291 certified coder i jobs found

Ceris Certified Coder I Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

Ceris Certified Coder I Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote role. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

Certified Coder I Toksook Bay, Alaska We are working together to achieve excellent health. Come join us! The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in villages with populations from about 10 to more than 1,000. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The Yukon-Kuskokwim Delta is home to thousands of lakes and two primary rivers-the Kuskokwim and Yukon. We offer a broad range of employment opportunities and the chance to make a meaningful impact on the health of people in the region. Position Summary: This position is a certified coder who assigns ICD and CPT codes to diagnoses and procedures and abstracts the codes and patient data into the Financial and Clinical computer systems. Position Qualifications: High school diploma or GED. Successfully pass Records Custodian Class. Successfully...

Certified Coder I Toksook Bay, Alaska We are working together to achieve excellent health. Come join us! The Yukon-Kuskokwim Health Corporation is a Tribal health care organization, serving nearly 30,000 people living across rural, southwest Alaska in villages with populations from about 10 to more than 1,000. Bethel, the regional hub and location of the only hospital in the region, has a population of nearly 7,000. The Yukon-Kuskokwim Delta is home to thousands of lakes and two primary riversthe Kuskokwim and Yukon. We offer a broad range of employment opportunities and the chance to make a meaningful impact on the health of people in the region. Position Summary: This position is a certified coder who assigns ICD and CPT codes to diagnoses and procedures and abstracts the codes and patient data into the Financial and Clinical computer systems. Position Qualifications: High school diploma or GED. Successfully pass Records Custodian Class. Successfully...

CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program ("IIPP"), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practice...

CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practice...

Job Description Job Description CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and...

Certified Medical Coder (Professional Review Specialist I) The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role. Essential Functions & Responsibilities: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned Knowledge & Skills: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications...

Job Description Job Description The Professional Review Specialist analyzes medical services and billing across various claim types to evaluate the accuracy of charges and the medical necessity of care provided. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Appropriately document work and final conclusions in designated computer program Additional duties as assigned KNOWLEDGE & SKILLS: Thorough knowledge of ICD Diagnoses and Procedure Codes, and C.P.T., as well as an understanding of medical terminology Knowledge of applicable fee schedule and or applicable U&C Guidelines Proficient in Microsoft Office applications Technical aptitude...

Job Description Job Description Description: Southeast Primary Care Partners is seeking a dedicated and detail-oriented Certified Coder to join our dynamic team. The successful candidate will play a crucial role in accurately coding healthcare claims for reimbursements, ensuring compliance with federal regulations, and contributing to the efficiency and effectiveness of our healthcare services. Certified Coder reviews medical records to assure proper billing. Participates in audits to evaluate if all selected codes are accurate and develops methodologies to improve coding issues identified. Codes must meet QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Position Summary: Requirements: Key Responsibilities: Review patients' medical records to extract relevant information needed for billing and coding. Apply appropriate ICD-10, CPT, and HCPCS Level II code assignments to ensure accurate and timely billing. Work closely with healthcare...

Description Wage Range: $26.91 - $43.05 per hour Kirkland, WA Campus - Hybrid in the State of Washington only Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary : Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials....

Description Wage Range: $26.91 - $43.05 per hour Kirkland, WA Campus - Hybrid in the State of Washington only Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity. Job Summary : Abstracts, analyzes, and assigns ICD-10-CM, CPT, HCPCS codes and appropriate modifiers for evaluation and management (E/M), minor procedures, and diagnostic tests by using either computerized or manual systems. Researches and resolves coding and reimbursement issues to ensure the accuracy, quality, and integrity of coding and billing practices. Effectively communicates with clinicians and billing/coding teams regarding code changes and denials....

Inpatient Coder Opportunity 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...

Medical Coder I/II Application Instructions: External Applicants: Please upload your resume on the Apply screen. Your application will automatically populate your resume details, and you may verify and update data on the My Information page. IMPORTANT: Please review the job posting and load ALL documents required in the job posting to the Resume/CV document upload section at the bottom of the My Experience application page. Use the Select Files button to add multiple documents including your Resume/CV, references, cover letter, and any other supporting documents required in the job posting. The " My Experience" page is the only opportunity to add your required supporting document attachments. You will not be able to modify your application after you submit it. Current Mercer University Employees: Apply from your existing Workday account. Do not apply from the external careers website . Log in to Workday and type Jobs Hub in the search bar....

divh2Inpatient Coder/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ph3What Were Looking For/h3pWere looking for experienced and credentialed inpatient coders to become an integral part of our team. The...

Him Hospital Coder I Immediate need for a talented HIM Hospital Coder I. This is a 06+months contract opportunity with long-term potential and is located in Wailuku, HI, CA, WA or OR (Remote). Please review the job description below and contact me ASAP if you are interested. Pay Range: $30 - $34/hour. Employee benefits include, but are not limited to, health insurance (medical, dental,...

Certified Medical Coder Performs all coding for Omni Family Health practices to ensure consistency and meet compliance guidelines needed to ensure appropriate and effective reimbursement. Supports Omni Family Health Physicians and hospital-based providers with monthly physician reimbursement and act as a back up to the department supervisor. Develops policies and procedures to support coding guidelines. The following are essential job accountabilities: Ensures completion of documentation and coding on billing slip and HER when needed for correct and complete claim. Read and interpret patient medical information and apply correct ICD-10, CPT and I-ICPCS codes as needed for optimal reimbursement. Research documentation with physician and/or Non Physician Provider (NPP). Post charges for both out-patient and in-patient facilities for multiple providers to ensure accuracy of coding and patient accounts including following up with providers and putting together a complete file...

divh2Inpatient Coder/h2pDatavant is a data platform company and the worlds 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 worlds leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, youre stepping onto a high-performing, values-driven team. Together, were rising to the challenge of tackling some of healthcares most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare./ph3What Were Looking For/h3pWere looking for experienced and credentialed inpatient coders to become an integral part of our team. The...

Medical Records Certified Coder Opportunity Full Time, Dayshift Monday-Friday, Inperson As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community. The Ridge Behavioral Health System is a 110-bed hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years. Job Duties Include: Meets coding quality score of 95% accuracy in assignment of diagnoses and procedure codes as measured by the quarterly coding audit performed by Corporate. Coordinate treatment through treatment planning, the treatment team process, and...

Avera Coding Specialist III Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: $28.00 - $41.75 Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of inpatient charts for a across multiple facilities within Avera Health with a focus on the more complex and high-dollar cases. Accurate abstracting, along with other reporting and editing functions to meet quality and production goals for the position, with occasional guidance from other professional staff. Provide mentorship and training to Coder I, II, and III's along with helping others with denials management. What You Will Do Review all aspects of a patient's clinical documentation in order to identify...

Coder III Position at Avera Health Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of outpatient charts for multiple facilities within Avera Health, with a focus on the more complex and high-dollar cases. Accurate abstracting along with other reporting and editing function is also a major responsibility. The Coder III works independently to meet quality and production goals for the position. Varied amounts of time will be spent educating Coder I, III and III coders along with helping others with denials management. What You Will Do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM, CPT, and HCPCS diagnosis and procedure codes for assigned patient charts across Avera's facilities. Focus on...