651 certified coder iii jobs found

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...

Certified Coder III (CPC or CCS) 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...

To support accurate coding and billing processes, the full-time remote Certified Coder III will be responsible for the timely assignment of ICD 10 CM/PCS and HCPCS/CPT codes, data abstraction, and reporting for various patient records. Key responsibilities Reviews and interprets patient records to assign appropriate diagnosis and procedure codes Performs coding and abstracting tasks to ensure data quality and accurate reporting Submits daily productivity reports and addresses errors in patient information as identified Required qualifications College degree in Health Information Management or completion of an AHIMA Approved Certificate Program One year of coding experience in an acute care setting, specifically with Inpatient, Observation, or Emergency Medicine Associate or Bachelor of Science degree in Health Information Technology is preferred Equivalent combination of education and experience may be considered

Texas Health Resources is seeking a qualified Coder III (Inpatient) for 100% remote work in Texas. The role focuses on accurate ICD‑10‑CM/PCS coding and MS‑DRG assignments in a large, complex inpatient setting. Requirements include CCS, CIC, RHIT, and RHIA certifications on hire, with 3 years inpatient coding experience. Flexible hours and ongoing learning opportunities are highlighted in THR’s HIMS department. #J-18808-Ljbffr

The University of North Carolina Health Care System (UNCHCS) is seeking a full-time Certified Medical Coder III to support coding needs in a remote environment. The role involves reviewing, abstracting, and assigning ICD-10 codes for professional services, ensuring compliance with regulations. Ideal candidates will have a high school diploma or GED, relevant coding certification, and a minimum of two years of hospital coding experience. #J-18808-Ljbffr

Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and ICD -10 –PCS codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of the director of Health Information Management, accurately code inpatient conditions and procedures as documented in the medical record using ICD-10 Official Guidelines for Coding. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Responsibilities Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. Assigns present on admission (POA) value. All coders are required to continuously maintain...

Inpatient Hospital Certified Medical Coder III - remoteAre you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We're looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you'll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You'll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital's mission to serve the community with compassion and integrity.If you're a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you!Why You'll Love Working With Us :Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it's about ensuring the integrity of patient care,...

Certified Professional Coder III As a Certified Professional Coder III, you will be part of a dynamic team of Cardiovascular Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Helping Novant Health deliver the most remarkable patient experience, in every dimension, every time. What You Will Do: Schedule: Monday – Friday, daytime hours. Perform monthly site visits to assigned clinics in the Charlotte, NC area. Review surgical operative reports and abstract clinical diagnoses, procedure codes, and other pertinent information to bill appropriately for services. Perform coding of cardiovascular events (surgeries, procedures, office visits). Ensure all technical aspects of the assignment of diagnostic and procedure coding are carried out in accordance with established standards and in compliance with CMS, NCQA, third party payers and other regulatory agencies. Ensure...

Medical Biller Charge Review and Data Entry Specialist III Department: BILLING Location: Valhalla, NY ColumbiaDoctors Medical Group / Ambulatory Medical Practices MSO, Inc. , is looking for experienced Medical Certified Professional Coder/Charge Review Billing Specialist III candidates: CPC/Coding Certification is required Minimum of 7 years’ experience Epic EMR experience strongly preferred Thorough knowledge and understanding of all current coding guidelines and competencies to include all types of insurance plans and their requirements Knowledge of medical terminology and professional billing and coding to the highest level of specificity in both CPT, HCPCS and ICD-10 Knowledge of coding conventions and rules established by the American Medical Association (AMA) and the Center for Medicare and Medicaid Services (CMS) for diagnostic and procedural codes. (CCI and LCD’s) Knowledge, compliance and understanding of HIPAA guidelines Must complete Columbia University Code of...

Cooper University Health Care, Inc. is seeking a part-time Remote Coder III with certification. This role involves coding high acuity inpatient and technical outpatient accounts, ensuring accuracy for timely billing while working on a per diem basis. The ideal candidate should have 3-5 years of coding experience, with a preference for outpatient coding, and must possess relevant certifications. Join our team to support revenue cycle goals and improve billing processes. #J-18808-Ljbffr

Montefiore St. Luke's Cornwall is seeking a Coder/Abstractor III based in Newburgh, New York, to accurately code and abstract outpatient medical records using ICD-10-CM and CPT-4 coding systems. The role is remote and requires a minimum of three years of Acute Care hospital coding experience and effective communication skills. This full-time position works Monday to Friday from 8 AM to 4 PM, with an hourly rate of $36.56 - $40.50, contingent on experience and qualifications. #J-18808-Ljbffr

To support the coding needs of a healthcare facility, the full-time Certified Medical Coder III will review, abstract, and assign medical CPT, HCPCS, and ICD-10 codes for professional services while ensuring compliance with regulations and optimizing reimbursement in a remote work environment. Key responsibilities Accurately assign ICD-10-CM diagnosis codes and HCPCS/CPT codes for chronic conditions and services provided Analyze coding information to ensure optimal reimbursement and compliance with coding regulations Provide guidance to healthcare staff on current coding practices and resolve coding edits as needed Required qualifications High School diploma or GED Successful completion of the UNC HCS Hospital OP Coder Proficiency Test AHIMA or AAPC certification and credential Two years of experience in hospital coding Strong knowledge of ICD-10-CM and HCPCS/CPT coding systems

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 role. Training is onsite Full Time, then Hybrid once trained. 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...

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...

The University of Rochester seeks a Med Records Coder III to function as an advanced coder, analyzing medical documentation and assigning appropriate codes per guidelines. The role requires a high school diploma and 1 year of medical coding experience, with an associate degree preferred. The position also involves resolving coding denials and consulting on documentation inconsistencies. This full-time role is central to enhancing documentation accuracy while fostering an inclusive community. #J-18808-Ljbffr

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 905 Elmgrove Rd, Rochester, New York, United States of America, 14624 Job Details Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 106 H Compensation Range: $21.36 - $29.90 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

Clinical Coding Specialist III Thoroughly reviews patient medical records as required to specifically and accurately code diagnoses and procedures treated or otherwise impacting the patient care. Effectively verifies the electronic medical record contains supporting documentation to justify diagnostic and procedural code assignments and follows up accordingly if questionable. Assists with auditing medical records for quality of coding and to ensure appropriate reimbursement, and reports findings to the Coding Program Manager. Also serves as backup for coding, billing, abstracting, and/or auditing of Outpatient and ED records. The Clinical Coding Specialist III is responsible for remaining current on all ICD and CPT coding changes as well as payer specific requirements and regulations. Coding of complex inpatient records. Successful demonstration of proficiency and compliance with regulatory requirements Identification of principal diagnosis and appropriate MS-DRG. Complete...

Join to apply for the IHI - MEDICAL CODING SPECIALIST role at Mountain View Hospital 1 day ago Be among the first 25 applicants Join to apply for the IHI - MEDICAL CODING SPECIALIST role at Mountain View Hospital Get AI-powered advice on this job and more exclusive features. Description Mountain View Hospital is looking for a Medical Coding Specialist to join our team! Description Mountain View Hospital is looking for a Medical Coding Specialist to join our team! JOB SUMMARY: Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. The coder assigns ICD-10 CM and/or HCPCS codes, creating APC or DRG group assignment for reimbursement purposes. Requires skill in the sequencing of diagnosis/ procedures to optimize reimbursement. Must be able to read and interpret operative reports, history and physicals, physician orders, and pathology reports to determine the correct CPT and diagnosis coding. Ensures that...

Description The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set forth by the American Health Information Management...

CareSource is seeking a Program Integrity Medical Coding Reviewer III to support complex audit programs, dispute management, and in-depth reporting of pre-pay and post-paid processes. The role requires a CPC/RHIT or RHIA certification, an associate degree, and at least five years of medical billing and coding experience including SIU/FWA exposure. Leadership and training duties are part of the responsibilities. #J-18808-Ljbffr

BayCare BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: Full time (non-exempt) Shift: 7:00 AM to 3:30 PM Days: Monday through Friday The Advanced Inpatient Coding Specialist is a full-time remote position. Sign on bonuses available! Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician queries and...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, South Carolina) Status: PRN (non-benefit eligible, as needed) Shift: Flexible Days: Sunday - Thursday OR Tuesday - Saturday The Advanced Inpatient Coding Specialist is a PRN (non-benefit eligible) remote position. Responsibilities The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Works in conjunction with the medical staff consensus for accurate assignment of intricate diagnoses such as malnutrition and sepsis. Formulates physician...

Overview The Compliance Auditor Provider Liaison is responsible for conducting detailed audits of professional coding and provider documentation across numerous specialties, identifying compliance risks, and promoting best practices through education and feedback. The auditor partners closely with providers, coders, and revenue cycle leadership to ensure alignment with organizational policies, payer requirements, and federal regulations. Qualifications Education: High School diploma or GED required. License: Certified Coder with Auditing Certification with AAPC Experience: Minimum of 5 years of experience in a hospital or professional revenue cycle. Minimum of 5 years coding experience with CPC certification. Minimum of 3 years of coding auditing experience. Broad exposure to multiple specialties such as cardiology, general and specialized surgery, oncology, and primary care/nternal medicine strongly preferred. Deomonstrated experience educating or training providers on...

Overview Performs coding/DRG and abstracting functions for medical records, quality assessment and billing purposes. Codes all Huntsville Hospital medical records with ICD-10-CM/PCS and CPT-4 codes. Abstracts key data elements according to medical record review criteria. Performs coding quality assurance as needed. Qualifications Education/Certification HS/GED required. Prefer post high school education in anatomy, physiology and pathophysiology Require CCS certification (certified coding specialist) Experience ICD-10-CM/PCS or CPT coding experience in hospital or physician’s office preferred. Additional Skills/Abilities Must have excellent communication skills with the ability to work in a fast paced environment, requiring prioritizing and changing tasks frequently and quickly. Must be able to maintain confidentiality. Must be able to use computer, word processing and spreadsheet software, fax machine, and copy machine. About Us Highlights of our hospitals Huntsville...