide detailed coding information. Communicate with nursing for needed documentation for accurate coding. Code physician office, hospital inpatient...

Medical Coder Quality Specialist Under general supervision, this position is responsible for conducting audits of coding records, educating the inpatient and outpatient coding staff on current trends and developments in the field of coding. Developing and implementing ongoing training for all of the coding staff. Maintaining regular contact with a variety of Hospital personnel in order to facilitate exchange of patient-related information. What you will do: Performs ongoing internal audits of the quality and quantity of the inpatient and outpatient coding reimbursement staff in a consistent, confidential and professional manner. Communicates results to individual staff and Supervisor, Coding. Monitors coding on a regular basis to ensure quality and to determine additional training needs of staff. Cross trains coding reimbursement staff in inpatient and outpatient coding. Trains new hires and existing staff as required. Plans educational activities of staff to ensure...

Medical Coder II - Surgery Days This position has a deep understanding of disease process, A&P, and pharmacology and acts as a key collaborator with Providers and Clinical areas to ensure the medical record accurately reflects the patient's service. Position Highlights: Position: Medical Coder II Location: Elmhurst Hospital Full Time/Part Time: Full Time Hours: Monday-Friday, day shift What you will do: Assigns diagnostic and procedure codes for compliant physician reimbursement and for both evaluation/management, preventive (HCC risk adjustment) and surgical services under general supervision. Communicates daily regularly with physicians and staff to resolve discrepancies with patient records and coding selections. Performs provider audits on E/M services and HCC review on Medicare/Medicare Advantage preventive services and educates providers as needed. Trains physicians and other staff regarding documentation, billing, and coding, and documentation. What you...

DRG Coding Auditor Principal This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group (DRG) methodology, including case rate and per diem, generating highly complex audit findings recoverable claims for the benefit of the Company, for all lines of business, and its clients. Specializes in review of DRG coding via medical record and attending...

Outpatient Medical Coder 3 Department: Health System Shared Services | Revenue Management Scope of Position: Coding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System. ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients treated within the OSU Health System that are not captured through the charge description master. Medical record abstract data is assigned based on information reviewed for accuracy in IHIS during the coding process. Position Summary: The position is responsible for coding medical records and other documents at the conclusion of the patient's visit. A senior medical records coding specialist requires the skill set to code multiple work types for inpatient and outpatient services (outlined below). This requires selection of appropriate...

Overview Huron helps its clients drive growth, enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives, enabling organizations to own the future, instead of being disrupted by it. Together, we empower clients to create sustainable growth, optimize internal processes and deliver better consumer outcomes. Health systems, hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships, clinical services and technology is not enough to create meaningful and substantive change. To succeed long‑term, healthcare organizations must empower leaders, clinicians, employees, affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients. Joining the Huron team means you'll help our clients evolve and adapt to the rapidly changing...

A leading healthcare organization in Chicago is searching for a Coder to assemble, analyze, and code medical records. The ideal candidate will have a minimum of a high school diploma and preferably an Associates in Medical Coding. Responsibilities include data entry into the departmental system and ensuring compliance with confidentiality regulations. This position offers competitive compensation and excellent benefits, including medical and paid time off, all in a supportive and therapeutic environment. #J-18808-Ljbffr

Job Description Job Description Company Overview: Modern Pain Consultants is a renowned Interventional Pain Practice committed to providing exceptional patient care and innovative pain management solutions. We are a well-established, higher volume Interventional Pain Practice seeking a seasoned, talented full-time coder with a can-do attitude and strong professionalism. You must be computer savvy for this position. We are EMR based, using EMA; Experience with EMA is very beneficial, but not required. Looking for candidates who want a long-term, stable position with opportunity for advancement. Description: The Medical Coder reflects the mission, vision, and values of our practice, adheres to the organization's Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards. The Medical Coder performs Current Procedural Terminology (CPT) and International Classification of...

JOB SUMMARY Under the general supervision, but according to established procedures, codes and abstracts patients records in order to meet billing and data collection needs of the hospital. Works closely with hospital staff with regards to coding and assignment of a DRG/APC. JOB QUALIFICATIONS High School Diploma required. Graduate of an approved Health Information Technology/Management program, Coding Certificate Program, or AHIMA Independent Study. Credentials of RHIA, RHIA eligible, RHIT, RHIT eligible, CCS, CSS-P, CPC, or CPC-H. Must be able to demonstrate proficient coding inpatient/outpatient ability. Analytical ability necessary to interpret data contained in records and to assign appropriate codes. Good knowledge of medical terminology, anatomy, and the organization of medical records. The visual acuity necessary to read and decipher handwriting. Good communication skills. 3 or more years inpatient, outpatient, or physician coding experience. Extensive knowledge of...