5203 coder 1 jobs found

Miami, FL | Full-Time Health Information Management Department: Health Information Management Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies...

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.

Remote Risk Adjustment / Hcc Coder (Coder 1) The Coder I is responsible for conducting accurate, compliant, and complete diagnosis code abstraction for Medicare, Commercial, and Medicaid risk-adjustment programs across a variety of chart types. This role applies ICD-10-CM Official Guidelines, AHA Coding Clinic guidance, and Cotiviti/client-specific requirements to ensure high-quality coding outcomes. The Coder I utilizes established dispute-resolution processes when coding disagreements arise and communicates professionally with team leadership regarding findings, errors, and improvement opportunities. We are currently looking for multiple Remote Risk Adjustment / Hcc Coders (Coder 1) for full-time permanent positions. Responsibilities Reviews medical records for accurate, compliant, and complete diagnosis code abstraction from a variety of chart and encounter types to support Medicare, Commercial and Medicaid prospective, concurrent and retrospective risk adjustment...

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...

Health Information Management Miami, FL Full-Time Address: 1611 NW 12 Ave, Miami, FL 33136 Shift Details: Monday to Friday, 7.30 AM to 4 PM [Remote but open to applicants who reside in the state of Florida] Summary HIM Outpatient Coder 1 is responsible for coding and abstracting outpatient medical records, including Emergency Room visits, Clinic visits and Recurrent visits. The Coder 1 is responsible for reviewing the clinical documentation contained in the patient health record to accurately assign and sequence ICD-9 and CPT codes for use in reimbursement and data collection. Able to transition to ICD-10-CM. Responsibilities Codes outpatient diagnostics/outpatient clinics/recurring visits/emergency room visits using ICD-9 or CPT codes as appropriate. Maintains a yearly average accuracy rate of 94% during internal and/or external Coding audits. Verifies patient information to identify any discrepancies and ensures that all codes and any other abstracted...

Please Note: This is a hybrid position ; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered. Department: UHC: Managed Care 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...

Job Description Recruitment Incentive Bonus: may be eligible for $3000 recruitment incentive bonus based on eligibility requirements. Job Summary: The Coder 1-HIM performs International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding and abstracts data the legal medical record for facilities, licensed under LLUMC and contracted other LLUH facilities. Assigns diagnosis and procedure codes in compliance with the American Hospital Association Official Coding Guidelines. Ensures the quality and accuracy of coding and abstract information are in compliance with federal and state regulations, government and contract payers, and grant funding. Quality of data collected impacts the facility in multiple ways, including finance, legal, research, teaching, quality assurance, etc. The Coder 1-HIM must be able to perform coding in Outpatient and/or Emergency area. Works with students and coding interns as requested. Performs other duties as needed....

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. Responsibilities 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,...

Job Description Please Note: This is a hybrid position ; however, applicants must reside in California and live within a 2-hour radius of Redlands, CA to be considered. Department: UHC: Managed Care 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...

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,...

Health Information Coder I This position requires onsite work as needed. The Health Information Coder I is an entry-level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT and HCPCS classifications systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services. This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to UCSF policies, supporting proper reimbursement and revenue cycle integrity. The Coder I collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval. Join UCSF: Exceptional Benefits,...

Health Information Coder I This position requires onsite work as needed. The Health Information Coder I is an entry-level coder with a basic knowledge and skill set to utilize ICD-10-CM, CPT and HCPCS classifications systems to code across various healthcare settings, including outpatient, emergency department, and ancillary services. This role ensures coding accuracy, compliance with regulatory guidelines, and adherence to UCSF policies, supporting proper reimbursement and revenue cycle integrity. The Coder I collaborates with healthcare providers, revenue cycle teams, and compliance departments to resolve documentation issues and maintain high standards of coding performance. The employee will work eight (8) hours per day, excluding meal periods, on five (5) consecutive days within a workweek. The workweek schedule is set between the employee and the manager and may be scheduled to start any day of the week based on manager approval. Join UCSF: Exceptional Benefits,...

Overview Minimum Required Education Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. Associates Degree Preferred Minimum Required Training ICD-9, ICD-10, CPT, HCPCS Minimum Required Special Skills Basic skills in verbal and written communication. Minimum Required Licensure Certification in one of the following: Certified Coding Specialist (CCS), Certified Coding Specialist Physician (CCSP), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA, Certified Professional Coder (CPC), Certified Outpatient Coder (COC/CPCH, Certified Professional Coder Payer). COC/CPCH;CPC-P ;CCS-P;RHIT;RHIA;CPC;CCS

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 :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 Description Summary Under 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. Responsibilities Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classify using ICD-10 and CPT edition, and all coding is in accordance with official coding guidelines from AMA, AHA, and AHI MA. All work is carried out in accordance with the Health Information Management Department and MUSC-approved policies and procedures. Maintain active certification required for role. Qualifications High school diploma or equivalent (GED) and...

Job Title: Medical Clinic Biller/Coder Location: Northwest Florida Community Hospital - Chipley, FL Position Type: Full-Time Position Summary: Northwest Florida Community Hospital is seeking a detail-oriented and experienced Medical Clinic Biller/Coder to join our team. This position is responsible for accurate coding, billing, and claims processing for clinic services to ensure timely reimbursement and compliance with federal regulations and payer requirements. The ideal candidate will have strong knowledge of medical terminology, coding systems, and insurance billing procedures. Responsible for all activities in the Clinic accounts receivable function. Manages billing and collection activities such as sending follow-up inquiries, negotiating with past due accounts, and referring accounts to collection agencies. Codes and sequences all diagnoses and procedures using established ICD-10-CM coding rules for each patient encounter; coding will be subject to accuracy and...

Overview Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Under the direction of the director of Health Information Management, accurately code outpatient conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing process, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Responsibilities - Utilizing all required electronic applications interprets and abstracts pertinent patient health information from documentation in the medical record. Identifies the principle, secondary diagnosis and procedures including complications and co morbidities. All coders are required to continuously maintain the required standards of their level. Level...

Coder II-1 Under the direct supervision of the Hospital Coding Supervisor, the Coder II will be responsible for abstracting and coding medical record documentation across various departments, including inpatient, outpatient, clinic, and emergency services. This role involves selecting and sequencing the appropriate ICD-10-CM/PCS, HCPCS, and CPT-4 codes to ensure accuracy and compliance with coding guidelines. The Coder II will contribute to coding compliance by ensuring timely and accurate assignment of codes for diagnoses and procedures, including the final DRG assignment. Adheres to coding compliance guidelines for assignment of complete, accurate, timely and consistent codes for diagnoses and procedures to include final DRG assignment. Location: South Carolina Entity: Medical University Hospital Authority (MUHA) Worker Type: Employee Worker Sub-Type: Regular Cost Center: CC002307 SYS - Hospital Coding Pay Rate Type: Hourly Pay Grade: Health-25 Scheduled Weekly...

Job Description UW Medicine Enterprise Records and Health Information has an outstanding opportunity for an INPATIENT CODER . Experience in a Level 1 Trauma center or teaching facility is preferred. WORK SCHEDULE 100% FTE, Days Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the...

A digital transformation partner is seeking an experienced individual to analyze and interpret records for Trauma 1 facility inpatient coding. Responsibilities include assigning correct diagnostic and procedure codes while complying with third-party payor requirements. Ideal candidates should have at least 2 years of inpatient coding experience in a trauma 1 setting and hold relevant certifications such as RHIA or RHIT. A focus on communication, analytical skills, and attention to detail is essential for success. Join us for a rewarding opportunity in Louisville, KY. #J-18808-Ljbffr

A leading digital transformation partner is looking for a skilled coding specialist in Louisville, Kentucky. In this role, you will analyze complex records to ensure accurate billing for Trauma 1 facility inpatient services. The ideal candidate has at least 2 years of inpatient coding experience and holds relevant certifications such as RHIA, RHIT, or CCS. Strong communication and analytical skills are essential for success in this position. Join a progressive organization that values your contributions in a dynamic environment. #J-18808-Ljbffr

Finance & Purchasing Dept PO BOX 1210 Shelby, NC 28151 Summary Performs intermediate skilled administrative support work processing ambulance information, generating various reports, and issuing permits. Essential Functions and Responsibilities Keying and coding ambulance transports with the correct ICD‑10 diagnosis codes and CPT codes required for payment daily by importing the run reports from ESO into our software system. Verify insurance sources to bill. Communicate with Cleveland County and surrounding hospices for hospice patients to determine the correct payer source. Communicate with various hospitals and nursing facilities to ensure proper flow of paperwork and maintain open lines of communication. File all insurance claims daily, including Medicare, Medicaid, and private insurance. Attend billing conferences to stay up to date with billing procedures and applicable Medicare/Medicaid/insurance laws. Ensure required forms are attached to records prior to...