22 ccs certified coding specialist jobs found in Providence, RI

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) ESSENTIAL FUNCTIONS OF THE ROLE ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements into the coding and abstracting system. Works collaboratively with the Clinical...

Job Summary : Responsible for accurate coding of all outpatient services, procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. - Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. - All work must be carried out in accordance with the rules, regulations, and coding conventions of the American Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS, and CMS coding guidelines. - As needed, Coders may assist and serve as a resource for data integrity for other employees requiring clarification and assistance in coding. Requirements: Must have at least three (3) years of hospital or surgical center coding experience within the last five years. Certification: This position requires certification as a Certified Coding Specialist (CCS) and/or five (5) years of compensatory experience. Completion of classes in medical...

This position can be fully remote based on the work activity. A certification as a Certified Coding Specialist (CCS) is required for this position. Job Summary: Responsible for accurate coding of all outpatient services, procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Requirements: Must have at least three (3) years hospital or surgical center coding experience within the last five years. Certification: This position requires certification as...

This position can be fully remote based on the work activity. A certification as a Certified Coding Specialist (CCS) is required for this position. Job Summary: Responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. - Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS as well as other specialty systems as required by diagnostic category. - All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCSand CMS coding guidelines. - As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Requirements: • Must have at least three (3) years hospital or surgical center coding experience within the last five years • Certification: This position requires...

Responsible for accurate coding of all outpatient services, procedures, diagnoses, and conditions, working from the appropriate documentation in the medical record. - Classification systems include ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS, and other specialty systems as required by diagnostic category. - All work must be carried out in accordance with the rules, regulations, and coding conventions of the American Hospital Association (Coding Clinic), ICD-9-CM/ICD-10-CM, ICD-10 PCS, CPT, HCPCS, and CMS coding guidelines. - Coders may assist and serve as a resource for data integrity for other employees requiring clarification and assistance in coding. Requirements: At least three (3) years of hospital or surgical center coding experience within the last five years. Certification as a Certified Coding Specialist (CCS) and/or five (5) years of compensatory experience. Completion of courses in medical terminology, anatomy and physiology, ICD-9, ICD-10, CPT coding conventions, and...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) ESSENTIAL FUNCTIONS OF THE ROLE ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements into the coding and abstracting system. Works collaboratively with the Clinical...

Summary: Under the general supervision of the Coding Manager and according to established procedures, accountable for assignment of diagnoses and procedures using ICD10 CM/PCS and CPT Codes. Requires knowledge of all aspects of hospital coding and strong understanding of coding guidelines. Abstracts required data into hospital information system. Ensure records are coded in an accurate and timely manner. Interprets a wide variety of clinical and diagnostic documentation, including complex medical treatment to identify diagnoses, complications, comorbidities and procedures associated with inpatient care. Education: In addition to the skills normally obtained through completion of a High School education, a Bachelor or Associates Degree is preferred. Licensure: One of the following is required: •Certified Coding Specialist (CCS) •Registered Health Information Technician (RHIT) •Registered Health Information Administrator (RHIA) Experience: Three years of experience as a hospital...

Job Summary : The HIM Certified Coder reviews medical records and appropriately assigns Diagnosis and Procedure codes. Classification systems include ICD-9CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category and current coding standards. All work carried out in accordance with the rules, regulations and coding conventions of the American Hospital Association (Coding Clinic), ICD9 (ICD10 when applicable), AMA CPT and CMS coding guidelines. Specifications: High school graduation plus active certification as a Certified Coding Specialist (CCS) with evidence of additional education in Medical Terminology and Anatomy & Physiology required. Minimum of 2 year’s experience in a hospital inpatient or outpatient setting required. Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and...

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 plans in...

*This is NOT a remote position* Job Summary: Responsible for accurate coding of outpatient and inpatient professional services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record. Classification systems include ICD-9-CM, CPT, HCPCS as well as other specialty systems as required by diagnostic category. All work carried out in accordance with the rules, regulations and coding conventions of the American Association of Professional Coders (AAPC) ICD9 (and ICD10 when implemented), AMA CPT and CMS coding guidelines. As needed, Coders may assist and be a resource for data integrity for other employees who need clarification and assistance in coding. Duties and Responsibilities: Review medical records to identify procedures /diagnoses. Demonstrates a comprehensive, expert-level of knowledge of all procedures concerning the sequencing of diagnoses, procedures such as but not limited to those outlined in ICD-9-CM, (and ICD10 when...

DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, 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. 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 physician’s statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: 40 hours Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5470 ED Coding and Revenue Capture Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless...

Are you an internal caregiver, student, or contingent worker/agency worker at UMass Memorial Health? CLICK HERE to apply through your Workday account. Exemption Status: Non-Exempt Schedule Details: Monday through Friday Scheduled Hours: 730 - 400 Shift: 1 - Day Shift, 8 Hours (United States of America) Hours: 40 Cost Center: 99940 - 5458 Coding Services Union: SHARE (State Healthcare and Research Employees) This position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process. Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver - regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 16,000 employees, working together as one health system in a relentless pursuit of...

If you are an existing employee of South Shore Health then please apply through the internal career site. Requisition Number: R-19680 Facility: LOC0027 - 141 Longwater Norwell141 Longwater Drive Norwell, MA 02061 Department Name: SHS Revenue Integrity Status: Full time Budgeted Hours: 40 Shift: Day (United States of America) Under experienced leadership, the Professional Surgical Coder is an advanced coding position that is responsible for accurate and timely assignment of codes to diagnoses and procedures for all outpatient and inpatient diagnostic and procedural coding. Using established department policies and procedures in conjunction with the current versions of ICD 10 and CPT-4, the Professional Surgical Coder will determine the proper diagnosis, assign co-morbidities and complications, secondary diagnoses, and any HAC (Hospital Acquired conditions) documented, as well as both E/M codes and procedure codes. The Professional Surgical Coder is expected at South Shore...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The OP Coder Project Specialist will review outpatient records and accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPC, and modifiers to ensure the correct APC assignment. The OP Coder Project Specialist will work closely with the Coding leadership, and OP Coding Validators to ensure coding uniformity, consistency, and accuracy with ICD-10-CM, CPT, Official Coding Guidelines, Federal and State regulations, the American Hospital Association coding guidelines and its publication Coding Clinic. The OP Coder Project Specialist is also responsible for meeting or exceeding quality and quantity expectations while performing coding functions to support timely coding and billing. Job Description: Essential Duties & Responsibilities: Professional Coding Responsibilities: Provides review and/or coding of any professional services including but...

Job Posting Description Abstracts, sequences and assigns diagnosis, procedure codes and accurate DRG assignment to medical records of inpatients, as required for reimbursement and maintenance of patient database. The Medical Records Coding Specialist will be responsible for: Abstracting, sequencing, and assigning diagnosis and procedure codes according to ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions. Assigning CPT4 procedure codes following the appropriate guidelines, and diagnosis-related groups (DRGs) using specialized computer software. Generating coding worksheets and filing them in the medical record as required by hospital department policy. Performing specialized and technical coding while assisting with the review of billing rejection audits and addressing case-mix/billing department questions. Maintaining up-to-date knowledge of regulatory and compliance issues related to coding, documentation, and billing....

Job Posting Description At Boston Children's Hospital, the quality of our care - and our inclusive hospital working environment - lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included. Abstracts, sequences and assigns diagnosis, procedure codes and accurate DRG assignment to medical records of inpatients, as required for reimbursement and maintenance of patient database. The Medical Records Coding Specialist will be responsible for: Abstracting, sequencing, and assigning diagnosis and procedure codes according to ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions. Assigning CPT4 procedure codes following the...

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 plans in...

DRG Coding Auditor Principal Virtual: This role enables associates to work virtually full-time, 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. 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 physician’s statement provided by acute care hospitals on paid DRG, especially on very complex coding cases that are paid using APS-DRG, APR-DRG, AP-DRG, MS-DRG or TRICARE methodology and findings may be so complex and advanced that disputes or appeals may only be reviewed by other...

DRG CODING AUDITOR Location : This position will work virtually. Alternate locations may be considered. 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 performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Specializes in review of DRG coding via medical record and attending physician’s statement sent in by acute care hospitals on submitted DRG. How you will make an impact: Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines and objectivity in the performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Utilizes audit tools and auditing workflow systems and reference information to make...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. The Coder will be supporting all coding and billing aspects of OBGYN. BIDMC's multidisciplinary OB/GYN team provides personalized, world-class care to patients throughout all stages of life. From family planning to pregnancy, intimate health and menopause, our team includes specialists in all areas of obstetrics and gynecology. Our physicians and staff are nationally recognized leaders in leading-edge clinical research and innovation. While this role is primarily remote, occasional in-person training may be required. Job Description: Job Summary: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Department Specific Job Responsibilities: Creates and maintains billing policy grid related to ultrasound coding. Essential Responsibilities: Reviews the complete electronic and paper medical...

Job Type: Regular Time Type: Full time Work Shift: Day (United States of America) FLSA Status: Non-Exempt When you join the growing BILH team, you're not just taking a job, youre making a difference in peoples lives. The Coder will be supporting all coding and billing aspects of OBGYN. BIDMC's multidisciplinary OB/GYN team provides personalized, world-class care to patients throughout all stages of life. From family planning to pregnancy, intimate health and menopause, our team includes specialists in all areas of obstetrics and gynecology. Our physicians and staff are nationally recognized leaders in leading-edge clinical research and innovation. While this role is primarily remote, occasional in-person training may be required. Job Description: Job Summary: This position is responsible for the assignment of ICD-10-CM diagnosis and procedure codes and as appropriate, CPT-4. Department Specific Job Responsibilities: Creates and maintains billing policy...