432 clinical coder iii jobs found

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...

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...

Coder III (Remote) Location: Covington, Louisiana, United States of America Category: Clerical Remote: Fully Remote Widget: Full time At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste. Job Description and Position Requirements Scheduled Weekly Hours: 40 Work Shift: (Monday-Friday) 8am - 5pm Job Summary: The Hospital Coder III reviews and accurately codes and abstracts the most complex hospital services such as same day surgeries, in-patient procedures, overnight / multi-night stay services, Cath Lab, Interventional...

Major Responsibilities: This role will have all responsibilities of coder I, II and III in addition to: reviews complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay cases for all patient types. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. Serves as a subject matter expert to Coding department leaders and peers....

Job Summary Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). This is a Coder III–level position. The Coder III is responsible for researching, reviewing, interpreting, and processing Interventional Radiology (IR), Vascular, and Neurosurgery coding and billing charges. This role supports all coding functions for the IR, Vascular, and Neurosurgery departments and will communicate regularly via email and messaging with clinic staff to ensure compliant, accurate, and appropriate coding practices. Job Responsibilities Perform charge capture, apply diagnoses and modifiers, and demonstrate...

Medical Records Coder V-Supervisor Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Coder V-Supervisor to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Leadership Matter. Koniag Advisory Business Solutions (KABS) is seeking an experienced, highly skilled, and mission-focused Medical Records Coder V (Supervisor) to lead a coding team supporting a large-scale healthcare mission serving hospitals and clinics. This is a critical leadership role supporting coding and billing for more than 300,000 patient visits, where technical expertise,...

Inpatient Coder Specialist (REMOTE) 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...

Coder (Hospital Billing) The Coder (Hospital Billing) reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM and ICD-10-PCS codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Responsibilities Verifies that all ICD-10-CM and ICD-10-PCS codes are correctly captured. Verifies that physician and other key information is correctly abstracted. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality accuracy rate of 95% or better. Coder III assigns codes for diagnoses, treatment, and procedures for inpatient surgeries. Determines the correct principal diagnosis, co-morbidities,...

Coder The Coder reviews clinical documentation and diagnostic results and applies appropriate ICD-10-CM, ICD-10-PCS, and CPT codes to support diagnoses, procedures, and treatment results. Codes are used for billing, internal and external reporting, research, and regulatory compliance activities. Abides by the standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to all official coding guidelines. Verifies that all ICD-10-CM and CPT codes are correctly captured. Verify that physician is correctly abstracted. Keeps abreast of coding guideline changes by self-study, assigned education, coding meeting attendance or related in-services. Participates in internal and external quality review meetings. Performs other duties as assigned. Resolves billing related errors and assists with workflow changes and process improvement projects. Meets ongoing productivity and quality standard of 95% accuracy rate or better....

CERIS Certified Coder II The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations and communicates claim status to referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Maintain HIPAA compliance Additional duties as assigned KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practices Strong organizational skills Ability to meet or...

Inpatient Hospital Certified Medical Coder III - remoteAre you a detail-oriented Certified Medical Coder who takes pride in accuracy and contributing to quality patient care? We're looking for someone just like you to join our growing healthcare family at Valleywise Health.As a key member of our team, you'll play a vital role in ensuring that patient services are accurately coded and reimbursed, helping our clinical teams continue to deliver excellent care.You'll be surrounded by a supportive team, gain access to ongoing professional development, and have a direct impact on our hospital's mission to serve the community with compassion and integrity.If you're a certified medical coder who values accuracy, efficiency, and being part of a healthcare team that truly makes a difference - we want to hear from you!Why You'll Love Working With Us :Meaningful Impact :We value you! Accurate medical coding is more than just numbers - it's about ensuring the integrity of patient care,...

AtlantiCare Regional Medical Center All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. Description The role of the Coder Inpatient Level III is to interact extensively with the physician and other members of the health care team to facilitate the improvement in the overall quality, completeness and accuracy of medical record documentation. This will support the appropriate clinical picture and level of severity of the patient while providing accurate and complete information that is utilized in the medical record and core measure abstraction and coding process to obtain appropriate reimbursement. This position will also be responsible for coordinating and providing education to all physicians and other clinicians related to compliant documentation responsibilities and coding and abstraction issues. This position will identify...

Job Summary The Coding Supervisor is responsible for overseeing the daily operations of the coding team, ensuring accurate and compliant coding practices across all clinical departments. This role provides leadership, training, and quality assurance for coding staff, supports provider education, and collaborates with Revenue Cycle and Compliance teams to optimize reimbursement and maintain regulatory compliance. Job Specific Competencies Team Leadership & Oversight Supervises coding staff including Coder I and Coder II. b. Monitors productivity and quality metrics, ensuring standards are met or exceeded. c. Conducts regular team meetings and one-on-one check-ins to support performance and development. Quality Assurance & Compliance Oversees internal/external audits and reviews coding accuracy, documentation, and billing compliance. b. Ensures adherence to federal, state, and payer-specific coding guidelines. c. Coordinates with Compliance and Revenue...

Physician Coder (FT) The Physician Coder I performs evaluation/management coding for clinic, inpatient, and outpatient encounters as well as coding for in-office ancillary services and minor procedures. Assigns and sequences all codes for services rendered. Collaborates with coders, billers, clinical staff, managers, and healthcare professionals to ensure accurate coding assignment and to resolve any coding-related claim denials. Job Specific: Physician Coder I Duties: Assigns codes to diagnoses, hospital visits, office visits, and in-office ancillary services and minor procedures using correct CPT®, HCPCS Level II, and ICD-10-CM codes. Ensures that assigned codes are accurate and sequenced correctly in accordance with coding guidelines, as well as insurance and government regulations. Examines patient medical record to ensure coding accurately reflects the documented medical care provided. Demonstrates continued improvement on coding reviews and audits, until 90%...

About Us Cooper University Health Care is committed to providing extraordinary health care, beginning with our dedicated team. Our professionals continuously discover clinical innovations and expand access to the most up-to-date facilities, equipment, technologies, and research protocols. We commit to competitive compensation and a comprehensive benefits program—including health, dental, vision, life, disability, and retirement—for full- and part-time employees, and we offer attractive working conditions and opportunities for career growth through professional development. Short Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac Cath/Electrophysiology, Interventional Radiology, and Surgery to support Revenue Cycle goals for timely billing. Experience Required 3-5 years required. Inpatient coding preferred....

About Us At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to our employees to provide competitive rates and compensation programs.  Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement. We also provide attractive working conditions and opportunities for career growth through professional development. Discover why Cooper University Health Care is the employer of choice in South Jersey. Short Description Coder III demonstrates proficiency in coding high acuity inpatient accounts and/or coding of technical outpatient accounts including, but not limited to Observation, Radiation Oncology, Chemotherapy Infusion, Cardiac...

## Coder/Abstractor Clerk IApplylocations: Salinas, CAtime type: Full timeposted on: Posted Yesterdayjob requisition id: SVH-103255**It's fun to work in a company where people truly BELIEVE in what they're doing!***We're committed to bringing passion and customer focus to the business.*## ## Department:Health Information ManagementWorks under the direction of the HIM Director/Coding Compliance Manager. Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records. Performs other duties as assigned.* Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of conditions and services rendered.* Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager.* Queries providers for clarification of non-specific...

Health Information Management It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Works under the direction of the HIM Director/Coding Compliance Manager. Performs ICD-10 HCPCS coding, data abstracting and computer data entry on all inpatient and outpatient medical records. Performs other duties as assigned. Demonstrates competency with accurate and compliant coding utilizing ICD-10 and HCPCS classification using established governing guidelines for complete reporting of conditions and services rendered. Thoroughly reviews chart to ascertain all appropriate diagnosis/procedures, if there is a question regarding the diagnoses/code, refers chart to Coding Compliance Manager. Queries providers for clarification of non-specific diagnoses/procedures. Utilizes computerized coding/abstracting applications. Codes all diagnoses/procedures in accordance to ICD-10 and HCPCS coding...

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...

Job Description At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Qualifications Education: High School Graduate or...

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...

Location:Remote - OhioDepartment:HIM Revenue CycleWeekly Hours:0Status:Per DiemShift:Days (United States of America)Job Summary:As the Inpatient Hospital Coder III, you will translate health care services and procedures into standardized codes on inpatient accounts. You will work with Epic work quests to maintain timeliness of coding, billing and accounts receivable.You will communicate with providers, coders and clinical documentation specialists as needed for comprehensive patient record documentation.You will formulate, monitor and respond to all compliant documentation clarification requests to query the provider for resolution of incomplete documentation.The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.REQUIREMENTSAssociate’s or bachelor’s degree in HIT/HIM OR High school diploma AND Certificate of Completion of AHIMA Coding Basics Program and Coding Assessment and Training Solutions...

HCC Coding Quality Educator Location: Madisonville, Louisiana, United States of America Category: Clerical Remote: Office/Remote Hybrid Schedule: Full time At St. Tammany Health System, delivering world-class healthcare close to home is our goal. That means we are committed to attracting and retaining the very best professionals for every position in our health system. We believe the pristine beauty of St. Tammany Parish adds to our attractive compensation package. The health system is nestled in the heart of Covington on the north shore of Lake Pontchartrain. It is a peaceful, scenic, community-oriented area with an abundance of amenities to suit every taste. Job Description and Position Requirements Scheduled Weekly Hours: 40 Job Summary: The HCC Coding Quality Educator (HC) facilitates the improved integrity of medical record documentation through interaction with healthcare providers to support the appropriate representation of severity of illness, risk of mortality,...

Major Responsibilities This role will have all responsibilities of coder I, II and III in addition to reviewing complex inpatient documentation at a highly skilled and proficient level to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Responsible for coding high dollar and long length of stay cases for all patient types. Expertise in query guidelines and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate. Serve as a subject matter expert to Coding department leaders and peers. Recommends modifications to current policies and procedures as needed to coincide with government regulations. Maintain continuing...