5337 certified coder jobs found

Certified Coder -- On Site With Remote Option Accountable for conversion of diagnoses and treatment procedures into codes using an international classification of diseases. Requires skill in the sequencing of diagnoses/procedures to optimize reimbursement. Ensures that records are coded in an accurate and timely manner. Ensures that records are coded within 36 hours of discharge, excluding weekends and holidays. Reviews medical record thoroughly to ascertain all diagnoses/procedures. Queries healthcare providers in accordance to the department query policy. Refers medical record to director, if there is a question regarding the diagnoses/codes. Utilizes computerized coding/abstracting equipment. Codes all diagnoses/procedures in accordance to ICD coding principles and the Coding Manual. Reviews coding periodicals within seven (7) days of receipt. Ensures data quality and optimum reimbursement allowable under the federal and state payment systems. Acts as a resource...

Responsibilities Atlantic Region Central Billing Office (“ARCBO”) or (“CBO”) provides business office services including billing, collections, cash posting, pre-access management, variance, and customer service to our affiliated Universal Health Services hospitals. The Atlantic Region CBO is seeking a dynamic and talented Certified Coder . The primary responsibility of the Coder is to assist the CBO with the review of medical records, assign ICD-10 and CPT codes to Inpatient or Outpatient records as needed, meet productivity requirements and meet all legal (federal and state) coding requirements. Key Responsibilities Analyze and evaluate medical records and assign appropriate ICD-10 and CPT diagnostic and/or procedure codes in accordance with coding guidelines. Reviews APC edits and add modifiers or delete charges as needed. Consult with hospital staff when necessary to secure sufficient information to clarify data for proper coding and resolve discrepancies in the...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from patient medical records....

Certified Coder – The Villages Citrus Cardiology Consultants is looking for a Coder for our offices in The Villages . This position is responsible for coding clinic and/or hospital charges for maximum billing. Duties Code charges received from physicians, accessing hospital portals for patient records in order to verify accurate billing Ensure patient record documentation meets requirements for selected codes. Work with Denials Department to identify patterns of omission, errors, or other documentation issues, and notify Administration in order to reduce future similar occurrences. Code hospital consults, follow ups and diagnostic testing. Code diagnostic testing performed in clinic as necessary. Seek out and identify any billing errors or omissions on a daily basis. Audit charts and works with the Medical Record Department to ensure accuracy in documentation (diagnosis, indication on reports, Physician signatures) including clinic office notes, hospital records, and...

To support the charge capture process for professional charges, the full-time remote Certified Coder - General Surgery will verify medical records, assign diagnostic and procedural codes, and ensure compliance with coding guidelines while maintaining a 95% accuracy rate. Key responsibilities Verify and analyze medical record documentation to determine diagnoses and procedures, assigning appropriate codes Serve as a liaison between the Central Billing Office and various departments, assisting in training new employees Review electronic charges for accuracy and resolve any coding discrepancies related to revenue capture Required qualifications Associate's degree in Health Record Technology or a related healthcare field with two years of professional coding experience, or three years of professional coding experience with credentials Must obtain Certified Professional Coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information...

To support a growing healthcare practice, the full-time Certified Coder - Anesthesia will abstract clinical information from medical records, assign appropriate ICD-10 and CPT-4 codes, and manage charge tickets remotely from designated states. Key responsibilities Codes anesthesia charge tickets and reviews related documentation for accuracy Identifies and corrects incomplete or inaccurate charge tickets, ensuring proper coding Delivers coded charts to the billing department and assists with related inquiries Required qualifications High School graduate or equivalent CCS-P or CPC certification from AAPC or AHIMA Minimum of 2 years of coding experience in healthcare preferred Knowledge of CPT, ICD-10, ASA, and HCPCS coding Familiarity with medical terminology; background in anatomy and physiology preferred

Reviewing patient records for accurate coding, the remote Certified Coder - CA Licensed will abstract diagnosis and procedure codes, ensuring compliance with guidelines while collaborating with departmental leadership to enhance coding practices. Key responsibilities Abstracts and assigns diagnosis and procedure codes from patient records for billing and reimbursement Audits medical records to ensure compliance with coding standards and regulatory requirements Collaborates with departmental leadership to provide feedback and education on documentation and coding practices Required qualifications High School Education/GED or equivalent, with an Associate's/Technical Degree preferred Two years of coding experience in a healthcare setting preferred Certification as a Certified Coding Specialist (CCS), Outpatient Certified Professional Coder (CPC), or equivalent required Knowledge of coding guidelines and legal requirements for compliance with federal and state regulations...

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

Reviewing medical record documentation, the full-time Certified Coder - Pediatrics will code diagnoses and procedures, collaborate with physicians to ensure accurate documentation, and assist fellow coders in a fully remote environment. Key responsibilities Review medical records to select appropriate diagnoses and procedures for coding Code evaluation and management using CPT codes and diagnoses with ICD-10 codes Collaborate with physicians to resolve coding issues and secure necessary signatures Required qualifications Must possess one of the following coding credentials: CCA, CCS, CCS-P (AHIMA) or CPC, CPC-A, CPC-H, CPC-H-A (AAPC) No specific work experience is required for this position A diploma, certification, or degree is not required

To support a growing team, the full-time remote Interventional Radiology Coder (CIRCC Certified Coder) will apply diagnostic and procedural coding for interventional cardiology and radiology, ensuring compliance with coding guidelines and maintaining high accuracy and productivity levels. Key responsibilities: Accurately code surgical procedures and apply ICD-10-CM diagnosis codes to the highest level of specificity Recognize critical care cases and ensure proper documentation impacts reimbursement Participate in ongoing training and maintain compliance with ethical coding standards and company policies Required qualifications: CIRCC certification or 10-15 years of experience in interventional radiology coding Minimum of 3 years of on-the-job coding experience Proficient in Microsoft Excel and Outlook Working knowledge of EMR and billing systems Ability to maintain a productivity level and accuracy rate of 95% or higher

To support the implementation of medical and payment policies, the full-time Payment and Medical Policy Coordinator will coordinate cross-functional activities, ensure business readiness, and manage testing and post-implementation validation while working remotely from the greater Baltimore/Washington metropolitan area. Key responsibilities Coordinates cross-functional activities for policy implementation, ensuring alignment across various teams Supports business readiness activities, including impact assessments and implementation plans Manages testing activities related to policy implementation, ensuring documentation and communication of results Required qualifications Bachelor's Degree in Health Administration, Business, Finance, or related discipline, or 4 years of relevant work experience in lieu of a degree Experience in health plan operations, project coordination, or policy implementation Preferred certifications include Certified Coder (CCS or CPC) from AHIMA or...

Penn Highlands Healthcare has been awarded on the Forbes list of Best-in-State Employers 2022. This prestigious award is presented by Forbes and Statistica Inc., the world leading statistics portal and industry ranking provider. Summary As a CERTIFIED CODER, you will code hospital inpatient records and ambulatory outpatient records with a high degree of accuracy for the purpose of reimbursement, research and compliance with federal regulations according to diagnosis, operations, and procedures using accepted classification systems. Performs data entry of statistical and medical data from records and clinical abstracts via a computer terminal (CRT). After probationary period, Certified Coders may be eligible for remote option. Qualifications Other information: High School Diploma or Equivalent Required A Certified Coding Credential is required One year ICD-10-CM and PCS coding experience One (1) to three (3) years experience What We Offer Career Advancement Opportunities...

To support a growing surgical coding team, the full-time Certified Coder - Surgery will review medical record documentation, assign appropriate billing codes, and collaborate with physicians to ensure accurate coding practices in a fully remote environment. Key responsibilities Review medical records to identify diagnoses and procedures for accurate coding Assign CPT and ICD-9 codes to evaluations and diagnoses Collaborate with physicians to resolve coding issues and ensure documentation compliance Required qualifications Must possess one of the following coding credentials: CCA, CCS, CCS-P, CPC, CPC-A, CPC-H, or CPC-H-A No specific work experience is required for this position A diploma, certification, or degree is not required Knowledge of ICD-10 and CPT coding is preferred Previous coding experience or equivalent education in a related field is advantageous

To support a growing healthcare system, the full-time remote Certified Coder - Cardiology will manage the charge capture process for professional charges, ensuring accurate coding and compliance while serving as a liaison between departments. Key responsibilities Verify and analyze medical records to assign diagnostic and procedural codes accurately Review office-based electronic charges for completion and accuracy, achieving a 95% accuracy rate Serve as an expert resource for coding inquiries and assist in training new employees in the coding area Required qualifications Associate's degree in Health Record Technology or a related healthcare field with two years of professional coding experience, or three years of coding experience with relevant credentials Must obtain Certified Professional Coder (CPC), Registered Health Information Administrator (RHIT), or Registered Health Information Administrator (RHIA) credentials within 18 months of employment At least two years of...

Reviewing SDS and OBV records, the full-time remote Senior Certified Coder will validate diagnosis and procedure codes, ensuring compliance with coding conventions while collaborating with various departments to provide coding feedback and education. Key responsibilities Abstracts and assigns ICD-10-CM diagnosis codes and CPT procedure codes from SDS and OBV patient records for accurate reimbursement and data submissions Audits medical records for proper coding and compliance with federal and state regulations, providing feedback to departmental leadership on documentation accuracy Follows up on coding holds and collaborates with departments to address charge corrections and modifications Required qualifications High School Education/GED or equivalent required; Associate's/Technical Degree preferred AHIMA Certified Coding Specialist (CCS) certification required Three years of coding and healthcare experience required Working knowledge of hospital Cerner EMR (electronic...

To support a growing healthcare team, the remote CPC Certified Coder will review and classify clinical data from medical records for diagnostic and procedural coding, ensuring compliance with coding guidelines and optimal reimbursement. Key responsibilities Interprets medical record documentation to identify diagnoses, conditions, and procedures for various service areas Applies ICD-10-CM and CPT-4 coding guidelines to assign and sequence correct diagnostic and procedural codes Utilizes computerized encoder/grouper tools and keeps current with coding updates to maintain coding accuracy Required qualifications Post High School education or equivalent Two years of coding experience in professional fees (physician/medical office) Thorough knowledge of medical terminology, anatomy, and physiology Comprehensive understanding of professional fee coding principles and regulatory guidelines Current knowledge and experience in ICD-10 coding

To ensure compliant billing of hospital claims, the full-time HIM Certified Coder - Illinois will accurately code hospital inpatient, outpatient, and professional fee encounters using ICD10/ICDPCS, CPT, and HCPCs codes while working remotely during day shifts, Monday through Friday. Key responsibilities Accurately code all records according to appropriate coding classifications and guidelines Provide interdepartmental coding assistance and develop compliant coding methodologies Facilitate external audit activities and maintain coding certifications while performing audits as requested Required qualifications Certified Professional Coder (CPC), Certified Outpatient Coder (COC), or equivalent coding certification High School Diploma or G.E.D Knowledge of ICD-10-CM, CPT, and HCPC coding rules and guidelines Experience with coding software and electronic medical record systems Understanding of medical science, anatomy, and physiology

Working remotely on a full-time basis, the CPC Certified Coder II will review physician and ancillary documentation to determine coding accuracy, manage claim edits across specialties, and resolve coding denials to ensure optimal reimbursement. Key responsibilities: Utilize computer applications to efficiently complete the coding process and meet productivity standards Identify incomplete documentation and formulate physician queries to obtain necessary information for accurate coding Monitor and resolve coding edits and denials in a timely manner to ensure optimal reimbursement Required qualifications: High school graduate or equivalent Graduate of an approved certified coding program preferred, covering relevant medical topics Minimum of 2 years of coding experience or 3 years of experience with CPC certification required Experience with claim edits is preferred Proficient computer skills, particularly in MS Excel, preferred

To support a dynamic healthcare team, the full-time remote Certified Coder will determine accurate coding for billing services, ensure compliance with reimbursement policies, and provide ongoing training to staff on coding and compliance issues. Key responsibilities Determines accurate CPT, HCPCS, and ICD-10-CM codes for billing services provided by healthcare professionals Performs audits and analyses of payer denials, providing recommendations to improve documentation practices Provides training and education on coding and compliance issues to physicians and staff Required qualifications High School diploma or GED; Certification in CPC, CCS, CCS-P, RHIT, or specialty coding with 1-3 years of relevant experience Knowledge of CPT, HCPCS, and ICD-10-CM coding for billing services Understanding of third-party fee profiles and reimbursement requirements Familiarity with current issues and trends in medical coding procedures Analytical ability to gather and interpret data...

Working remotely in a full-time capacity, the HCC Certified Coder will abstract clinical information, assign diagnosis and procedure codes according to coding guidelines, and perform medical chart audits while maintaining a high coding accuracy rate. Key responsibilities Audit patient health assessments and conduct peer coding quality reviews Educate clinicians on coding issues and maintain compliance with CMS Risk Adjustment guidelines Perform quality audits and provide training for the coding team Required qualifications CPC, CCS, or CCS-P credentials required CRC credentials required 3+ years of experience in a Certified Coder role, specifically in HCC coding Proficiency in Microsoft Office and Electronic Medical Records Familiarity with Medicare programs and regulations, including Risk Adjustment

To support medical coding activities, the full-time Certified Coder (CPC) will perform chart reviews, ensure accurate reporting of ICD-10 and CPT codes, and provide training to the provider network, all in a remote environment. Key responsibilities Conduct ongoing member medical chart reviews and accurately abstract ICD-10 and CPT diagnosis codes Document findings from chart reviews and provide feedback to leadership and providers Facilitate training and education for the provider network on risk adjustment and coding updates Required qualifications At least 2 years of medical coding experience or equivalent education and experience Certified Professional Coder (CPC) certification Knowledge of the latest CMS and AHA clinic coding standards Ability to maintain confidentiality in compliance with HIPAA Proficiency in Microsoft Office suite and applicable software programs

Detail-oriented and technology-savvy, the full-time CPC-A Certified Coder will audit AI-generated behavioral health records for clinical accuracy and compliance while working remotely. Key responsibilities Audit AI-generated behavioral health notes against source session data to identify clinical inaccuracies and unsupported inferences Ensure documentation aligns with behavioral health standards and evaluate the structure of notes for appropriate clinical language Utilize multi-platform review systems to maintain focus and refine AI-generated content through advanced editing and proofreading Required qualifications CPC-A (Certified Professional Coder Apprentice) from AAPC or higher Fluency in behavioral health documentation and understanding of outpatient psychiatry or therapy notes Strong knowledge of medical terminology, anatomy, physiology, and pharmacology Exceptional attention to detail with the ability to spot clinically unsupported content Eligibility to work in...

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 our...

Remote Rn Certified Coder Pride Health is hiring a remote RN certified coder for a well-known client! (REMOTE) Schedule: Monday-Friday (9am-5pm EST) Contract: 12 months Pay Rate: 60-64/hour Job Responsibilities Determine which codes belong to the language in the benefit plans Review what peers have designated as correct coding Facilitate any discussions needed to get to a coding document Review audit results and make adjustments as necessary Participate in project meetings Requirements 3 + years' experience with coding and reimbursement methodologies (e.g. CPT, HCPCS, ICD-10, CMS), 3+ years Certified Professional Coder (AAPC or AHIMA) Active unrestricted RN license AAPC or AHIMA certification Apply with Pride Health for this opportunity! Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement...