445 clinical coder iii jobs found

Clinical Coder III 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 Neurosurgery at the University Of Florida, College Of Medicine is committed to providing comprehensive clinical services for the diagnosis, management, treatment, and rehabilitation of patients suffering from diseases of the brain, spinal cord, and nervous system, including brain tumors, aneurysms, stroke, epilepsy, functional disorders, and spinal...

Clinical Coder III The Department of Surgery is seeking a full-time Clinical Coder III position to assure that all clinical evaluation and management procedure services are captured, coded, and billed accurately and timely. Candidates are required to be certified by one of the following institutions: Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required. This position is remote, however, an on-site training period may be required based on experience and qualifications. Job duties include but are not limited to: Performing highly specialized diagnosis and procedure coding for all non-operative and operative procedures performed. Verifying all patient data for accuracy and resolving discrepancies. Reviewing reports to determine billable services and applying the appropriate codes in a timely manner. Accurate and timely processing of charges in EPIC. Contacting Physicians or other clinical staff when...

Clinical Coder III The Department of Surgery is seeking a full-time Clinical Coder III position to assure that all clinical evaluation and management procedure services are captured, coded, and billed accurately and timely. Candidates are required to be certified by one of the following institutions: Certified Professional Coder (CPC)/ American Academy of Professional Coders (AAPC) or Certified Coding Specialist (CCS-P) required. This position is remote, however, an on-site training period may be required based on experience and qualifications. Job duties include but are not limited to: Performing highly specialized diagnosis and procedure coding for all non-operative and operative procedures performed. Verifying all patient data for accuracy and resolving discrepancies. Reviewing reports to determine billable services and applying the appropriate codes in a timely manner. Accurate and timely processing of charges in EPIC. Contacting Physicians or other clinical...

To ensure accurate and timely coding and billing of clinical services, the full-time remote Certified Clinical Coder III will perform specialized diagnosis and procedure coding, verify patient data, and communicate with clinical staff regarding coding and compliance issues. Key responsibilities Perform highly specialized diagnosis and procedure coding for non-operative and operative procedures Verify patient data for accuracy and resolve discrepancies while processing charges in EPIC Discuss coding, documentation, and compliance issues with physicians and co-workers Required qualifications High school diploma or equivalent with five years of experience in professional medical coding Experience in two or three clinical specialties Certification as a Certified Professional Coder (CPC) or Certified Coding Specialist (CCS-P) is required Advanced knowledge of medical terminology, anatomy, and coding conventions Proficiency in using Epic for analyzing encounters and notifying...

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 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 Records Coder II/III San Mateo County Health is seeking an experienced Medical Records Coder II/III to join Correctional Health and support the coding of CalAIM billable services, including clinic visits and ancillary services. This position plays an important role in ensuring accurate reimbursement while supporting continuity of care for justice-involved individuals. The successful candidate will perform billing functions related to the Department of Health Care Services (DHCS) Justice-Involved CalAIM Initiative. This initiative allows eligible incarcerated individuals to enroll in Medi-Cal prior to their release and enables reimbursement for covered healthcare services provided during the 90 days before reentry, helping support successful transitions back into the community. This position requires independent proficiency in ICD-10 and CPT coding, coding audits, physician education on coding practices, Evaluation and Management (E/M) coding, and identifying and...

Be inspired. Be valued. Belong.  At Emory Healthcare   At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:    Comprehensive health benefits that start day 1   Student Loan Repayment Assistance & Reimbursement Programs   Family-focused benefits   Wellness incentives  Ongoing mentorship, development, leadership programs  And more  JOB DESCRIPTION: The Hospital Inpatient Coder III uses clinical coding knowledge based on the Official Coding Conventions guidelines and AHA Coding Clinic, to assign ICD-9 and/or ICD-10 codes to the highest level of accuracy for each inpatient encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in...

Medical Records Coder II/III San Mateo County Health is seeking an experienced Medical Records Coder II/III to join Correctional Health and support the coding of CalAIM billable services, including clinic visits and ancillary services. This position plays an important role in ensuring accurate reimbursement while supporting continuity of care for justice-involved individuals. The successful candidate will perform billing functions related to the Department of Health Care Services (DHCS) Justice-Involved CalAIM Initiative. This initiative allows eligible incarcerated individuals to enroll in Medi-Cal prior to their release and enables reimbursement for covered healthcare services provided during the 90 days before reentry, helping support successful transitions back into the community. This position requires independent proficiency in ICD-10 and CPT coding, coding audits, physician education on coding practices, Evaluation and Management (E/M) coding, and identifying and...

Certified Coder The Certified Coder is responsible for ensuring that charges are assessed and entered in compliance with applicable coding regulations, standards, policies and guidelines as established by CMS and the various third party payers. This requires a thorough understanding of CCI edits and payer rules regarding medical necessity and bundling of services. The Coder is also responsible for assisting with provider inquiries regarding documentation standards as well as providing pertinent feedback to providers regarding the quality of clinical documentation. Coders may work remotely from home, which requires appropriate internet connectivity and physical space to complete work while maintaining HIPAA standards. Qualifications Education required: High School graduate or GED. Education preferred: Formal coder training strongly preferred. License, certification and/or registration: Certified Professional Coder or similar certifications (CCA, CPC, CCS, etc...)...

Be inspired. Be valued. Belong.  At Emory Healthcare   At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide:    Comprehensive health benefits that start day 1   Student Loan Repayment Assistance & Reimbursement Programs   Family-focused benefits   Wellness incentives  Ongoing mentorship, development, leadership programs  And more  JOB DESCRIPTION: The Hospital Inpatient Coder III uses clinical coding knowledge based on the Official Coding Conventions guidelines and AHA Coding Clinic, to assign ICD-9 and/or ICD-10 codes to the highest level of accuracy for each inpatient encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in...

Description 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. Job Details 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 exceed...

Medical Records Coder II/III San Mateo County Health is seeking an experienced Medical Records Coder II/III to join Correctional Health and support the coding of CalAIM billable services, including clinic visits and ancillary services. This position plays an important role in ensuring accurate reimbursement while supporting continuity of care for justice-involved individuals. The successful candidate will perform billing functions related to the Department of Health Care Services (DHCS) Justice-Involved CalAIM Initiative. This initiative allows eligible incarcerated individuals to enroll in Medi-Cal prior to their release and enables reimbursement for covered healthcare services provided during the 90 days before reentry, helping support successful transitions back into the community. This position requires independent proficiency in ICD-10 and CPT coding, coding audits, physician education on coding practices, Evaluation and Management (E/M) coding, and identifying and...

Revenue Cycle Coder III-Inpatient Coding Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation's largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 158 hospital-based locations, in addition to its home-based services and virtual care offerings. As our Advanced Coding & CDI Educator, you will leverage your expert knowledge in ICD-10-CM, ICD-10-PCS, and CPT-4 coding to drive excellence in our health information management (HIM) department. This critical role focuses on elevating coding accuracy, enhancing Clinical Documentation Improvement (CDI) practices, and ensuring system-wide compliance with evolving regulatory standards. You will be instrumental in fostering a culture of continuous learning and precision, directly...

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,...

Position Title: Inpatient Coding Auditor Department: HIM Coders Job Description: Ask your recruiter about our competitive wages and total rewards package! Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. This position may be filled as levels I, II, or III, depending on individual experience, education, certification(s), and business need. ****Ideal candidate will have experience in complex inpatient coding at an academic medical center.**** General Description Ensures accurate, quality, and compliant Inpatient facility coding through prebill and retrospective audits of coder work and providing targeted education to improve consistency and documentation quality. Essential Job Duties Responsibilities listed in this section are core to the position. Inability to perform these responsibilities, with or without an accommodation, may result in disqualification from the position. · Performs all functions of coding...

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 physicians...

Medical Records Coder III - ED Coding (Part Time) REMOTE At BayCare, we are proud to be one of the largest employers in the Tampa Bay area. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that's built on a foundation of trust, dignity, respect, responsibility and clinical excellence. Summary: Performs advanced coding functions by reviewing short-stay focused encounters and assigning accurate diagnosis and procedural codes using ICD-10-CM and CPT-4 coding systems. Collaborates with departments to resolve documentation gaps and monitors bill hold reports. Demonstrates strong knowledge of medical terminology and anatomy. Assists the Manager/Director in mentoring and training Coder 1 and 2 team members and clinical practice students. Contributes to the accuracy and integrity of the...

Coder III (Inpatient) - Remote - Days Coder III (Inpatient) Are you looking for a rewarding career with a top-notch healthcare company? We are looking for a qualified Coder III like you to join our Texas Health Family Work location: Remote Work hours: Monday through Friday from 8:00 to 4:30 pm (may have some flexibility after training/orientation) HIMS Coding Department Highlights: 100% remote work Flexible hours/scheduling Terrific work/life balance Qualifications Here's What You Need Education H.S. Diploma or Equivalent REQUIRED and Other Completion or training in ICD-10-CM/PCS coding program REQUIRED Associate's Degree Health Information Management, Nursing or other healthcare related field preferred or Bachelor's Degree Health Information Management, Nursing or other healthcare related field preferred Experience 3 Years Inpatient coding experience in a large, complex acute healthcare setting REQUIRED or Licenses and Certifications CCS - Certified Coding Specialist Upon...

Physician Coder III Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Physician Coder III is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives across Hackensack Meridian Health (HMH) network. Performs data entry of required abstracted patient...

Specialty Rocc Coder III UCI Health is one of California's largest academic health systems and the clinical enterprise of the University of California, Irvine. Established on July 1, 1976, UCI Health has grown into a 1,461-bed health system that includes UCI Health Orange, UCI Health Irvine, four Community Network hospitals and a growing network of ambulatory care centers across Orange and Los Angeles counties. As Orange County's only academic health systems, UCI Health is home to the only National Cancer Institute-designated comprehensive cancer center based in the county, the region's only American College of Surgeons-verified Level I adult and Level II pediatric trauma center, American College of Emergency Physicians Gold Level 1 Geriatric Emergency Department and a nationally recognized regional burn center verified by the American Burn Association. Powered by UC Irvine, UCI Health serves 5.6 million people across Orange County, western Riverside County and southeast Los...

Coder III (Inpatient) - Remote - Days Coder III (Inpatient) Are you looking for a rewarding career with a top-notch healthcare company? We are looking for a qualified Coder III like you to join our Texas Health Family Work location: Remote Work hours: Monday through Friday from 8:00 to 4:30 pm (may have some flexibility after training/orientation) HIMS Coding Department Highlights: 100% remote work Flexible hours/scheduling Terrific work/life balance Qualifications Here's What You Need Education H.S. Diploma or Equivalent REQUIRED and Other Completion or training in ICD-10-CM/PCS coding program REQUIRED Associate's Degree Health Information Management, Nursing or other healthcare related field preferred or Bachelor's Degree Health Information Management, Nursing or other healthcare related field preferred Experience 3 Years Inpatient coding experience in a large, complex acute healthcare setting REQUIRED or Licenses and Certifications CCS - Certified Coding Specialist Upon Hire...

Senior Risk Adjustment Coder The Senior Risk Adjustment Coder will perform code audits and abstraction in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to Medicare Advantage Risk Adjustment. What you will do: Risk Adjustment Review May perform prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing Reviewing medical records to ensure accurate HCC coding and identify opportunities for recapture and suspect diagnoses. Evaluating medical records to verify that M.E.A.T criteria support the submitted diagnosis codes. Inquire with clinicians the recommended HCC diagnosis for chart addendum. Collaborating with other departments to address coding updates and support risk adjustment...

Ip Facility Coder Iii CcsNow hiring a IP Facility Coder III CCSHas the knowledge and ability and will be required to code all of the following :inpatient and / or outpatient hospital records, ED records, Home Health & Hospice records and / or professional fee services for PMG specialty providers or demonstrate coding expertise in a specific specialty deemed a critical business need by PHS Coding Leadership using the ICD-9 / 10 CM and CPT-4 classification system.Ensures adherence to Hospital and Departmental Policies and Procedures.How you belong matters here.We value our employees' differences and find strength in the diversity of our team and community.At Presbyterian, it's not just what we do that matters.It's how we do it - and it starts with our incredible team.From Information Technology to Food Services and beyond, our non-clinical employees make a meaningful impact on the healthcare provided to our patients and members.Why Join UsFull Time - Exempt :NoRev Hugh Cooper...