78 jobs found

At St. Tammany Health System, delivering world‑class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. Scheduled Weekly Hours: 40 WORK SHIFT: Monday‑Friday 8am‑5pm JOB SUMMARY The Hospital Coder III reviews and accurately codes and abstracts the most complex hospital services such as same‑day surgeries, in‑patient procedures, overnight/multi‑night stay services, Cath Lab, Interventional Radiology and all other complex medical services. The Hospital Coder III utilizes appropriate coding guidelines to assign ICD and CPT codes. Must understand and conform to applicable Medicare, Medicaid and other third‑party payor guidelines to ensure receipt of accurate reimbursement. Work in collaboration with the Clinical Documentation Improvement team to ensure accurate DRG assignment. Work closely with management to resolve problems and meet deadlines. MINIMUM QUALIFICATIONS High...

A leading health system in Covington seeks a Hospital Coder III to accurately code complex hospital services while ensuring adherence to coding guidelines. The role requires a high school diploma and either a Certified Coding Specialist credential or significant coding experience. Candidates should possess strong analytical and communication skills. Join a committed team dedicated to delivering world-class healthcare close to home in a full-time capacity. #J-18808-Ljbffr

A prominent medical waste management company in Covington, Louisiana, is seeking a Floor Leader to oversee warehouse and transfer station operations. The ideal candidate will manage a team, ensuring safety and productivity while handling medical waste. Candidates should have prior warehouse experience, strong leadership skills, and the ability to lift heavy weights. This full-time position offers comprehensive benefits, including health coverage and 401(k). #J-18808-Ljbffr

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

This job works as a consulting team member on client or internal assignments. Handles escalated coding related projects, new services, regulatory updates and overall coding quality. Provides coding education to various groups such as coders, billers, nurses, physicians, etc. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion. Education Required - High school diploma or equivalent. Preferred - Bachelor's degree in information technology (IT),...

Coder II Professional It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: Come join us as a remote Coder II Professional at SSM Health! You will play a crucial role in accurately coding and abstracting medical records for billing and reimbursement purposes. You will be responsible for reviewing patient information, assigning appropriate codes, and ensuring compliance with coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Department: Coding Patient Population or Ratio: N/A Schedule: Full Time, Day Shift Starting Pay: $26.01 (Offers are based on years of experience and internal equity for this role) $1,000 sign on bonus available (Check with recruiter for eligibility) Shift Differentials: Available for night, weekend, and additional shifts Location: Remote Job Summary: Primarily focuses on coding of high complexity, such...

Clinic Coder 3 The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical providers.

Baylor Scott & White Health Job Posting 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. 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: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate...

Medical Coding Auditor Become a part of our caring community and help us put health first. The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Job Description Position Purpose: This position is responsible for ongoing risk adjustment improvement activities. Under general supervision, this position includes ongoing quality improvement activities to ensure the organization's Risk Adjustment programs are implemented and meet all government requirements. Nature and Scope: This role does not manage people.

Virtua Health Coding Specialist Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other...

Job Description The Clinic Coder 1 abstracts clinical information from a variety of medical records, charts, and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. May work with coding databases and confirms DRG assignments. This position relies on established guidelines to accomplish tasks and works under close supervision.

Specialty Scope For This Coder II Position Specialty scope for this coder II position to include but not limited to: Upper Extremity: Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair Elbows: Cubital tunnel release, Bursectomy, Arthroplasty Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, Dupuytren's (Palmar fascial fibromatosis), Amputations Lower Extremity: Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy Pelvis: Fracture repairs Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy...

Allegheny Health Network Job Posting General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities: Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work (5%) Performs other duties as...

Job Description To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations.

Hcc (Hierarchical Condition Category) Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code...

WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission. At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance. Essential Job Duties: Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate...

Our vision aims to empower our clients by actively leveraging our broad range of services. With our global presence, we have career opportunities all across the world which can lead to a unique, exciting and fulfilling career path. Pick your path today! To see what career opportunities we have available, explore below to find your next career! Please be aware of employment scams where hackers pose as legitimate companies and recruiters to obtain personal information from job seekers. Please be vigilant and verify the authenticity of any job offers or communications. We will never request sensitive information such as Social Security numbers or bank details during the initial stages of the recruitment process. If you suspect fraudulent activity, contact us directly through our official channels. Stay safe and protect your personal information. ***This position is contingent upon contract award and will be located onsite in either the southeast, southwest, or central United States....

Become a part of our caring community and help us put health first The Inpatient 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 Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the...

A leading health service company seeks a Nurse Auditor 2 to perform clinical audits and ensure accuracy in medical record documentation. This remote role requires a Registered Nurse license and at least 2 years of inpatient hospital experience. Candidates should possess strong knowledge of medical diagnoses and exceptional skills in writing and communication. The role offers a competitive salary range of $78,400 - $107,800 annually, along with comprehensive benefits to support overall well-being. #J-18808-Ljbffr

About Us MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work. Position Location: 100% Remote This is a full-time, remote position that offers a flexible schedule. Description: Physician Coder: Multi-Specialty/RHC is responsible for reviewing and accurately coding all professional services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and...

Coder Lead The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday General Duties Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs. Codes complex outpatient or inpatient utilizing encoder software, Computers Assisted Coding (CAC), and reference, in the assignment of ICD-10-CM/PCS, CPT/HCPCS codes, MS-DRG, APR-DRG, POA, SOI, ROM assignments, APC assignment and all required modifiers....

Advanced Outpatient Coder Our Coding team is seeking an advanced Outpatient Coder to join their team! Shifts: Full Time Hours are flexible - Monday-Friday. This is a remote position. Review clinical documentation as appropriate to extract data and assign appropriate ICD10, CPT, and HCPCS codes for billing, internal and external reporting, research, and regulatory compliance. Appropriately assign codes for diagnoses and procedures as determined by the clinical documentation. Ability to determine first listed diagnosis, secondary diagnoses, and surgical procedures. Analyze documentation and abstract pertinent data. Must maintain minimum quality and productivity standards. RHIT, RHIA, CCS, or CPC required with minimum 5 years of exp. Join the Kansas City region's premiere provider of health services. Equal Opportunity Employer.