549 certified coder ii jobs found

A company is looking for a Certified Coder II. Key Responsibilities Receives and processes claims based on state rules and regulations Determines claim validity and compensability using proprietary programs Makes recommendations and communicates claim status to stakeholders Required Qualifications, Training, and Education High School diploma or equivalent Current AAPC certification (must be maintained throughout employment) Certification as CPC with AAPC for more than 2 years (with surgical or office experience) Current or recent orthopedic billing/coding experience EncoderPro software experience

Certified Coder II Bethel, 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: Associates Degree. Degree requirement can be waived on a year for year basis for...

The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to 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 Maintain HIPAA compliance Additional duties as assigned KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed...

A company is looking for a Coder II Professional Fee. Key Responsibilities Review documentation to assign appropriate CPT, HCPCS, and ICD-10 diagnosis codes Resolve edits in work queues and review denials for possible corrected claims or appeals Collaborate with clinic supervisors and providers to address coding issues and concerns Required Qualifications and Education High School Diploma/G.E.D. required; Associate's degree or equivalent experience preferred Minimum of 3 years of experience in professional fee coding required Experience with electronic health records (EHR) and health care applications required; Epic experience preferred CPC or CCS-P certification required; additional coding certifications preferred Multispecialty focused coding experience preferred

A company is looking for a Coder II to review and process complex specialty clinic professional charges. Key Responsibilities Applies coding principles consistent with government regulatory standards and payer specific guidelines Codes complex office, surgical, and hospital professional charges for assigned providers Reviews all ICD, E&M, CPT, and HCPCS codes to ensure documentation supports all services rendered Required Qualifications 2 years of professional fee coding experience High school diploma or equivalent CPC or CCS-P Certification Two years of surgical fee coding experience preferred Experience with GECB/IDX and Cerner preferred

A company is looking for a Coder II to accurately code and abstract medical records for billing and reimbursement purposes. Key Responsibilities Manage charge review and coding-related claim edit work queues for timely and accurate charge capture Review medical record documentation and assign appropriate CPT-4 and ICD-10 codes while ensuring compliance with guidelines Train and mentor coding staff, providing education on coding policies and documentation improvement Required Qualifications High school diploma or equivalent Two years of professional coding experience Certification as a Certified Coding Associate (CCA), Certified Coding Specialist (CCS), or similar coding credential Ability to work remotely from specific states (MO, IL, OK, WI) Physical capability to perform frequent lifting and data entry tasks

Lifekind Health is looking for a full-time Certified Coder II (CPC or CCS) to join our team. The Medical Coder II performs more complex coding assignments. This role requires independent judgment, strong knowledge of coding guidelines, and the ability to resolve more advanced coding issues. Our mission is to bring care that's whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Learn more about us at www.Lifekindhealth.com....

CERIS is seeking a Certified Coder to work remotely, responsible for reverse coding of medical bills for accuracy and making claim-related recommendations. Key qualifications include AAPC certification, experience in orthopedic coding, and proficiency in Microsoft Office. This role requires strong communication skills and the ability to work independently as well as in a team. A comprehensive benefits package accompanies a pay range of $48,143 - $71,852. The company promotes diversity as an equal opportunity employer. #J-18808-Ljbffr

Job Description The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. Job is remote. Essential Functions & Responsibilities Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to 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 necessaryMaintains HIPAA compliance Additional duties as assigned Knowledge & Skills Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or exceed performance...

Certified Professional Coder II The Certified Professional Coder II is part of a dynamic team of PEDIATRIC Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrating Novant Health's commitment to deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday – Friday, daytime hours Perform monthly on-site visits to assigned clinics in the Charlotte area. Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and compliance with CMS, NCQA, third party payers and other regulatory agencies. Review and code work queues assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provide...

A company is looking for a Professional Coder II. Key Responsibilities Accurately code hospital-based professional services by reviewing medical records and assigning appropriate diagnoses and procedure codes Maintain current knowledge of coding guidelines and regulations through continuous education and professional literature Collaborate with team members and provide education to physicians to ensure accurate documentation for coding Required Qualifications High school diploma or GED equivalent Two years of medical coding experience in a similar environment National coding certification (CPC or CCS) Experience in coding physician professional services in a teaching environment Familiarity with Medicare and Teaching Physician Rules

divh2Coder II/h2pCabinet Peaks Medical Center is looking for a Coder II to join our Health Information Management (HIM) team!/ppThe Coder abstracts clinical documentation and codes diagnoses and procedures for inpatient and outpatient encounters, including surgeries, urgent care, emergency department, observation, swing bed, laboratory, imaging, orthopedics, OB, cancer registry, sleep, and rehabilitative services. Compilation of statistical reports as needed for healthcare operations./ppMajor Job Duties Responsibilities/pulliAccurately assigns diagnosis and procedure codes for assigned patient encounters using appropriate coding guidelines and regulations./liliCompiles and distributes statistical reports as requested./liliAdjusts/enters charges in Meditech./liliEducates providers for correct coding, documentation specificity, and ethical reimbursement methodology./liliQueries providers for documentation clarification./liliCompletes educational requirements for certification...

A company is looking for a Medical Coder II to join their team. Key Responsibilities: Review patient records and accurately assign appropriate ICD-10-CM, CPT, and HCPCS codes Maintain up-to-date knowledge of coding standards, medical terminology, and regulatory requirements Collaborate with healthcare providers to ensure complete and accurate documentation for coding Required Qualifications: In-depth knowledge of ICD-10, CPT, and HCPCS coding systems Minimum of three years of medical coding experience, preferably in multispecialty or vascular coding Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required Strong understanding of 2021 Evaluation and Management coding guidelines Demonstrated computer literacy and ability to navigate Electronic Medical Records (EMR) systems

Certified Medical Coder II - Surgical Coder Hybrid - Remote. Hourly salary plus monthly bonus! As Mount Sinai grows, so does our legacy in high-quality health care. Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way Our hardworking, tight-knit community of more than...

What We Offer Why This Role Matters As a Certified Professional Coder II, you will be part of a dynamic team of Ambulatory Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrating Novant Health’s commitment to deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday – Friday, daytime hours Perform monthly on-site visits to assigned clinics within the Wilmington, NC area. Review and code work queues as assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provide provider education and regular feedback on ICD-10 and correct coding issues. Evaluate and identify front-end and back-end error trends for training needs and bring them to...

What We Offer Why This Role Matters As a Certified Professional Coder II, you will be part of a dynamic team of Ambulatory Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrating Novant Health’s commitment to deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday – Friday, daytime hours Perform monthly on-site visits to assigned clinics in Winston-Salem, NC and surrounding areas. Review and code work queues as assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provide provider education and regular feedback on ICD-10 and correct coding issues. Evaluate and identify front-end and back-end error trends for training needs and...

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 hybrid position until fully trained. Training will be full-time onsite. 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...

Medical Coder II, Certified Remote working after on-site training (2-4 weeks). Flexible hours -- any 8 hours between 6:00 AM and 6:00 PM. This is an experienced coding position focused on review of documentation and coding. This position will ensure accurate coding and claim submission and conformity to applicable guidelines and regulations. Essential Responsibilities: Perform documentation and coding reviews within work queues across various specialties as assigned. Utilize available coding tools and knowledge to assist in appropriate assignment of coding. Maintain current knowledge to ensure that KPNW coding and documentation meets regulatory guidelines and audit standards. Escalate trends and identified issues through appropriate department channels. Continued development of coding knowledge and regulatory guidelines with maintenance of certification. Performs other duties as requested to include complex coding issues and project work as assigned...

Coder II The Coder II is responsible for conversion of diagnosis and treatment procedures into codes utilizing the current Revision of the International Classification of Diseases and Operations, Clinical Modification (ICD-10-CM), Current Procedural Terminology (CPT-4), Evaluation and Management (E&M), and HCPCS coding for Professional (Physician) services received in the CMH Health Services system. Requires skill in the sequencing of diagnosis/procedures to optimize reimbursement and compliance to documentation and medical policy guidelines for all payers. Ensures that records are coded in an accurate and timely manner. Performs audits on chart information, level of care charged and provides education to staff and providers on compliant coding. Ensures that records are coded accurately and timely; reviews patient charges for inconsistencies; contacts physician if diagnosis is not available on chart; refers charts accordingly. Utilizes computerized coding/abstracting...

Cabinet Peaks Medical Center is looking for a Coder II to join our Health Information Management (HIM) team! The Coder abstracts clinical documentation and codes diagnoses and procedures for inpatient and outpatient encounters, including surgeries, urgent care, emergency department, observation, swing bed, laboratory, imaging, orthopedics, OB, cancer registry, sleep, and rehabilitative services. Compilation of statistical reports as needed for healthcare operations. Major Job Duties & Responsibilities Accurately assigns diagnosis and procedure codes for assigned patient encounters using appropriate coding guidelines and regulations. Compiles and distributes statistical reports as requested. Adjusts/enters charges in Meditech. Educates providers for correct coding, documentation specificity, and ethical reimbursement methodology. Queries providers for documentation clarification. Completes educational requirements for certification maintenance. Participates in...

A leading healthcare provider seeks a Certified Professional Coder II to join their team in Wilmington, North Carolina. The role involves coding responsibilities, provider education, and adherence to coding guidelines. Candidates should have at least 2 years of healthcare experience, including coding, and hold relevant certifications. A hybrid work schedule and comprehensive benefits are offered, supporting personal and professional growth in a compassionate environment. #J-18808-Ljbffr

A healthcare facility in Illinois is seeking a Coder II to convert diagnosis and treatment procedures into codes using ICD-10-CM and CPT-4 standards. The role involves coding records accurately, utilizing computerized coding equipment, and ensuring compliance with medical policies. Candidates should have an associate's degree, relevant coding certification, and preferably over three years of medical coding experience. Strong computer skills and the ability to work independently are essential for success in this position. #J-18808-Ljbffr

Lifekind Health is looking for a full-time Certified Coder III (CPC or CCS) to join our team. The Medical Coder III is a senior-level role responsible for highly complex coding assignments. This role serves as a subject matter expert and contributes to coding education and process improvement within the Coding Team. Our mission is to bring care that's whole, human, and healing. Blending medical, behavioral, and lifestyle support into a single plan because restoring life takes more than a prescription. At Lifekind Health we strive every day to live up to that definition by providing the best care possible for our complex patient population. Our team of medical doctors, psychologists, chiropractors, acupuncturists, and dietitians work together within a revolutionary transdisciplinary model that addresses the quadruple aim of healthcare: enhancing patient experience, improving patient health, reducing healthcare costs, and increasing employee satisfaction. Learn more about us at...

Medical Coder The Medical Coder is responsible for assigning ICD-10-CM and/or CPT/HCPCS codes as appropriate and abstracting pertinent information from patient records. Minimum Requirements: Must hold at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CPC, CPC-H (COC) for a minimum of 5 years and have a minimum of 5 years relevant coding experience Must be at least 18 years of age Benefits At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits: Competitive pay & weekly paychecks Health, dental, vision, and life insurance 401(k) savings plan Awards and recognition programs *Benefit eligibility is dependent on employment status. About Amergis Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of...