175 clinical coder ii jobs found

79846BRJob Posting Title:HIM Inpatient Clinical Coder IIDepartment:Finance-Patient Financial ServicesAutoReqId:79846BRStatus:Full-TimeStandard Hours per Week:40 Job Posting Category:FinanceJob Posting Description:This HIM Inpatient Clinical Coder II will be responsible to: Abstract, sequence and assign diagnosis and procedure codes for inpatients according to the department's policies/guidelines, CMS Coding guidelines, CMS Correct Coding initiatives, ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions Code cases such as trauma, post-procedure complications, more complex fractures and long-term monitoring and length of stay up to twenty days such as spinal fusions and V-P shunts; day surgery and observation outpatients, as required for reimbursement and maintenance of patient database Assign CPT-4 procedure codes, adds modifiers as needed, analyze and assign grouper utilizing specialized computer software Follow-up on outstanding uncoded and...

Job Posting Description At Boston Children's Hospital, the quality of our care - and our inclusive hospital working environment - lies in the diversity of our people. With patients from local communities and 160 countries around the world, we're committed to reflecting the spectrum of their cultures, while opening doors of opportunity for our team. Here, different talents pursue common goals. Voices are heard and ideas are shared. Join us, and discover how your unique contributions can change lives. Yours included. This HIM Inpatient Clinical Coder II will be responsible to: Abstract, sequence and assign diagnosis and procedure codes for inpatients according to the department's policies/guidelines, CMS Coding guidelines, CMS Correct Coding initiatives, ICD-10-CM coding conventions and Uniform Hospital Discharge Data Set (UHDDS) definitions Code cases such as trauma, post-procedure complications, more complex fractures and long-term monitoring and length of stay up to twenty days...

Overview: The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities: Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Associations Coding Clinics, and/or American Medical Associations CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation...

Work Shift: Please see job description for details. Time Type: Full time Department: CC017060 Health Information Management Summary: Full-time (40 hours/week, Monday–Friday) — Initial training period onsite, with flexible remote schedule available afterward The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. Additional Information: REQUIRED: American Academy of Professional Coders (AACP) or American Health Information Management Association (AHIMA) certification Full-time (40 hours/week, Monday–Friday) — Initial training period onsite, with flexible remote schedule available afterward #AC2025 Required Education: Recommended Education: No education...

Full-time (40 hours/week, MondayFriday) Initial training period onsite, with flexible remote schedule available afterward The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD Coder, Clinical, Healthcare, Medical

Join to apply for the Clinical Quality Coder II role at Sutter Health . We are glad you are interested in joining Sutter Health! Organization SHSO-Sutter Health System Office-Bay Position Overview This position reviews outpatient medical records using ICD-10-CM, CPT, Medicare Advantage, and CMS coding guidelines. It ensures accurate diagnosis and procedure coding, including pre-appointment reviews to identify potential clinical conditions. Education HS Diploma or GED Certification & Licensure CRC, CPC, AHMA, or AAPC Coding Certification Experience At least 1 year of relevant experience Skills and Knowledge Knowledge of ICD-10, Medicare Advantage Coding, medical terminology, and coding guidelines Proficiency with coding software and reference materials Understanding of coding regulations and ability to work independently and in teams Excellent communication skills Job Details Shift: Days Schedule: Full Time, Monday - Friday Hours: 8 per day, 40 per week...

Description MaineHealth Corporate Summary: Fully Remote working position The Outpatient Coder II role is responsible for the accurate assignment of ICD and CPT coding of diagnoses and procedures for outpatient medical records in multiple different outpatient settings including Outpatient Hospital Clinics, ASU, OBSV, interventional radiology/cardiac cath/angiography records, Provider Based Clinics (inclusive of E/M, Coding for both inpatient and outpatient professional procedures), IV therapy, Emergency department and other areas as needed. Performs abstracting to determine accuracy and completeness of the outpatient record. Required Minimum Knowledge, Skills, and Abilities (KSAs) Education: Associates Degree in a science field preferred with completion of an accredited program through AHIMA or AAPC License/Certifications: RHIT, RHIA, CCS, CCA, CPC, CPC-H, or CIRCC credential required. Experience: Two years of multi-specialty, preferably surgical coding experience, with CPT/ICD...

Clinical Coder III - Department of Neurosurgery Job no: 532862 Work type: Staff Full-Time Location: Main Campus (Gainesville, FL) Categories: Office/Administrative/Fiscal Support, Veteran's Preference Eligible, Health Care Administration/Support Department: 29190000 - MD-NEUROLOGICAL SURGERY Classification Title: Clinical Coder III Job Description: The Department of Neurosurgery is seeking an experienced surgical coder to perform highly specialized diagnosis and procedural coding for all operative procedures and inpatient consulting services performed by the faculty of the Department of Neurological Surgery including those performed in Gainesville and at Halifax Regional Medical Center. The ideal candidate will have a thorough knowledge of anatomy, surgical and medical terminology coding, a working knowledge of the billing requirements of insurance carriers, and the operating procedures of the department and the hospital(s). The Lillian S. Wells Department of...

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. Job Description : EDUCATION Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma or equivalent education/experience CERTIFICATION & LICENSURE CRC-Certified Risk Adjustment Coder OR CPC-Certified...

Description: 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...

Work Shift: Day - 8 Hour (United States of America) A caring health system dedicated to excellence - today and tomorrow. I. Position Summary: Under indirect supervision, Coder II is responsible for accurate coding of all physician practice services. Responsible for creating accounts and coding inpatient rounding from physician rounding sheets. Working from the appropriate documentation on the medical record, the coder will assign the appropriate diagnosis and procedure codes from the required codeset(s) for the patient type. Coder II will be responsible for correcting coding errors when identified. All work is performed in accordance with the rules, regulations and coding guidelines as established for ICD (International Classification of Diseases), CPT (Current Procedural Terminology), CMS (Center for Medicare and Medicaid Services) as well as Houston Healthcare organizational/institutional guidelines. II. Qualifications: A. Education & Training: High school diploma or GED...

About AmeriPharma AmeriPharma is a rapidly growing healthcare company that offers you the opportunity to contribute to our collective success every day. We value innovation, creativity, and productivity, and we seek individuals who are passionate about their roles and eager to grow as the company evolves. AmeriPharma's Benefits Full benefits package including medical, dental, vision, life that fits your lifestyle and goals Great pay and general compensation structures Employee assistance program to assist with mental health, legal questions, financial counseling etc. Comprehensive PTO and sick leave options 401k program Plenty of opportunities for growth and advancement Company sponsored outings and team-building events Casual Fridays Job Summary As a Medical Biller II at AmeriPharma, you will be responsible for ensuring that all medical claims are billed accurately and promptly for services rendered to patients. The ideal candidate will be detail-oriented, proactive, and possess a...

Overview Job Summary: Demonstrates through behavior Decatur Morgan Hospital's mission, vision and values. The Certified Professional Coder is responsible for accurate coding assignments of services performed in a medical office setting, hospital setting or outpatient surgical setting for physician and non-physician providers professional fees. Based upon the provider documentation as well as other supporting clinical documentation/reports where acceptable and appropriate the coder using their training, expertise and software tools will assign/confirm diagnoses and procedures as indicated in the patient medical record. Classification systems include Current ICD-10-CM and current CPT edition, current HCPCS Level II and all coding is in accordance with official coding guidelines from the American Medical Association and AAPC - Codify All work is carried out in accordance with the Decatur Morgan approved policies and procedures. Responsibilities Key Responsibilities / Essential...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Job Description Summary Under the direct supervision of the Hospital Coding Supervisor, the Coder II will Abstract inpatient, outpatient, clinic, and/or emergency department medical record documentation to select and sequence appropriate ICD-10-CM/PCS, HCPCS, and/or CPT4 codes. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Entity University Medical Associates (UMA) Only Employees and Financials Worker Type Contingent Worker Worker Sub-Type External Admin Support Staff Cost Center CC002059 UMA CORP RC PPA Physician Patient Acct Admin CC Pay Rate Type Hourly Pay Grade Health-25 Scheduled Weekly Hours 40 Work Shift Job Description The coder/abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...

Navajo Preference Employment Act : NAVAJO/INDIAN PREFERENCE TCRHCC is located within the Navajo Nation and, in accordance with Navajo Nation law and applicable federal law, has implemented a Navajo/Indian Preference in Employment Policy. Pursuant to this Policy, applicants who are enrolled members of the Navajo Nation, Hopi Tribe, and San Juan Southern Paiute Tribe and who meet the necessary qualifications for this position will be given preference in hiring and employment for this position. Applicants who are legally married to an enrolled member of the Navajo Nation, Hopi Tribe, or San Juan Southern Paiute Tribe, who have resided within the territorial jurisdiction of the Navajo Nation or other federally-recognized American Indian Tribe for at least one continuous year immediately preceding the date of application, and who meet the necessary qualifications for this position will be given secondary preference. Applicants who are enrolled members of any other federally-recognized...

Who We Are UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America's Best Hospitals by U.S. News & World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County's only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast...

DHR Health - US:TX:Edinburg - Days Summary: MISSION STATEMENT: Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that medical...