35 program manager certified coder jobs found

HIM Coder - Professional Job Category: Business Office Requisition Number: HIMCO003043 Full-Time, Remote Portsmouth, OH 45662, USA Description Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk), Remote General Summary: Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/Schedule: Full Time (40 hrs/wk), Remote GENERAL SUMMARY Works under the supervision of the Health Information Reimbursement Manager. The primary job function of the HIM Coder Level I are to assign correct, ICD-10 and CPT codes to established diagnoses and procedures to outpatient (emergency room, same-day surgery, interventional radiology, observation and/or Urgent Care Center) and/or limited inpatient records. In some instances, may audit OP and /or IP records for charging accuracy. May be asked to add or delete charges for optimal reimbursement as well as compliance following coding and governmental guidelines. The level one coder has mastered a maximum of 2 work types. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process." Department: Health Information Management Shift/schedule: Full Time (40 hrs/wk), Remote GENERAL SUMMARY Works under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as assigned....

Job Description Must live in one of the approved states: Florida, Alabama, Georgia The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and...

Department: 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status: Full time Benefits Eligible: Yes Hou rs Per Week: 40 Schedule Details/Additional Information: Monday-Friday, Remote, Flexible Hours Remote position and can work remotely out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IN, IL, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY. Pay Range $30.15 - $45.25 EDUCATION/EXPERIENCE Minimum of five years' of coding experience in an academic medical center or an equivalent combination of coding experience and education with demonstrated competency of knowledge base. Coding QA background or similar experience preferred. Satisfactory completion of college level courses in anatomy, physiology and medical terminology preferred. EPIC health information system experience preferred. LICENSURE,...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or...

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Responsible for educating and training WVU Healthcare Coding Staff as directed by Coding Managers. Will also oversee or perform the overall auditing and education plans for the Coding staff. Responsible for the overall auditing and education plans for the Coding staff. This position will perform coding quality audits, provide ongoing feedback and education. This position utilizes various coding classifications; ICD-10-CM, ICD-10-PCS, CPT, and other references and software to ensure accurate coding and MS-DRG, HCC and APR-DRG assignment. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of a Health Information Technology (HIT) or equivalent program AND Five (5) years of...

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...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching...

Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity...

Description Third Street is a patient-centered medical home driving change in the community. We adapt to the needs of those we serve while building services to fill gaps in care to invest in a healthier future for all. At Third Street, we provide high-quality care through the continual learning of our employees and by building a diverse team. We value our employees, communicate our expectations, and train our team on best practices. What We're Looking For Are you a proactive problem-solver who takes pride in delivering meaningful work that makes a lasting impact? We're looking for a driven and detail-oriented professional to join our team as a Billing Coder – FQHC / PPS Specialist. In this role, you'll play a vital part in ensuring financial stability, compliance, and continued mission impact, helping us move forward with purpose and precision. The ideal candidate values continuous learning, leads with a welcoming spirit, takes ownership of their work, and is passionate about...

Description Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding. Serves as a Risk Adjustment documentation subject matter expert; delivers...

Job Title This position represents the City of Cincinnati to customers and deals with patients, billing, and coding. Job Description This experienced employee is responsible for processing, generating, and maintaining medical/dental billing; verifying patient information and demographics. The role also involves maintaining and obtaining required paperwork for processing medical/dental claims from health center services. The employee interacts with customers in person, by telephone, by email, or in writing while maintaining a high level of customer satisfaction. The employee performs more complex customer service tasks, including determining proper course of action for billing activities, authoring correspondence, researching and analyzing complex customer issues, and assisting supervisor with customer calls and issues referred for supervisor intervention. The employee may be assigned special projects and investigations. Performs related duties as required. Minimum...

Pay range is $25-32 The Medical Coder is responsible for assigning ICD-10 and/or CPT/HCPCS codes as appropriate, and abstracts pertinent information from patient records. Must have 2 years of recent production coding experience, and a cert through AAPC or AHIMA Must have facility OP experience including OPS, OBS, IVR, Ancillary, and ED Essential Duties and Responsibilities: Assigns ICD-10 and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from patient records Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and Official Coding Guidelines Implements medical center’s physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes Keeps abreast of coding guidelines and reimbursement reporting requirements Brings identified concerns to the Professional Recruiter who will direct as needed Abides by the Standards...

The Outpatient Surgery/IVR Medical Coder is responsible for assigning ICD-10-CM and/or CPT/HCPCS codes as appropriate and abstracts pertinent information from patient records. Essential Duties and Responsibilities: Assigns ICD-10-CM and/or CPT/HCPCS codes, as appropriate and abstracts pertinent information from OPS/OBS patient records Ensures optimal reimbursement of all cases in compliance with CMS policies and procedures and official coding guidelines Implements medical center’s physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes Keeps abreast of coding guidelines and reimbursement reporting requirements Brings identified concerns to the Professional Recruiter who will direct as needed Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association Adheres to Official Coding guidelines, CMS policies and regulations...

This experienced employee represents the City of Cincinnati to customers and (deals with patients, billikng and coding. The individual is responsible for processing, generating, maintaining medical/dental billing; verifying patient information and demographics. In addition this role is charged with the important tasks of maintaining and obtaining required paperwork for processing medical/dental claims from health center services. Employee interacts with customers in person, by telephone, by e-mail, or in writing while maintaining a high level of customer satisfaction. Employee performs more complex customer service tasks, including determining proper course of action for billing activities, authoring correspondence, researching and analyzing complex customer issues, and assisting supervisor with customer calls and issues referred for supervisor intervention. Employee may be assigned special projects and investigations. Performs related duties as required.(Illustrative only. Any one...

Description Note: While this role is currently remote, we are prioritizing candidates within commuting distance of our Rossford, Dublin, or Brooklyn offices to accommodate a potential future shift to a hybrid schedule. Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.2 million members through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Job Summary: Supervises staff, operations, and activities of the Risk Adjustment Retrieval and Coding Quality Department. Acts as a primary liaison between provider groups, medical coding, and chart retrieval teams to communicate appropriate documentation for Risk Adjustment coding. Serves as a Risk Adjustment documentation subject matter expert; delivers...

Join Our Team at Avita Health System - Crestline, Ohio Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We're currently seeking a dedicated Certified Coder to join our Medical Records Department at our Crestline location . Position Overview Accountable for the conversion of diagnoses and treatment procedures into codes using the International Classification of Diseases. Requires skill in the sequencing of diagnoses and procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Ability to work remotely if quality and productivity standards are maintained. Holds appropriate AHIMA certification. Reports...

Join Our Team at Avita Health System Avita Health System is proud to serve the communities of Crawford and Richland counties through three hospitals and numerous clinic locations. Over the past few years, we've tripled in size, now employing over 2,300 team members and more than 200 physicians and advanced practitioners. Our mission is to deliver high-quality, compassionate care to the people who depend on us. We're currently seeking a dedicated Certified Coder to join our Medical Records Department at our Crestline l ocation. Position Overview Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses and procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Holds appropriate AHIMA certification. Reports to Coding Manager. Qualifications Required: High school graduate or equivalent. RHIT or...

Job Summary The Coder is responsible to review, abstract and assign appropriate CPT/HCPC and ICD 10 codes to all BMS clinic visits as well as services provided by BMS providers in the hospital setting. The Coder is also responsible to assist the Revenue Cycle team. Under the direction of the System Director of Revenue Cycle, the Coder collaborates with the Providers, BMS Practice Managers, and COO to ensure timely and compliant billing for services provided. Job Requirements Minimum Education Requirement Training/certification from an accredited coding/billing program. Must be certified upon hire, or successfully complete certification exam within 3 months of hire. Minimum Experience Requirement Three years' experience in medical office billing preferred. Working knowledge of computers, billing and basic office software, especially Excel. Ability to communicate with all levels of staff. Analytical ability to detect trends in reimbursement/collections and to...

SENIOR CUSTOMER RELATIONS REPRESENTATIVE (MEDICAL/DENTAL BILLING CODER) Print (https://www.governmentjobs.com/careers/cincinnati/jobs/newprint/5255314) Apply  SENIOR CUSTOMER RELATIONS REPRESENTATIVE (MEDICAL/DENTAL BILLING CODER) Salary $58,016.19 - $62,944.72 Annually Location Ohio 45202, OH Job Type Full-time Classified Job Number 26-02660 Department Health Opening Date 03/02/2026 Closing Date 3/16/2026 11:59 PM Eastern Description Benefits Questions General Statement of Duties This experienced employee represents the City of Cincinnati to customers and (deals with patients, billikng and coding. The individual is responsible for processing, generating, maintaining medical/dental billing; verifying patient information and demographics. In addition this role is charged with the important tasks of maintaining and obtaining required paperwork for processing medical/dental claims from health center services. Employee...

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Primary Function/General Purpose of Position Under the guidance of the Director, Compliance this position contributes to the Bon Secours Mercy Health mission and vision by serving as a senior auditor of provider revenue cycle compliance. This position provides compliance program-related audit activities relative to Bon Secours Mercy Health operations conducted at local and remote locations and supports provider compliance education and Leadership requests. Conducts specialized compliance investigative audits for Leadership and as part of due diligence to ensure the accuracy and completeness of provider documentation and coding that results in appropriate reimbursement and data integrity and validation of coded information. Essential Job Functions...

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 healthcare...

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. Position Purpose: Responsible for developing and conducting a variety of training programs and auditing tools for the Payment Integrity department. ***The Coder Trainer I is fully remote. Candidates will be considered nationally.*** Responsibilities: Conduct training needs analyses to determine specific training needs for Paymemt Integrity department staff Identify, select, and develop appropriate training programs, including the selection or design of appropriate training aids Evaluate effectiveness of training programs, including cost and benefit analyses Research, analyze and recommend external training programs Maintain records of training activities and employee...