638 certified professional coder iii jobs found

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...

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 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...

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

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...

Description: Under the direction of our Medical Coding Supervisor, the primary responsibility of the Medical Coder is to accurately apply codes to eCRF forms requiring MedDRA or drug coding and assist in data reviews of clinical trials. This entails various duties and responsibilities as outlined below. Although, the Medical Coder should be trained and aware of the process for each of these duties, each Medical Coder may specialize in one or two areas for the majority of his/her daily workflow. The various levels (I, II, and III) of a Medical Coder are characterized in Appendix I - Medical Coder Designation Table. Major duties and responsibilities: MedDRA Coding The Medical Coder is to accurately and consistently apply MedDRA codes to adverse events experienced by study participants on protocols. It is the responsibility of the Medical Coder to ensure that the data is complete and assign the most appropriate MedDRA code to each event. Data designated for MedDRA code...

The University of Rochester is looking for a Med Rec Coder III to work remotely. This full-time position involves advanced coding of medical documentation, ensuring accuracy and compliance with coding rules. Candidates require a high school diploma with at least 2 years of coding experience, and knowledge of ICD-10CM coding is essential. The role offers a compensation range of $23.06 - $32.29 per hour. #J-18808-Ljbffr

ThedaCare Coder (Clinic - III) The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits. Job Description: Schedule: Full time, benefit eligible 40 hrs/week Business hours (i.e 8:00am-5:00pm) Remote Position Preferred skill set and experience strong in surgical coding; Urology primarily to...

Coder III Full-time Company Description Healthcare Job Description Coder III 3-5 years experience preferred Provides high level technical competency and subject matter expertise analyzing physician/provider documentation contained in assigned Complex Outpatient (CO) and Inpatient health records (electronic, paper and hybrid) to determine the principal diagnosis, secondary diagnoses, principal procedure and secondary procedures. Provides appropriate Medical Severity Diagnostic Related Groups (MS-DRG), Present on Admission (POA), Severity of Illness (SOI) & Risk of Mortality (ROM) assignments for Inpatient records and accurate APC assignments and all required modifiers for Complex Outpatient records. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM) diagnosis and procedure codes, Current Procedural Terminology...

Medical Coder Under the direction of our Medical Coding Supervisor, the primary responsibility of the Medical Coder is to accurately apply codes to eCRF forms requiring MedDRA or drug coding and assist in data reviews of clinical trials. This entails various duties and responsibilities as outlined below. Although, the Medical Coder should be trained and aware of the process for each of these duties, each Medical Coder may specialize in one or two areas for the majority of his/her daily workflow. The various levels (I, II, and III) of a Medical Coder are characterized in Appendix I Medical Coder Designation Table. Major duties and responsibilities: MedDRA Coding The Medical Coder is to accurately and consistently apply MedDRA codes to adverse events experienced by study participants on protocols. It is the responsibility of the Medical Coder to ensure that the data is complete and assign the most appropriate MedDRA code to each event. Data designated for MedDRA code...

ProMedica Shared Services, LLC is hiring an Inpatient Hospital Coder III for a remote position based in Ohio. The role involves translating health care services into standardized codes and requires proficiency in coding systems, excellent communication skills, and at least one year of inpatient coding experience. The organization offers a competitive benefits package effective from the first day of employment, including dental, vision, life insurance, 401k, and more. Join a mission-driven team committed to improving health and well-being across communities. #J-18808-Ljbffr

Med Records Coder III 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 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: $21.78 - $30.53 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,...

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, or South Carolina) Status: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of...

Saint Francis Health System in Tulsa, OK is seeking a Coder III Specialist to assign codes for ER, outpatient services, outpatient surgeries, observations, and inpatient records. You will work with internal teams, ensuring accuracy and timely submission of claims while adhering to medical necessity edits. The ideal candidate has a CCS certification, at least 3 years of related experience, and strong ICD-10 knowledge with anatomy and physiology. #J-18808-Ljbffr

A leading healthcare provider is seeking a Medical Records Outpatient Coder III to work remotely on a PRN basis. This role entails reviewing patient encounters to assign accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 systems. Candidates must have strong CPT coding skills and at least 5 years of outpatient facility coding experience. The role offers flexibility in schedule and requires a Certified Coding Specialist certification. Join a team that values trust, dignity, and clinical excellence. #J-18808-Ljbffr