31 specialty coder jobs found

SUPERVISION RECEIVED: Billing and Coding Supervisor EDUCATION/EXPERIENCE High school diploma. Minimum of two years of experience with medical office billing procedures. Billing Certification preferred. KNOWLEDGE Knowledge and understanding of Physician E&M billing and coding required. Certified Coder preferred. Knowledge of clinic policies and procedures. Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding. Knowledge of computer systems, programs, data entry, and spreadsheet applications. Knowledge of medical terminology and analyzing information. Knowledge of collection practices. Knowledge of governmental, legal, and regulatory provisions related to collection activity. ESSENTIAL FUNCTIONS Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims. Resolves discrepancies by examining and evaluating data and selecting corrective steps. Maintains work operations...

Job TitleSUPERVISION RECEIVED: Billing and Coding SupervisorEDUCATION/EXPERIENCE: • High school diploma. • Minimum of two years of experience with medical office billing procedures. • Billing Certification preferred.KNOWLEDGE:Knowledge and understanding of Physician E&M billing and coding required.Certified Coder preferred.Knowledge of clinic policies and procedures.Knowledge of 3rd party payers, Medicare, Medicaid Billing/Collections, HCPC, CPT, and ICD-9 coding.Knowledge of computer systems, programs, data entry, and spreadsheet applications.Knowledge of medical terminology and analyzing information.Knowledge of collection practices.Knowledge of governmental, legal, and regulatory provisions related to collection activity.ESSENTIAL FUNCTIONS: • Resolves disputed claims by gathering, verifying, providing additional information, and following-up on claims. • Resolves discrepancies by examining and evaluating data and selecting corrective steps. • Maintains work operations by...

Coding Specialist, Centralized Coding, Inpatient Coder Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the region's top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes "Best Employer" seven times. Position Summary: This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting,...

Job Opportunity At Vitruvian Health At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the regionincluding Hamilton Medical Center and Bradley Medical Centeryou'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our core valuesProfessionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Join us and build a meaningful career where you're valued,...

Remote Op Coder Under indirect supervision, is responsible for accurate OP (SDS, ER, Ancillary and OBSV) coding, 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) as well as other specialty systems as required by diagnostic category and facility Reimbursement guidelines. All work is carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-10-CM, Centers for Medicare and Medicaid Services (CMS), and Individual State Health Planning and Development and organizational/institutional coding guidelines. Responsibilities and duties include and are not limited to: Maintains a working knowledge of ICD-10-CM, CPT coding principles, governmental regulations, official coding guidelines, and third-party requirements regarding documentation and billing. When...

Who We Are At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well-being of every team member. Our Legacy Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region-including Hamilton Medical Center and Bradley Medical Center-you'll have the opportunity to be part of something bigger: a connected, mission-driven team making a difference every day. Our Values Our core values- Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE) -guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. Your Career With Us Join us and build a...

Become a part of our caring community The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical Coding Auditor work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Use your skills to make an impact Additional Job Description WORK STYLE: Remote, work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. WORK HOURS:...

OverviewCoding Analyst, Centralized Coding OutpatientFull Time, 80 Hours Per Pay Period, Day ShiftCovenant Health Overview:Covenant Health is the region’s top-performing healthcare network with 10 hospitals, outpatient and specialty services, and Covenant Medical Group, our area’s fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area’s largest employer. Our more than 11,000 employees, volunteers, and 1,500 affiliated physicians are dedicated to improving the quality of life for the more than two million patients and families we serve every year. Covenant Health is the only healthcare system in East Tennessee to be named a Forbes “Best Employer” seven times. Position Summary: Analyzes the medical records to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT codes. Confirms appropriate DRG assignment. Communicates with physicians for...

Job Details Job Location: Midtown Plaza (PLZ) - Nashville, TN 37203. Position Type: Full Time. Job Shift: Day. Job Category: Finance. Summary The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. Essential Duties and Responsibilities Captures and reviews daily charges from the Electronic Health Record’s Charge Passing System to ensure standard coding and billing guidelines are followed correctly. Utilizes CPT, ICD-10CM, and HCPCS coding as well as correct Modifier usage during daily reviews of Primary Care services. Other specialties may be added based on performance level. Communicates effectively and respectfully, both in verbal and written form, with providers or clinical staff to obtain missing or incomplete information. Audits the imported encounters against the daily appointment schedule to ensure all encounters have...

Fully Remote Lake Park Building Full time R180631 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

HCA Healthcare, through Parallon, seeks a Home Health Coder II to review and code clinical notes for home health and hospice. You will document coding recommendations, resolve denials with the A/R team, and contribute to ensuring accurate OASIS submissions in CMS workflows. The role requires coding certification and at least two years of professional fee coding experience, with preference for Home Health/Hospice specialty coding and knowledge of medical terminology. #J-18808-Ljbffr

Coder Analyst Specialist Full Time, 80 Hours Per Pay Period, Day Shift Covenant Medical Group Overview: Covenant Medical Groupis the employed and managed medical practice organization of Covenant Health, providing comprehensive care across East Tennessee. With more than 300 physicians and advanced practice providers in 20 communities, our team deliversexpertiseacross a broad spectrum of specialtiesfrom primary careand walk-in clinics topreventive medicineandadvanced surgical andsubspecialty services.We are committed to offering coordinated, patient-centered care that spans the continuum of health needs, ensuring access to exceptional providers close to home. Position Summary: Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes. Abstracts and codes procedures in conjunction with the provider to code services rendered with correct coding initiatives. Abstracts and enters data from the...

Medical Billing Specialist/Coder, Business Office, Downtown Nashville Midtown Plaza (PLZ) - Nashville, TN 37203 Overview Position Type Full Time Job Shift Day Category Finance Description SUMMARY: The Charge Entry Specialist captures and reviews all billing codes prior to electronic claims filing, for accuracy and adherence to payer specific coding guidelines, for a multi-specialty physician group practice. ESSENTIAL DUTIES AND RESPONSIBILITIES: Reviews daily charges from the electronic health record to ensure coding and billing guidelines are followed Utilizes CPT, ICD-10CM, and HCPCS coding and modifier usage during daily reviews Utilizes various coding and billing references to resolve complex billing scenarios Ensures progress notes are coded accurately and to the highest level of specificity Maintains strong knowledge of payer billing guidelines and policies Researches front-end claim rejections and works cooperatively with appropriate staff to...

Job Summary As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties. Coordinates and reconciles multiple schedules to ensure complete charge capture. Charge entry of codes into billing system in a timely manner. Work in conjunction with A/R team on follow up and resolution of coding related denials and rejections, including recommendation of new/updated coding edits....

Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Job Summary and Qualifications As a Profee Coder, you will be responsible for reviewing and coding clinical notes and operative reports for a minimum of one specialty. You will provide feedback and documentation advice to the physician, practice management, and other coders. You will also work with the denials team to resolve coding-related denials. You will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. What you will do in this role: Reviews and codes clinical notes and operative reports for assigned specialty/specialties....

HCA Healthcare is seeking a Profee Coder to review and code clinical notes and operative reports for at least one specialty. You will provide feedback to physicians and other coders, and collaborate with the denials team to resolve coding-related issues. You will promote the Central Coding function, stay current with coding guidelines and federal regulations, and support the Revenue Cycle Management team across Parallon. Equal opportunity employer. #J-18808-Ljbffr

Inspire health.Serve with compassion.Be the difference.Job SummaryResponsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office / clinic settings.Adheres to all coding and compliance guidelines.Maintains knowledge of coding / billing updates and payer specific coding guidelines.Serves as a subject matter expert for assigned specialty.Essential FunctionsAll team members are expected to be knowledgeable and compliant with Prisma Health's values :Inspire health.Serve with compassion.Be the difference.Abstracts / codes for assigned provider(s) / division(s) based on medical record documentation.Adheres to all coding and compliance guidelines.Utilizes appropriate coding software and coding resources in order to determine correct codes.Communicates billing related issues to assigned supervisor / manager and participates in meetings in order to improve overall billing, when applicable.Follows departmental policies for charge...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Ranked one of Tennessee’s top places to work, MHC is a rare and special place where outstanding company culture is intentional. Where clients and associates are treated the same, as equals. Mental Health Cooperative, Inc. (MHC) was formed in 1993 to serve individuals with severe and persistent mental illness. Since then, we have expanded our services to children and adolescents with severe emotional disorders across Middle and East Tennessee. Our sole purpose is to support and treat those challenged with serious mental illness and poverty. Although based out of Nashville, we serve several communities across middle and East Tennessee with satellite offices in Antioch, Gallatin, Dickson, Columbia, Cleveland, Murfreesboro, Clarksville, Cookeville, Chattanooga, and Memphis. If you are interested in joining a team that is caring, collaborative, innovative and energizing this might be a great place for you! Job Title: Compliance Auditor Department: Compliance Reports To: Director of...

Quorum Corporate Office 1573 Mallory Ln Suite 100 Brentwood, TN 37027, USA Position Details: Full-Time Remote Reports to Coding Operations Manager You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education. Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services. The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant...

This position is responsible for coding and abstracting of medical records for Professional Services, as well as working with Providers to clarify or improve areas which affect coding. May also complete special projects related to coding, documentation, and chart auditing. High School Diploma required Certified Professional Coder (CPC), Certified Coding Specialist-Physician Based (CCS-P), other acceptable coding certification. Strong knowledge base of CPT, HCPCS, ICD-10, and coding guidelines. Minimum of 2 years of experience in medical billing/coding with experience in appropriate coding and billing practices for Professional Services. Previous coding for multiple specialties preferred. Demonstrates excellent understanding of ICD10-CM, HCPCS, and CPT-4 coding functions, billing requirements and coding compliance. Knowledge of medical terminology, general office procedures, proficient keyboard and computer skills, knowledge of general office equipment and procedures.

Cookeville Regional Medical Center is seeking a skilled medical coder to perform coding and abstracting for Professional Services, ensuring accurate CPT, HCPCS, and ICD-10 coding in line with guidelines. You will work with Providers to clarify documentation, improve coding accuracy, and may take on special projects related to coding, documentation, and chart audits. Requires 2+ years of coding experience and CPC/CCS-P certification. #J-18808-Ljbffr

This is a remote based position. Applicants can be located nationwide Back Medical Billing Specialist II #2878 United States Apply X Facebook LinkedIn Email Copy Position Description About You You are someone who has a strong understanding of medical billing processes, payer guidelines, and attention to detail. We need someone who can ensure proper claim details, billing compliance, and timely claims resolution to support the organization's financial goals. In the role of Medical Billing Specialist II, you will be responsible for accurately preparing and submitting medical claims to appropriate payers. Tell us about your experience with Medical Billing or in Revenue Cycle Operations. Are you a team player and a self-motivator? What is your experience with conducting business in a way that is credit to a company? We are counting on you to manage multiple projects using your problem-solving skills. We are looking for someone UNCOMMON. What is uncommon about you?...

At Houston Methodist, the Inpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Associate’s degree or higher in a CAHIIM accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree EXPERIENCE One year of relevant inpatient coding experience or successful completion of the Houston Methodist Coding Apprentice Program or Outpatient to Inpatient Coder Transition Program LICENSES AND CERTIFICATIONS Required Must have one of the following: • RHIT - Certified Health Information Technician (AHIMA) • RHIA - Registered Health Information Administrator (AHIMA) • CCS - Certified Coding Specialist (AHIMA)...