21 coder 1 jobs found in Baton Rouge, LA

Job Description The Clinic Coder 1 abstracts clinical information from a variety of medical records, charts, and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. May work with coding databases and confirms DRG assignments. This position relies on established guidelines to accomplish tasks and works under close supervision.

The Clinic Coder 1 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. May work with coding databases and confirms DRG assignments. This position relies on established guidelines to accomplish tasks and works under close supervision. * Coding/Abstracting * Determines the sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records, including ambulatory surgery, treatment type admission, observation, emergency room, and outpatient lab/radiology, using ICD-10-CM system and CPT-4 guidelines. Abstracts data elements such as discharge disposition, Consultants, Anesthesiologists, Operating Room Assistants, and verifies...

Overview Join to apply for the Coder 1 - Clinic role at Our Lady of the Lake . The Clinic Coder 1 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. May work with coding databases and confirms DRG assignments. This position relies on established guidelines to accomplish tasks and works under close supervision. Responsibilities Coding/Abstracting: Determines the sequencing of diseases, diagnoses, and surgeries. Assigns appropriate codes to patient records (ambulatory surgery, treatment type admission, observation, emergency room, outpatient lab/radiology) using ICD-10-CM and CPT-4 guidelines. Abstracts data elements such as discharge disposition, Consultants,...

Emergency Room Medical Coder - Level 1 Trauma Center (Remote) Cognizant Technology Solutions is seeking an experienced ICD-10 Coding Consultant Outpatient to join our team and support one or more of our healthcare clients. This is a remote position offering flexible hours during weekdays. Key Responsibilities: Review clinical documentation and accurately assign ICD-10-CM diagnosis and CPT/HCPCS procedure codes for: Emergency Department encounters (including facility E/M coding) Outpatient surgery, observation, and diagnostic services Ensure compliance with federal, state, and payer regulations and internal policies Communicate with physicians to clarify documentation through compliant query processes Utilize an electronic encoder application for coding assignments Perform peer reviews of coding work to maintain quality standards Complete reports and maintain coding accuracy of 98% or higher Meet productivity standards: ED (with facility E/M): 6492 encounters/day...

Inpatient Medical DRG Coder Hospital (Remote) A DRG coder is a medical coding professional who specializes in assigning Diagnosis-Related Group (DRG) codes for inpatient hospital stays. DRG (Diagnosis-Related Group): It's a classification system used primarily for inpatient hospital billing. It groups patients with similar clinical conditions and resource usage into categories. Hospitals are reimbursed based on these DRG codes rather than individual services. Responsibilities Review clinical documentation to assign accurate ICD-10-CM and ICD-10-PCS codes. Communicate with physicians to clarify diagnoses and procedures through the query process. Utilize electronic encoder applications to assign codes in compliance with practice policies and regulatory guidelines. Maintain a minimum accuracy rate of 98% while meeting internal productivity standards. Achieve productivity expectations: Inpatient 1624 encounters per day or 23 encounters per hour. Complete reports and perform...

Job Description Position Purpose: This position is responsible for ongoing risk adjustment improvement activities. Under general supervision, this position includes ongoing quality improvement activities to ensure the organization's Risk Adjustment programs are implemented and meet all government requirements. Nature and Scope: This role does not manage people.

Compliance Auditor The Compliance Auditor position is responsible for supporting the organization's Revenue Management Compliance department in developing, implementing, and administering an effective compliance program. Accurately audits and provides compliance research support to physicians, non-physician practitioners, leadership, and administrative staff on documentation and coding requirements. Determines the adequacy of medical record documentation, coding, and billing, using established compliance auditing and research guidelines for hospital and professional services. Job Duties: Performs compliance audits to determine the adequacy of medical record documentation, billing, and coding, utilizing policies, procedures, Federal and State, laws, regulations, and standard coding guidelines. Evaluates whether documentation and coding patterns present a compliance risk to the organization and provides input on recommended solutions. Identifies training and education needs...

Job Family: General Coding Job Family: General Coding Travel Required: None Clearance Required: Ability to Obtain NACI Job Description: The Coding Inpatient, Outpatient, and Pro Fee Team Supervisor must be proficient in medical coding and have experience overseeing coding teams. The Supervisor will conduct training and initial QA reviews for their direct reports. Supervisors must be able to review clinical documentation and diagnostic results as needed to extract data and apply the appropriate ICD-10 diagnosis codes, CPT/PCS codes, and other relevant coding standards. These codes are used for billing, internal and external reporting, research, regulatory compliance, and other required purposes. Under the direction of the Coding Manager, Supervisors should be proficient in communicating with coding teams, client contacts, and providers regarding the coding of conditions and procedures. All coding must align with ICD-10-CM Official Guidelines for Coding and Reporting, CMS/MAC...

Job Description Performs designated abstracting and coding functions as specified. Assigns diagnostic and procedure codes to inpatient records. Completes data abstract in 3M for each record coded. Ensures records are accurately and completely coded according to hospital approved standards. Reports to the Coding Supervisor of Health Information Management (HIM). Responsibilities Reviews patient's entire current medical record and assigns appropriate code. Determines the sequence of diagnoses according to uniform hospital discharge data. Reviews all surgical and designated diagnostic procedures and assigns appropriate procedure codes. Requests diagnoses from physicians when not recorded on discharge, if information is incomplete, or if information is ambiguous. Abstracts required data items into the medical record abstract system, and ensures data coming from the AS400 is accurate. Ensures the coding is compliant with CMS, AHA, AMA, DHHS and other governing agency requirements....

Hcc Coder Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What You Will Do As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a...

Job Description To review and audit Network Provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations.

Join to apply for the Coder 3 - Clinic role at Our Lady of the Lake 1 week ago Be among the first 25 applicants Join to apply for the Coder 3 - Clinic role at Our Lady of the Lake The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding...

Clinic Coder 3 The Clinic Coder 3 abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate codes to patient records according to established procedures. Assigns codes for specialty practices. Works with coding databases and confirms CPT assignments. Reviews and audits Physician Group provider medical records for documentation and coding compliancy and quality with federal and state laws and regulations. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision. Researches complex coding scenarios. Creates and presents coding education to clinical providers.

Coding Auditor We are seeking a highly motivated and detail-oriented Coding Auditor to join our team. The Coding Auditor will be responsible for conducting comprehensive audits of claims, preparing detailed reports, and collaborating with various departments to ensure accurate and compliant processing. This role requires strong analytical skills, a deep understanding of healthcare coding guidelines, and a commitment to maintaining regulatory compliance. Participates in and contributes to new code reviews to ensure accuracy and compliance with updated guidelines. Assists with all special projects and plan parameter audits as required. Supports the management of the coding and billing auditing program, focusing on high-risk compliance areas. Generates and maintains required database reports related to audit findings. Actively participates in and assists with claim investigations. Licensure / Certification / Registration: Certified Coding Specialist (CCS) credentialed from...

Inpatient Coder/Abstractor Norfolk, VA Work Shift: First (Days) Overview: Sentara Health is seeking to hire a qualified individual to join our team as an Inpatient Coder/Abstractor. Position Status: Full-time, Day Shift. This position is remote. Remote opportunities available in the following states: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington (state), West Virginia, Wisconsin, Wyoming. Standard Working Hours: 8:00AM to 5:00PM (ET). Position Summary: Codes inpatient accounts applying appropriate ICD-10-CM/ICD-10-PCS/CPT-4 codes for hospital reimbursement, mortality & morbidity outcomes, research & statistical and regulatory compliance. Abstracts, codes and assigns necessary demographic and clinical data elements required for inpatient records....

Medical Coding Supervisor Become a part of our caring community and help us put health first. The Supervisor, Medical Coding extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Supervisor, Medical Coding works within thorough, prescribed guidelines and procedures; uses independent judgment requiring analysis of variable factors to solve basic problems; collaborates with management and top professionals/specialists in selection of methods, techniques, and analytical approach. Use your skills to make an impact. Required Qualifications: Bachelor's Degree or equivalent experience A minimum of five years of billing and coding experience in a health care organization CPC (Certified Professional Coder) Certification required through AAPC or CSS Certification through AHIMA Preferred Qualifications: Prior Supervisor experience Passionate about contributing...

Job Title: Coder 2 - Clinic To review and audit Network Provider medical records for documentation and coding compliance and quality with federal and state laws and regulations. Job Summary To review and audit Network Provider medical records for documentation and coding compliance and quality with federal and state laws and regulations. Responsibilities Quality and Performance Improvement Research, develop and implement standardized processes for quality monitoring of inpatient and outpatient coding and abstracting. Conduct quality audits for coding according to pre‑established criteria in coordination with the Coding and Reimbursement Specialist. Assist Management with evaluation of functions and processes of the coding area to determine opportunities to improve the efficiency and quality of the coding area. Implement innovative ideas and process changes. Attend meetings as required and strive to improve the quality of meetings by taking an active role in meeting topics....

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Specialist is responsible for identifying, analyzing, and resolving claim denials across the entire revenue cycle to ensure optimal reimbursement...

Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $27.72 - $46.20 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we're constantly improving to make Banner Health the best place to work and receive care. Looking for a motivated, experienced Inpatient Facility, Acute Care, Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position requiring strong PCS coding experience as...

Job Description Job Description Local, fast-paced, growing specialty practice looking for a Full-Time Medical Coder / Biller. Northlake Gastroenterology Associates is comprised of 6 physicians, 5 NPs, 3 offices and 2 Ambulatory Surgical Centers. We are continuously advancing and making strides to keep up with the modernization of the medical field and industry standards as a whole.  Experience:  Minimum of 5 years of medical billing required, CPC certification required General skills and knowledge: General experience working with insurance carriers and representatives, patients, and staff on meeting/communicating billing & documentation concerns or requirements for billed services. Standard industry policy and procedure in a medical office setting (i.e. billing, front desk, eligibility verification, PAs, scheduling, referrals, etc.) Working reports and queues such as A/R, aging, collections, failed scrub, invalid, rejected, etc. HIPAA compliance and guidelines...

PRIMARY FUNCTION: Conversion of diagnosis and procedures into codes using an international classification of diseases and current procedural terminology. ORGANIZATIONAL RELATIONSHIP: Reports directly to the Charge Description Master/Coding Quality Coordinator and works closely with hospital staff, office staff, and physicians. RESPONSIBILITIES AND ACCOUNTABILITIES: Codes all diagnosis and procedures in accordance to ICD-10-CM, CPT, HCPCS coding principles and coding clinic. Enters diagnosis, procedures, and required billing information into the computer. Verify charges for each procedure as noted on the charge sheet. Review progress notes to ensure coding accuracy. Assists with chart audits. Follow up on coding errors, if required. Performs all other clerical duties associated with the position. Performs other related duties as requested or assigned by the Charge Description Master/Coding Quality Coordinator. JOB SKILLS...