5458 coder 1 jobs found

Job Description Department: UHC: Managed Care-LLUHC/41077 Job Summary: The Coder 1 - Risk Adjustment is responsible for concurrent, prospective, and retrospective clinical documentation review as it pertains to Risk Adjustment Data Validation (RADV) timelines, with an emphasis on completeness and accuracy of provider documentation related to severity of illness and supporting clinical care plan(s) for the validation of Hierarchical Condition Category (HCC) diagnoses. Initiates communication, verbal and written, with providers to facilitate clarification of need for greater specificity, clinical support, and/or completeness of the progress notes. Provides compliant education related to documentation integrity, completeness, and consistency. Keeps providers up to date on CMS, ICD-10-CM, AHA Coding, health plan etc. guidelines as it pertains to Risk Adjustment for the purpose of, documentation trends and opportunities for improvement related to documentation integrity....

Miami, FL | Full-Time Health Information Management Summary HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation contained in the in-patient health records to accurately assign and sequence ICD-9 diagnostic and ICD-9 procedure codes to inpatient records for use in reimbursement and data collection. Responsibilities Has the knowledge and experience to code In-patient medical records using ICD-9 and/or ICD-10 code set. Ensures all accounts are coded correctly, which will provide an accurate MS-DRG or APR-DRG for appropriate reimbursement. Ensures all accounts are coded within 4 days of the patient's discharge date, meeting productivity standards according to AHIMA Guidelines depending on record type. Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted information is applied to the appropriate patient's encounter. While reviewing the record for coding purposes, serves as a...

Inpatient Coder 1 – Jackson Health System Miami, FL • Full‑time • Health Information Management Summary HIM Inpatient Coder 1 is responsible for reviewing the clinical documentation in inpatient records to accurately assign and sequence ICD‑9 (where applicable) and ICD‑10 diagnostic and procedure codes. Coding is used for reimbursement and data collection. Responsibilities Code inpatient medical records using ICD‑9 and/or ICD‑10. Ensure accounts are coded correctly to provide an accurate MS‑DRG or APR‑DRG for reimbursement. Complete coding within 4 days of the patient discharge date, meeting productivity standards per AHIMA Guidelines. Verify patient information, identify discrepancies, and ensure all codes are assigned to the correct encounter. Serve as a quality reviewer; identify documents not belonging to the patient or the correct encounter. Use appropriate modifiers accurately. Query physicians for additional information when needed to clarify diagnoses, symptoms,...

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, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

JOB SUMMARY: Identifies reviews, interprets, codes and abstracts clinical information from inpatient and/or outpatient records for the purpose of reimbursement, data collection, and compliance with federal regulations and other agencies using established coding principles and procedures. Minimum knowledge, skills, and abilities: High School Graduate Preferred certification (RHIT, CPC, CCS, CCS-P, CCA) Overall experience will be reviewed in the event there is no certification, in addition must have coding certification within the year of start date (CPC, CCS, CCS-P) 0-2 years coding experience Experience with facility/professional coding in the areas of Clinic/Professional, Ancillary Rehab, Specialty (e.g. Rheumatology, Urology), OB and Outpatient Knowledge of ICD-10-CM/PCS and CPT/HCPCS coding and medical necessity guidelines. Understanding of reimbursement methodology, federal, state and payer coding documentation and billing requirements Ability...

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, other regulatory agencies, third party payers and Kaiser Permanente policy.Function includes, but is not limited to working charge review work queues, other forms of charge submissions and querying providers to ensure the completeness and accuracy of coding of internal services performed.Essential Responsibilities :Responsible for reviewing primarily medical and ancillary type workques charge sessions within KP Health connect and applying coding principles for correct coding.Research, code, and / or data enter encounters that are supported by KPHC with the Charge capture tool.Review all other charge sessions submitted via paper encounters, physician in baskets and other various methods to ensure correct coding principles have been applied.Query providers for clarification of incomplete or...

A regional healthcare organization based in New York's Southern Tier is looking for a dedicated individual for a coding position. In this role, you will apply diagnosis and procedure codes to patient health information, ensuring accuracy and compliance with reimbursement guidelines. Candidates should possess a high school diploma or equivalent, certification within 18 months of hire, and a keen attention to detail. This is a full-time position with a compensation range of $21.31 - $30.90 per hour depending on experience. #J-18808-Ljbffr

The Physician Coder codes and abstracts physician services performed in the hospital setting according to AHA, AMA, guidelines and CMS directives. Must assure data quality through quarterly reviews. Performs data entry of physician services statistic Coder, Per Diem, Data Entry, Remote, Professional, Physician, Healthcare

A community hospital in New York is seeking a Full-Time Coder to join their Health Information Management department. The ideal candidate has over 3 years of experience and is required to hold coding certifications such as CPC or CCS. Responsibilities include the accurate assignment of diagnostic and CPT codes for patient medical records. This role offers competitive pay, generous health benefits, and the potential for hybrid work after one year. #J-18808-Ljbffr

Description:Evaluates health record documentation and charges to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support the outpatient visit.Ensures that data complies with regulatory and coding guidelines.Reviews medical information, such as diseases or symptoms and diagnostic descriptions and procedures for a given visit, to accurately assign and sequence the correct ICD-1 CM, HCPCS and CPT codes.Adheres to the quality and productivity standards set by the department.Education Qualifications :Successful completion or currently enrolled in a medical coding program which includes completed course work inICD-1-CM, HCPCS, CPT codes, medical terminology, anatomy and physiology and disease process AND a passing score on the ESSENTIA HEALTH coding skills assessment test.OR Credentialed as, or eligible for, Certified Coding Specialist (CCS), Certified Coding Specialist-Physician Based (CCS-P), Certified Professional...

Description US:NV:Carson City Health Information Management Full Time Day Shift About Carson Tahoe Health CTH is a not-for-profit healthcare system with 240 licensed acute care beds, fully accredited by the Center for Improvement in Healthcare Quality (CIHQ). CTH was voted 5th most beautiful hospital in the nation nestled among the foothills of the Sierra Nevada in North Carson City and only a short drive away from world-famous Lake Tahoe & Reno. We serve a population of over 250,000 and feature two hospitals, two urgent cares, an emergent care center, outpatient services and a provider network with 19 regional locations. Summary As an intermediate level clinical coding specialist, assigns compliant, complete, and accurate APC's, ICD diagnosis codes, CPT/HCPCS procedure codes, E/M facility and Professional level codes, and modifiers. Primary patient types to include, hospital outpatient services, Emergency Department, Urgent Care, Ambulatory Surgery,...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 1 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in one complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks , resolving claim edits, handling individual coding workload, working stop bills (if assigned), and sending queries, as needed, to clinical staff. EEO/AA/Disability/Veteran Responsibilities 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes in accordance with official coding guidelines. 2. Reviews...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 3 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in three (3) complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills/DNBs, conducting QA reviews and sending queries, as needed, to clinical staff. Mentors Coder 1 and Coder 2 coders, and participates in cross-training initiatives such as the coder buddy program and learning circle initiatives. Acts as an expert coding resource...

Job Description Under the direction of the HIM Manager, the Coder will be responsible for chart review with experience in Inpatient and Outpatient coding within the hospital setting. Strong knowledge of ICD-10-CM, PCS, CPT/HCPCS coding, and CCI edits. Verify completeness of medical records to ensure documentation supports the assigned codes and modifiers. Knowledge of reimbursement systems and regulations pertaining to billing, documentation and compliance standards including federal and state regulations. Maintain coding knowledge of current coding updates, medical terminology, updated changes in healthcare regulations and maintain up to date coding certification. Attention to detail with excellent communication and interpersonal skills when working with healthcare providers, physicians, residents, and other departments within the hospital. Qualifications Associate Degree required Bachelors Degree preferred License/Certifications: CCS-Certified Coding Specialist,...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 3 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in three (3) complex outpatient coding service line. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills/DNBs, conducting QA reviews and sending queries, as needed, to clinical staff. Mentors Coder 1 and Coder 2 coders, and participates in cross-training initiatives such as the coder buddy program and learning circle initiatives. Acts as an expert coding resource...

Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, M I, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Job Summary: Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT,...

Company Overview #LI-Remote Shriners Children's is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families. All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403 (b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA)...

Erlanger Health hires employees for telecommuting/remote positions in the following states: AL, AZ, GA, FL, IN, KY, LA, MD, MI, MS, MO, NC, NV, OH, PA, SC, TN, TX, VA, WI, WY Job Summary Position is responsible for coding of physician and/or mid-level provider professional services. Recognize and complete a high-volume workload accurately and in a timely manner, with minimal direct supervision. Follow set procedures to achieve goals. Display professional office skills and ability to navigate a practice management system. Good written and oral communication skills, ability to handle multiple tasks, and work with and train other employees. Ability to serve as liaison between management, the physician practices, and employees working within physician practices. This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines. Coder will provide CPT, HCPCS and...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. Under the general direction of the OP Coding Supervisor, the Outpatient Coder 3 is responsible for a comprehensive review of medical record documentation and performs a variety of coding related activities in three (3) complex outpatient coding service lines. Work may include, but is not limited to: coding cases, prioritizing assigned coding tasks, resolving claim edits, handling individual coding workload, working stop bills/DNBs, conducting QA reviews and sending queries, as needed, to clinical staff. Mentors Coder 1 and Coder 2 coders, and participates in cross-training initiatives such as the coder buddy program and learning circle initiatives. Acts as an expert coding resource to...

A healthcare organization in New Haven is seeking an Outpatient Coder 1 responsible for coding and reviewing medical record documentation ensuring compliance with official guidelines. The ideal candidate will have at least 2 years of outpatient coding experience and hold relevant coding credentials. Strong critical thinking and communication skills are essential. This position promises career development opportunities in a dynamic healthcare environment. #J-18808-Ljbffr

A Health Care Institution in Miami, FL is seeking an Inpatient Coder 1. This entry-level position involves coding inpatient medical records using ICD-9 and ICD-10 codes to ensure accurate reimbursement and data collection. Candidates must possess a High School diploma and preferably have some related experience. You will need to meet productivity standards and maintain certification through continuing education, while adhering to HIPAA regulations and company standards. #J-18808-Ljbffr

**Department Name:**Coding Ambulatory**Work Shift:**Day**Job Category:**Revenue Cycle**Estimated Pay Range:**$23.16 - $34.74 / 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.Are you an experienced **Surgical Oncology Physician Coder** **Surgical Oncology**. This Coder 1 will be supporting very busy providers/surgeons and is very heavy with E/M coding.**Requirements:*** **Minimum 1 year recent experience in E/M Surgical Oncology coding (clearly reflected in your attached resume);*** **Must be currently certified through AAPC or Ahima, as defined in minimum qualifications below. Please...

A healthcare organization in Connecticut is seeking an Outpatient Coder 1 to review medical records and assign appropriate codes with a focus on quality and accuracy. The ideal candidate has at least 2 years of coding experience and knowledge of ICD-10-CM and CPT coding standards. A Bachelor's degree is preferred, and candidates with relevant certifications will be favored. This role demands strong attention to detail and excellent communication skills. #J-18808-Ljbffr

Join to apply for the Inpatient Coder 3 (10K Sign-On Bonus Available) role at Wellstar Health System How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well‑being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives. Work Shift Day (United States of America) Overview The IP Coder 3 position reports directly to the Supervisor of Coding. Key responsibilities of the role include: reviewing documentation in inpatient and/or IVR (interventional radiology) medical records, and accurately and completely assigning appropriate ICD‑10‑CM diagnostic and ICD‑10‑PCS/CPT‑4 HCPCS procedural codes to the greatest specificity, assigning...