478 certified professional coder 4 jobs found

Job Summary: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system. Provides additional support to the coding staff...

Certified Professional Coder 4 - (Flexible in MD/DC/VA) Join to apply for the Certified Professional Coder 4 - (Flexible in MD/DC/VA) role at Kaiser Permanente . Job Summary Ensures all technical aspects of diagnostic and procedure coding are carried out in accordance with established standards and in compliance with CMS, NCQA, third-party payors, other regulatory agencies, and Kaiser Permanente policy. Functions include, but are not limited to, working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisors in responding to coding questions from other coders and providers. Conducts special projects and reviews of encounters as requested. Responsibilities Researches and assigns HCPCS Level II codes for ambulatory surgical and professional services, reviewing detailed and complex code edits within the Kaiser Permanente system. Supports coding staff by resolving...

Job Summary: Ensures all technical aspects of the assignment of diagnostic and procedure coding is carried out in accordance with established standards and is in compliance with CMS, NCQA, third party payors, other regulatory agencies and Kaiser Permanente policy. Functions includes, but are not limited to working charge review work queues for reimbursable accounts for all internal and external surgical services. Serves as a technical coder for all specialties. Assists supervisor in responding to coding questions from other levels of coders and in responding to providers. Conducts special projects and focused reviews of encounters as requested. Essential Responsibilities: Required to research and assign. HCPCS Level II codes for ambulatory surgical services and/or professional services performed. Ability to research, analyze and/or review detailed and high complexity code edits and transactions within the Kaiser Permanente system. Provides additional support to the coding...

Job Description Job Description One of the Bay area’s best non-profit employers is seeking to add a Certified Medical Coding Specialist . Now is your chance to make a difference in your dream job! We are a mid-size company with less than 300 employees. At Metro Inclusive Health, employees enjoy their mission to serve others in a truly inclusive workplace that values work and life balance and every individual. We offer: Vacation time - 14 days to start! + Sick time of 9 days Day shift and no weekends Excellent pay Bonuses Generous retirement plan with 5-7% company match Medical Insurance, vision and dental insurance 9 Company Paid Holidays Free Short- and long-term disability insurance Education benefits Pet benefits Casual dress code This position is hybrid/Remote , partial in office and partial work from home. No fully remote . Candidates must live within a commuting distance to Pinellas county Florida. Statement of Purpose : This position is...

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as stand-alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and...

Description SCHEDULE: Full-time; 40 hours per week; Monday - Friday; 8:00 am - 4:30 pm The Certified Professional Coder is responsible for the review, interpretation, coding and abstracting of medical record information according to the standard and current classification systems; identifies and applies appropriate diagnoses, procedural, HCPCS and modifier codes to obtain accurate assignment for proper reimbursement and data collection in the inpatient and/or outpatient setting. Requirements Coding certification is required through AHIMA or AAPC as a RHIA, RHIT, CCS, CCS-P, CPC, CCA and CPC-H. An incumbent shall also be considered if he/she is registry eligible or actively working toward accreditation or registration; or is currently enrolled in a certified coding program with certification to follow. Certification required within 12 months of employment. Prefer one year of experience in coding inpatient and/or outpatient records with the use of ICD-10-CM, CPT and HCPCS...

Compensation: $20.40 - $25.50 per hour (based on years of experience) Summary: The Certified Senior Coder reviews providerservice records to ensure accurate coding for all services to maximizereimbursement and meet coding requirements from insurance carriers andregulatory agencies (Medicare and Medicaid). Additionally, acts as a resource to providers for coding issues. Principal Responsibilities: 1. Will participate and maintain a culture withinThe Corvallis Clinic that is consistent with the content outlined in theService and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, andembrace the principles contained within. 2. Codes services correctly; understands andappropriately uses all CPT, ICD-10 and modifiers. Understands and follows allbundling edits. 3. Ensures that documentation supports chargesbilled, e.g. E/M auditing, procedures, DOS, use of modifiers, and ICD-10. 4. Process and input billings accurately...

Job Description Bienvivir All-Inclusive Senior Health ("Bienvivir") is a community-based, patient-centered, comprehensive health care delivery system that advocates and promotes quality of life, optimum independence, dignity, and choices in a nurturing environment for frail seniors. Since 1987, Bienvivir has served the frail seniors of El Paso, Texas through the provision of the Program of All-Inclusive Care for the Elderly ("PACE"). PACE is a unique managed care benefit for frail seniors (referred to as participants) age 55 and older who are certified by the state as needing nursing home level care and who reside in a PACE service area. PACE programs coordinate and provide comprehensive medical and support services so that participants can remain independent and stay in their homes for as long as safely possible. BENEFITS for Full and Part-time employees who work 30 or more hours per week: We pay 100% of the MEDICAL monthly premiums for Employee Only coverage. We pay 100%...

Job Description The Coder/Abstractor accurately codes, sequences and abstracts inpatient, outpatient, and emergency department records according to ICD-10-CM, CPT, and PCS coding guidelines. Analyzes code assignment for correct DRG calculation to achieve optimal and timely reimbursement. Abstracts medical record information into hospital database and registries for statistical quality data and fiscal reporting. Queries physician for clarification of documentation. Performs duties within approved practices, exercising independent judgment within pre-determined guidelines. Required Skills Skills: 1. Knowledge of Health Information Systems practices, procedures, and guidelines. 2. Ability to analyze and solve problems. 3. Ability to seek out new methods and principles to improve services. 4. Ability to utilize verbal and written communication skills effectively. 5. Ability to use interpersonal, presentation and project management skills. Required Experience Minimum...

Description Do you have a passion for detail and a commitment to accuracy? Join our Health Information Management team as a Clinics Coder and play a critical role in ensuring our patients' records are correctly documented and reimbursed. You'll be responsible for converting diagnoses and procedures into accurate codes using ICD-10-CM and CPT standards, optimizing reimbursement, and ensuring compliance with state and federal regulations. If you thrive in a fast-paced healthcare environment and enjoy contributing to quality care behind the scenes, apply today! JOB SUMMARY: The Clinics Coder is responsible for reviewing and coding diagnoses and treatment procedures documented in inpatient and outpatient medical records using standard coding systems. The coder ensures accuracy, compliance, and timely completion of coding to support clinics operations and billing. This is a non-exempt position that reports directly to the HIM Director. KEY RESPONSIBILITIES: Medical Coding and...

Job Description Job Description Duties: Using established coding principles and procedures, reviews, analyzes and codes diagnostic and/or procedural information from the patient\'s medical record for reimbursement/billing purposes. Requirements: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding. CCS, CCS-P, CPC, or COC certification required. Minimum of two (2) years\'\' experience coding outpatient medical records using ICD-10-CM, ICD-10-PCS, CPT-4 and E&M classification systems required. Proficient with ICD-10-PCS coding. Licensure: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA required. Skills: Certified Coder: CPC, COC, CCS or other applicable coding certification through the AAPC and/or AHIMA - Required Education: High school graduate with additional training in ICD-10, CPT-4 and evaluation and management coding - Required

$5,000 SIGN ON BONUS FOR EXTERNAL APPLICANTS Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high - quality health services. As Senior Inpatient Facility Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for...

Job Description This is a hybrid position with in-person work required in Detroit, MI. The Orthopedic Coder works independently on a daily basis responsible for the abstracting and coding of medical records and assigning codes with a high degree of accuracy. Responsibilities Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet Physician Resources. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner. Reviews medical records and physician documentation to code patient charges Assists...