32 jobs found

Inpatient 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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal...

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and...

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 access to...

Job Opportunity: Inpatient 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. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our...

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...

Coder II Position Specialty scope for this coder II position includes but is 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 Tibia/Fibula:...

Associate Director, Us Medical Review Join us as we transform immunology and deliver medicines that help autoimmune patients get their lives back. Argenx is preparing for multi-dimensional expansion to reach more patients through a rich pipeline of differentiated assets, led by VYVGART, our first-in-class neonatal Fc receptor blocker approved for the treatment of gMG, and with the potential to treat patients across dozens of severe autoimmune diseases. We are building a new kind of biotech company, one that maintains its roots as a science-based start-up and pushes our commitment to innovate across all corners of our business. We strive to inspire and grow our company, our partnerships, our science, and our people, because when we do, we deliver more for patients. The associate director, us medical review will be responsible for overseeing the medical review of promotional materials and leading a dedicated indication sub-team within the us medical review community. This...

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.

Contract Inpatient Facility Coder This is a remote role. We are seeking a highly motivated and dedicated coding professional to join our team as a contract inpatient facility coder. The ideal candidate must have at least 5 years of coding experience with facility inpatient services. The position requires one to be resourceful, organized, independent, and extremely driven. The ideal candidate will possess the following: Minimum 5 years of coding experience Extensive coding in all aspects of inpatient coding High level of proficiency in anatomy, physiology, disease process, and pharmacology Excellent written and verbal communication skills Detail oriented and deadline driven attitude Sound knowledge of medical terminology Strong computer skills (Excel, Word, and internet) Ability to think critically Ability to multitask and keep a sense of urgency Excellent customer service skills Strong time management, organization skills, and work ethic Job Duties: Accurately...

Emerus Coding Specialist The purpose of this position is to review medical records documentation to select and sequence the appropriate ICD-10-CM diagnosis codes, verify the correct CPT-4/HCPCS procedure codes are attached and to capture charges for laboratory, radiology, supplies and medical procedures within the following types of records: Emergency Facilities, Inpatient, Observation and Ancillary services. Essential job functions include: Review clinical documentation and diagnostic results to extract data and apply appropriate ICD-10-CM and CPT-4 to include IV infusion and injection codes Review clinical documentation and diagnostic results to extract data and apply HCPCS and facility level Evaluation & Management codes for billing Abstract and code diagnoses and procedures from health records by using appropriate classification systems Other job functions include: Attend staff meetings or other company sponsored or mandated meetings as required Perform...

Scheduled Hours 40 Position Summary Position reviews medical record documentation to determine appropriate billing codes and necessary documentation. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working Conditions: Normal office environment. Typically...

Discover. Achieve. Succeed. #BeHere A minimum of three years of experience as an inpatient coder at an academic facility is preferred. Bachelor's degree in HIM or equivalent is preferred. Pay is expected to be between: $24.05 - $38.48. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Coder IV St. Rose Dominican Siena, Henderson, Nevada The posted compensation range of $32.44 - $45.03/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Coder 4 is a member of the Health Information Management Team (HIM) responsible for ensuring the accuracy and completeness of clinical coding validating the information in the databases for outcome management and specialty registries across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization...

Inpatient Medical Coder Join Our Award-Winning Team and Work with the Best! We are thrilled to share that UASI has been recognized as a Top Workplace by the Cincinnati Enquirer in both 2022 and 2023. With over 40 years of experience and enduring partnerships with our valued clients, we are proud of the stability we've built and the long-term success of our dedicated team. At UASI, we offer HIM professionals the perfect balance: an exciting and fulfilling role that challenges you to utilize and enhance your coding expertise, combined with the flexibility and comfort of working from home. We are currently seeking an Inpatient Coding Specialist to join our team on a PRN or FT basis. The ideal candidate will be flexible, detail-oriented, with the ability to work independently, quality conscious and be able to adapt well to change. If you're ready to take your career to the next level with a reputable, award-winning company, apply today! Additional qualifications include: AHIMA...

DRG Coding Auditor 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. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. 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 is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of the company, for all lines of business, and its clients. Also responsible for...

Medical Coder 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: Remote Work - New York Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 900370 Health Info Mgmt-Coding Work Shift: UR - Day (United States of America) Range: UR URG 107 H Compensation Range: $23.06 - $32.29 Responsibilities General Purpose: Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies. Analyzes, enters and manipulates database. Responds to or clarifies internal...

Job Description Job Description Desert Orthopaedic Center is a leading provider in the healthcare industry, specializing in orthopaedic care since 1970. Our mission is to deliver state-of-the-art, cost-effective treatment for musculoskeletal issues while ensuring excellence in patient care through a team of highly trained professionals. We are looking for a dedicated and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will possess a strong understanding of medical billing processes and coding, with a focus on accuracy and adherence to compliance standards. As a Medical Biller, you will play a crucial role in ensuring that our medical services are billed correctly and efficiently, contributing to the overall financial health of our organization.   Duties Process and submit medical claims to insurance companies using appropriate coding systems, including CPT (Current Procedural Terminology) and ICD (International Classification of Diseases)...

Medical Billing Specialist Neolytix is a boutique Consulting and Management Services Organization that works with small & medium-sized healthcare providers across the United States. Our portfolio of services caters to micro verticals and is built on the expertise we have developed in enabling these practices. At Neolytix, you will learn to hone your Consultative skills, develop drive & leadership, balance work with family time and importantly have fun! Medical Billing Specialist is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner. Responsibilities include: Working directly with the insurance company, healthcare provider, and the patient to get a claim processed and paid. Verifying correct insurance filing information on behalf of the client and patient. Verifying receipt of all patient registration data from the client and notifying the client of potential coding problems. Prepare, review,...

Job Description Job Description Benefits: Retirement Plan Employee discounts Competitive salary Dental insurance Health insurance Paid time off Vision insurance Southern Nevada Family Medicine and Southern Nevada Occupational Health Center are looking for an experienced Medical Biller and AR Specialist with a strong background in Medicare Advantage and HCC coding. We are seeking someone who not only understands the billing world but also brings a positive attitude , enjoys coming to work, and takes pride in helping the team grow and succeed. What We Offer Competitive pay based on experience Supportive and collaborative work environment Career advancement opportunities Hands-on leadership and professional growth Position Summary The ideal candidate will have deep knowledge of Medicare Advantage billing, HCC coding, and accounts receivable management. You will be responsible for maintaining accurate billing processes, managing AR follow-ups, resolving...

Job Description Job Description Description: JOB SUMMARY We are seeking a detail-oriented and experienced Medical Billing Specialist (Claims + Payment Posting) to support our revenue cycle operations by ensuring accurate claims submission, timely follow-up, proper payment posting, and resolution of billing issues. This role focuses primarily on processing claims, managing rejections/denials, posting payments (ERAs/EOBs), handling adjustments, and maintaining accurate patient and payer balances. The ideal candidate is highly organized, understands payer rules, and can manage multiple claims and payment workflows efficiently. KEY RESPONSIBILITIES Claims Submission & Follow-Up - Prepare, review, and submit clean claims electronically and/or via paper when needed. - Verify that charges, modifiers, diagnosis codes, and provider information are accurate prior to submission. - Monitor claim status through clearinghouse and payer portals. - Resolve rejected claims...

Job Description Job Description Medical Biller - Pain Management Clinic Location: Las Vegas, NV Employment Type: Full-Time, On-Site Compensation: Based on experience; competitive benefits package About the Opportunity A growing pain management practice with multiple outpatient facilities across Las Vegas is seeking an experienced Medical Biller/Coder to join its team. The ideal candidate will be skilled in both Professional and Ambulatory Surgical Center (ASC) billing and will ensure accurate claims submission, payment posting, and account reconciliation. Responsibilities Prepare and submit clean insurance claims for professional and ASC services. Review coding accuracy (CPT, ICD-10, modifiers) prior to submission. Follow up on unpaid or denied claims and resolve discrepancies efficiently. Verify patient insurance eligibility and benefits. Post payments, manage patient statements, and maintain accurate account records. Work closely with...

Job DescriptionJob DescriptionMedical Records Coder / Certified - Full Time (PARTIAL REMOTE / IN OFFICE FOR MTGS)POSITION SUMMARY :Codes medical records using diagnostic coding.Ensures accurate submission of all coding data for reimbursement purposes.Ensures Regulatory Compliance and follows all Federal regulations for all payment systems.POSITION REQUIREMENTS :Minimum EducationHigh School Diploma or equivalentCertificate Required :One of the following Coding Certifications :CCS-Certified Coding SpecialistCPC-Certified Professional CoderCPC-H-Certified Professional Coder-HospitalCOC-Certified Outpatient CoderCIC-Certified Inpatient CoderCMC-Certified Medical CoderMinimum Work ExperienceAbility to read and communicate in English; Bilingual preferredGood communication and multi-tasking skillsMinimum of 2 years' experience with ICD-10 and CPT / HCPCS coding in an acute facility and / or physician's office preferredKnowledge of computer applications for codingKnowledge of medical...

? We're Hiring :Health Info Coder - Remote! ?We are seeking a detail-oriented Health Information Coder to join our team and ensure accurate medical coding and data management.The ideal candidate will have experience in medical coding systems, healthcare documentation, and maintaining compliance with industry standards while working remotely.? Location :Las Vegas, United States? Role :Health Info Coder- RemoteJOB SUMMARY :Primarily focuses on coding of moderate complexity, such as outpatient or inpatient evaluation and management and minor procedures.RESPONSIBILITIES :Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture. Accurately deciphers charge error reasons and plans follow up steps.Identifies all billable services. Reviews all applicable data sources, including but not limited to, electronic health record, inpatient admit, discharge and transfer (ADT) reports, operative logs (aka Op Logs), nursing home visit...

We're Hiring :Coder - Hospital Outpatient (FULLY REMOTE)! ?We are seeking an experienced and detail-oriented Medical Coder to join our healthcare team.The ideal candidate will have extensive knowledge of medical coding systems, healthcare regulations, and outpatient procedures to ensure accurate coding and billing for hospital outpatient services.TITLE :Coder - Hospital OutpatientDURATION :33 weeksLOCATION :fully remote within the U.SWhat You'll Do :Responsible for coding and abstracting inpatient accounts in accordance withcoding guidelines.Assigns accurate diagnostic and procedure codes according to clinicaldocumentation and official coding guidelines for outpatient hospital accounts.Reviews HCPCScharges and codes for appropriateness of modifiers in relation to NCCI / CCI edits.Enters inaccurate charge information, when appropriateMonitors assigned work queues to ensure allrecords are charged in a timely matter.Generates coding queries for clarification regardingphysician...