1652 certified professional coder director jobs found

Coder II Under general supervision of the Director, the Coder II provides consistency and efficiency in outpatient claims processing and data collection to optimize APC reimbursement and facilitate data quality in outpatient services. Reviews, audits, and reports on charge capture. Maintains patient confidentiality at all times. Every effort has been made to make this job description as complete as possible. However, it in no way states or implies that these are the only duties the incumbent will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or is a logical assignment to the position. Analyzes IP, OP, Recurring, & SDC records and appropriately codes per coding guidelines, ICD-10-CM and CPT rules and updates, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear...

Lexington Regional Health Center Title: Medical Coder Effective Date: October 29, 2021 Supervisor: Director of Health Information Management Department: Health Information Management FLSA Status: Non-Exempt Principle duties and responsibilities Review medical records to assign accurate diagnostic and procedure codes to patient records, which will play a key role in determining reimbursement and adherence to coding compliance regulations and corporate policies developed to ensure accurate billing. Responsible for coding specific areas of the organization as assigned. May have the potential to transition to a work from home position based on the needs of the organization after on- site orientation and training has been established. Use of encoder software to assign appropriate CPT and ICD-10-CM/PCS codes. Collaborate with the various departments to ensure proper charging and billing for maximum reimbursement. Interact with providers regarding documentation...

Job Description Job Description Full-Time Monday - Friday JOB SUMMARY 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. SUMMARY OF ESSENTIAL JOB FUNCTIONS 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...

Coder Reimbursement Specialist - Hospital The Coding and Reimbursement Specialist, CCS is responsible for coding and abstracting thoroughly, clinical data from the medical record. This includes both inpatient, outpatient, commercial, Medicare, Medicaid, and Illinois Public Aid, plus any other payor types. This accurate and timely coding is essential for reimbursement to the hospital, according to the appropriately selected principal diagnosis, grouped to the DRG in accordance with rules and regulations and coding methodologies, resulting in reimbursement and billing compliances as set forth by the Office of Inspector General. Manages workload and assigns work to three inpatient and two outpatient coders and oversees the day to day workings of the coding/reimbursement area. Monitors various regulatory sources to keep HIM coding and other staff informed and trained on various coding rules, regulations and related issues. Works closely with patient financial services to resolve any...

Job Description Job Description Description: CIBOLA GENERAL HOSPITAL 1016 E. Roosevelt Avenue Grants, New Mexico 87020 Phone: 505-287-4446 Fax: 505-287-5309 Title: Coder II Department: HIM Reports To: Director of HIM Direct Reports: N/A Date: 12/2022 Compensation: Exempt Status: Non-Exempt Range Summary: Accurate assignment of ICD-10-CM/PCS, CPT-4 codes, HCPCS and Modifiers to the highest level of specificity as supported by documentation in the medical record in compliance with governmental regulations and hospital policies. Review of the quality of data and documentation and facilitate improvement. Responsible for reviewing medical records/assigned charges as necessary, for accuracy. Essential Functions: Understands and is able to apply inpatient, emergency room, observation, day surgery and clinic/outpatient coding guidelines depending upon the patient type being coded. This position is able to fill in when other coders are...

Coding Specialist Assign ICD-10-CM, CPT-4, HCPCS, and modifier codes to the highest level of specificity based on documentation in the medical record, in compliance with all governmental regulations and hospital policies. Review data quality and documentation to facilitate improvement. Review medical records and assigned charges as needed to ensure accuracy. Essential Functions Apply appropriate outpatient coding guidelines according to patient type. Code the Reason for Visit (RFV) using the patient's own words describing why they are seeking services. Assign the principal diagnosis as "the condition established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care," in accordance with Cibola General Hospital's Coding, Abstracting, and Data Retrieval Policy and AHIMA's Standards of Ethical Coding. Review secondary diagnoses in the medical record for clarification, agreement, comorbidities/complications, and...

Coding Specialist General Summary: Ensures proper assignment of diagnosis and procedure codes, along with validating and adjusting charges according to the services the patient received. Works collaboratively with Clinical Documentation Improvement personnel to ensure coding is clinically supported. Participates in the identification and resolution of discrepancies in documentation; assists in training as necessary. Maintains a working knowledge of applicable coding and reimbursement Federal, State, and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical, and professional behavior. Participates in quality assessment and continuous quality improvement activities. Performs all job duties and responsibilities in a courteous and customer-focused manner according to the Hurley Family Standards of Behavior. Supervision Received: Works under the...

Job Title Responsibilities One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World's Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.' Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. At UHS and all its subsidiaries, our Human Resources departments and recruiters...

Manager Professional Billing Coding Operations Remote Boston Medical Center (BMC) is more than a hospital. Its a network of support and care that touches the lives of hundreds of thousands of people in need each year. It is the largest and busiest provider of trauma and emergency services in New England. Emphasizing community-based care, BMC is committed to providing consistently excellent and accessible health services to all and is the largest safety-net hospital in New England. The hospital is also the primary teaching affiliate of the nationally ranked Boston University School of Medicine (BUSM) and a founding partner of Boston HealthNet an integrated health care delivery systems that includes many community health centers. Join BMC today and help us achieve our Vision 2030 which is a long-term goal to make Boston the healthiest urban population in the world. Position: Manager Professional Billing Coding Operations Remote Department: Coding & Education, BUMG...

Job Description The Coder II reviews outpatient records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines with 97% accuracy rate, while maintaining coding standards for productivity. This position reviews outpatient records and assigns codes according to outpatient rules. The Coder II may be responsible for ER Facility Charging, if applicable. This position follows up on outstanding unbilled accounts on a regular basis. This position does not have excessive re-bills. Responsibilities Reviews patient medical records and accurately assigns appropriate ICD-10-CM or CPT-4 codes according to established guidelines. Applies sequencing guidelines to coded data according to official coding rules. Reviews medical records to ensure appropriate documentation is there to support codes/ER charges assigned. Responsible for being knowledgeable of coding and diagnostic procedures, as well as remaining current about federal legislative changes that...

Something special starts here. You can't define it, but you know it when you see it: the difference between an average life and the good life. When your cup is full - with joy, purpose and lifelong health - it shows. At LMH Health, we are all about healthy people, healthy communities and healthy futures, and that makes us your destination for an exceptional career. From flexible, work-life harmony to competitive pay and great advancement potential, find everything you're looking for at LMH Health. You'll find everything you're looking for at LMH Health: Join a team that cares about the community Tuition reimbursement to support continuing education Professional development and recognition Excellent benefits We're looking for you. Job Description Job Summary The Medical Coding Auditor is responsible for conducting prospective and retrospective compliance reviews of documentation supporting codes reported by providers or facility coding to ensure...

Responsibilities POSITION SUMMARY Under the supervision of the Director of HIM (Health Information Management), the HIM Coder is responsible for coding and abstracting medical records, including all diagnoses for inpatient and partial hospitalization medical records, using the International Classification of Diseases (ICD-10-CM), and entering coded information into the MIRA computer system. Performs related work as required. This is a 100% on-site position. Remote work or hybrid schedules are not available for this role QUALIFICATIONS Education : Graduation from a HIM program preferred-high school or equivalent, with knowledge of general office skills required. Experience: RHIA or R.H.I.T required with 1 year coding experience or CCA with 2 years coding experience, or CCS or CC-P with 1 year coding experience, and at least one year of experience in a HIM department. Additional Requirements: Knowledge of medical terminology, anatomy, physiology,...

Health Information Management (HIM) Coder Under the supervision of the Director of HIM, the HIM Coder is responsible for coding and abstracting medical records, including all diagnoses for inpatient and partial hospitalization medical records, using the International Classification of Diseases (ICD-10-CM), and entering coded information into the MIRA computer system. Performs related work as required. This is a 100% on-site position. Remote work or hybrid schedules are not available for this role. Education: Graduation from a HIM program preferred—high school or equivalent, with knowledge of general office skills required. Experience: RHIA or R.H.I.T required with 1 year coding experience or CCA with 2 years coding experience, or CCS or CC-P with 1 year coding experience, and at least one year of experience in a HIM department. Additional Requirements: Knowledge of medical terminology, anatomy, physiology, and ICD-10-CM classification system is required. Computer knowledge is...

Health Information Management (HIM) Coder Under the supervision of the Director of HIM, the HIM Coder is responsible for coding and abstracting medical records, including all diagnoses for inpatient and partial hospitalization medical records, using the International Classification of Diseases (ICD-10-CM), and entering coded information into the MIRA computer system. Performs related work as required. This is a 100% on-site position. Remote work or hybrid schedules are not available for this role. Education: Graduation from a HIM program preferred—high school or equivalent, with knowledge of general office skills required. Experience: RHIA or R.H.I.T required with 1 year coding experience or CCA with 2 years coding experience, or CCS or CC-P with 1 year coding experience, and at least one year of experience in a HIM department. Additional Requirements: Knowledge of medical terminology, anatomy, physiology, and ICD-10-CM classification system is required. Computer knowledge...

Rural Health Group is seeking a Medical Biller for a full-time position in our Billing department. The position will be located at our Finance office in Roanoke Rapids, NC. Certified Professional Coder certification is preferred, but not required. If certified, you will be required to provide a copy of the certification on your application.  Other details surrounding requirements for the role are below. Rural Health Group, Inc. (RHG) is a well-established 501(c)3 non-profit Federally Qualified Health Center with roots going back 40+ years, now with multiple locations across northeastern North Carolina. Led by a patient-majority Board of Directors, our 300+ employees are dedicated to offering quality care to all with a range of services, including: medical (family practice, internal medicine, infectious disease, pediatrics, OB/GYN), dental, pharmacy, behavioral health, case management, and community outreach. Job duties and responsibilities include: Processes claims...

Clinic Coder St. Mary's Medical Center is seeking a full time Clinic Coder for our Central Business Office. Under the supervision of the Director of Health Information Management or authorized designee, is responsible for reviewing clinical documentation and diagnostic reports to extract data and apply appropriate ICD, CPT codes, modifiers, discharge dispositions, and other coding schemes to medical records for billing, internal and external reporting, research and regulatory compliance activities. Education Requirements: High school diploma or equivalent required. Associate's degree in Medical Coding preferred but not required. Experience: Background in medical billing, terminology, and anatomy is strongly recommended. Certifications/Skills: CPC-A, COC-A, CPC or COC required. Additional specialty certifications will be used to show proficiency and count as experience in the certified specialty.

Under general supervision of the HIM Director, the Certified Inpatient Coder is responsible for reviewing inpatient medical records and accurately assigning ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and MS-DRGs in accordance with official coding guidelines, federal regulations, and Tribal 638 facility policies. Upholds the principles of WIHCC's Vision, Mission, and Value Statements. Maintains confidentiality of all privileged information at all times. This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive. Essential Duties & Responsibilities: Maintains regular attendance and punctuality. Review inpatient medical records to identify all diagnoses and procedures relevant to each patient encounter. Assign ICD-10-CM and ICD-10-PCS codes according to official coding guidelines. Determine and assign the appropriate MS-DRG. Ensure coding reflects the highest level of specificity...

Coding Resources You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. Billings Clinic is a community-owned, not-for-profit, physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty...

Description About Us Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...

Specialty Coder Senior - Coding US:TX:Tyler | Medical Coding | Full Time Summary: Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation...

Outpatient Coder - Coding - 368951 US:TX:Tyler | Medical Coding | Full Time Description Summary: Responsible for maintaining current and high-quality ICD-10-CM and CPT coding for all Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. The coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM Guidelines for Coding and Reporting and CPT Guidelines. Outpatient coding is applicable towards clinical, provider office visits, therapeutic, laboratory, recurring, emergency department, outpatient observation, and ambulatory surgery patient encounters. Coder will work collaboratively with various CHRISTUS Health departments (Admitting, Charging, Patient Financial Services, HIM, etc.) to resolve charging...

PFS - Coder I FT Gibson City, IL 60936 Overview Salary Range $21.00 - $32.00 Hourly Position Type Full Time Description The PFS Medical Coder is responsible for the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The coder is responsible for assigning and verifying the correct codes are used to describe the type of service(s) the patient received. The Coder will ensure the codes are applied correctly during the medical billing process, which includes removing the information from the documentation, assigning the appropriate codes, and creating a claim to be paid by the insurance carriers. Coders will work with the hospital, clinics, and physician offices as needed to provide personalized, professional healthcare services to the residents of the Communities we serve. Principle Duties and Responsibilities Assign codes to diagnosis and procedures, using ICD-10, CPT, and HCPS codes. Ensure...