52 coder iv jobs found

Join to apply for the Coder IV role at Kaleida Health 1 day ago Be among the first 25 applicants Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Location & Work Details Location: Olean General Hospital (US:NY:Olean) Work Type: Full-Time...

Coder IV - Claim Edits Coder (medical coding) 3 days ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. Job Summary Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Certification Requirements AAPC Certified Professional Coder (CPC) AAPC Certified Risk Adjustment Coder (CRC) AHIMA Registered Health Information...

Una empresa en salud está buscando un Coder IV remoto con experiencia en codificación hospitalaria. Las responsabilidades incluyen codificar expedientes de salud, trabajar con equipos para asegurar el reembolso hospitalario preciso y mantener actualizaciones sobre regulaciones de codificación. Se requiere un título relevante y certificación en codificación. Se valoran habilidades de comunicación y análisis para este rol vital en la atención al paciente. #J-18808-Ljbffr

Overview Coder IV, Inpatient (Remoto). Buscamos un Coder IV con alta competencia técnica y experiencia en análisis de documentación médica hospitalaria. Determinarás diagnósticos y procedimientos principales/secundarios, asignarás DRG de Medicare Severity (MS-DRG), DRG refinados para todos los pacientes (APR), estado Presente al Ingreso (POA), así como indicadores de Gravedad de Enfermedad (SOI) y Riesgo de Mortalidad (ROM) para los expedientes de pacientes hospitalizados. Identificarás Condiciones Adquiridas en el Hospital (HAC) e Indicadores de Seguridad del Paciente (PSI) para asegurar un reembolso hospitalario preciso. Utilizarás aplicaciones de software de codificación, incluyendo todas las herramientas y referencias en línea aplicables para la asignación de códigos de diagnóstico y procedimiento de la Clasificación Internacional de Enfermedades, Modificación Clínica (ICD-CM), así como MS-DRG, APR DRG, POA, SOI y ROM. Funciones Esenciales Navegarás por el expediente de salud...

Trinity Health: Coder IV Inpatient Coder (Remote) Employment Type: Full time Shift: Description: Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. ESSENTIAL...

Coder IV Location: Olean General Hospital Location of Job: US:NY:Olean Work Type: Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited institution or have obtained...

Coder IV St. Rose Dominican Siena, Henderson, Nevada The posted compensation range of $32.44 - $45.03/hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. Coder 4 is a member of the Health Information Management Team (HIM) responsible for ensuring the accuracy and completeness of clinical coding validating the information in the databases for outcome management and specialty registries across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization...

Overview Join our dynamic Health Information Management (HIM) team as a Coder IV , where your advanced coding expertise will make a direct impact on patient care and organizational success. Under the guidance of the Coding Supervisor, you'll take on a diverse and challenging caseload—ranging from Maternity and Pediatrics to Trauma, Behavioral Health, and complex Surgical cases—using ICD-10-CM and ICD-10-PCS coding systems. In this key role, you’ll manage specialized work queues, support denial reviews, and ensure coding accuracy for stop-billed and combined accounts using SMART software. You'll also be a leader in quality assurance, mentoring new coders, assisting with training, and playing an active role in new software testing and implementation. If you're ready to elevate your coding career while helping shape the future of HIM, we want to hear from you. Compensation Hourly Pay Rate: $25.96 - $38.29 Qualifications Education: Requires an associate degree in Health...

Inpatient Coder IV Mercy Healthcare, Rancho Cordova, California The Coder IV is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries, across the entire integrated healthcare system. The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis and claims processing. This position is expected to perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies. Principle Duties and Accountabilities: Assign codes for diagnoses, treatments, and procedures according to the appropriate classification system for inpatient admissions. Can also code ancillary, emergency department, same-day surgery, and observation charts if needed. Review...

Job Summary Coder 4 is a member of the Health Information Management Team responsible for ensuring the accuracy and completeness of clinical coding, validating the information in the databases for outcome management and specialty registries across the entire integrated healthcare system. Responsibilities Apply appropriate diagnostic and procedural codes to individual patient health information records for data retrieval analysis and claims processing. Perform duties in alignment with the mission and policies within the Dignity Health organization, TJC, CMS, and other regulatory agencies. Engage in analytical / critical thinking and problem solving. Communicate effectively in writing and verbally, presenting ideas across organizational levels. Maintain working knowledge of functional relationships between departments within healthcare or similar environments. This position is represented by SEIU, Local 1107 and is covered by the terms and conditions of the applicable...

Position Summary Coder 4 is a member of the Health Information Management Team (HIM) responsible for ensuring the accuracy and completeness of clinical coding. The role validates information in databases for outcome management and specialty registries across the entire integrated healthcare system. Job Summary and Responsibilities Apply appropriate diagnostic and procedural codes to individual patient health information records for data retrieval, analysis, and claims processing. Perform duties in alignment with Dignity Health mission and policies, as well as compliance with TJC, CMS, and other regulatory agencies. Demonstrate analytical and critical‑thinking skills to solve coding challenges. Excel in written and verbal communication, presenting ideas effectively across organizational levels. Maintain working knowledge of functional relationships among departments within the healthcare environment. Represent the position under SEIU Local 1107 and abide by the applicable...

Coding Lead As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive. Job Location: 220 Hutchison Rd, Rochester, New York, United States of America, 14620 Opening: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URCB 209 H Compensation Range: $25.79 - $36.11 The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience,...

We Are More Than A Health System We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding...

We Are More Than A Health System We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding...

We Are More Than A Health System We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding...

We Are More Than A Health System We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the...

Employment Opportunities Provides high level technical competency and subject matter expertise analyzing physician/provider documentation in Inpatient health records to determine the principal diagnosis, secondary diagnoses, principal procedure, and secondary procedures. Assigns appropriate Medicare Severity Diagnosis Related Groups (MS-DRG), All Patient Refined DRGs (APR), Present on Admission (POA), as well as Severity of Illness (SOI) & Risk of Mortality (ROM) indicators for Inpatient records. Identifies Hospital Acquired Conditions (HAC), Patient Safety Indicators (PSI) to ensure accurate hospital reimbursement. Utilizes encoder software applications, which includes all applicable online tools and references in the assignment of International Classification of Diseases, Clinical Modification (ICD-CM) diagnosis and procedure codes, MS-DRG, APR DRG, POA, SOI & ROM assignments. Essential Functions: Knows, understands, incorporates, and demonstrates the Trinity Health...

We Are More Than A Health System We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more in our careers and in our communities. Job Description Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the...

Join to apply for the Coder Analyst IV role at Cabell Huntington Hospital . Marshall Health Network's Health Information Management department is seeking a PRN Coder Analyst IV. System Specific Duties And Responsibilities Assign accurate diagnosis and procedure codes using ICD-10-CM/PCS, CPT, and/or HCPCS for reimbursement, compliance, and reporting purposes. Utilize coding guidelines established by government agencies related to health information coding. Maintain high standards of quality and productivity, focusing on quality results first. Maintain a productivity rate that meets or exceeds 98%. Maintain an accuracy rate that meets or exceeds 95%. Possess proficient to expert knowledge of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, MS-DRG, and APR-DRG groupers, as well as Medicare’s IPPS and OPPS systems. Mentor new hires and participate in cross-training of coding staff as needed. Participate in departmental meetings and complete required educational sessions for credential...

PRN Coder Analyst IV Marshall Health Network's Health Information Management department is seeking a PRN Coder Analyst IV. System Specific Duties and Responsibilities: Assign accurate diagnosis and procedure codes using ICD-10-CM/PCS, CPT, and/or HCPCS for reimbursement, compliance, and reporting purposes. Utilizes coding guidelines set up by government agencies dealing with the coding of health information. Demonstrates, promotes, and monitors for high standards of quality and productivity; focuses on quality results first. Maintains a standard of productivity that consistently meets or exceeds 98% of productivity. Maintains a standard or quality that consistently meets or exceeds 95% accuracy rate. Proficient to expert level knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code sets. Proficient to expert level knowledge of MS-DRG and APR-DRG groupers and Medicare's inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS)....

Inpatient Facility Medical Coder (IVR) Employment Type: Full-Time (Remote) Duration: Contract to Hire Hours: Flexible Pay Rate: $40$45 per hour (based on experience) Benefits: LaSalle Network contractors have the opportunity to enroll in benefits including medical, dental, and vision insurance. Position Summary The Inpatient Facility Medical Coder (IVR) is responsible for accurately assigning ICD-10-CM/PCS and CPT-4 codes for inpatient interventional radiology encounters and related procedures. This role ensures all coding is performed in compliance with federal, state, and payer-specific regulations while maintaining established productivity and accuracy standards. The ideal candidate has a strong understanding of IVR coding, anatomy, and physiology, and can work independently in a remote environment. Principal Duties and Responsibilities Assign accurate ICD-10-CM/PCS and CPT-4 codes for inpatient IVR cases and related procedures. Abstract and enter required data...

The Certified coder I is responsible for properly reviewing provider documentation and can perform all coding functions. Possesses a solid understanding of the professional billing workflow and assists with general billing duties as necessary to include claim edits, claims processing, claim rejections, data entry, and queries and communicates with physicians on documentation issues related to code assignment and provides feedback to physicians and the physician billing entity on variances between hospital and physician CPT coding as needed. Helps identify and resolve incorrect claims issues and is responsible for drafting letters to coordinate appeals as well as other areas related to billing as assigned by the manager. Position Details Status: Full Time, Non-Exempt FTE/Hours per pay period: 1.0 FTE (80 hrs) Shift: Day Shift Length: 8 Pay Range: 28.90 - 42.00 Location: Madera, CA 93636 USA About Us Valley Children’s Healthcare – one of the largest pediatric healthcare...

Description Position Summary CODER: Reviews medical documentation from physicians and other healthcare providers. Assigns diagnostic and procedure codes for inpatient, outpatient, symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards. Provides accurate and timely ICD-10 CM and CPT procedure coding, and may utilize HCPCS, in accordance with official coding standards, regulatory coding compliance guidelines and company procedures. Review and update medical record documentation to accurately reflect healthcare coding and substantiate appropriate service reimbursement. Working with other departments and organizations to assure availability and quality of information used in statistical reporting for local facility management and helping identify overall healthcare trends, issues and concerns. Follow up of coding denials and regular maintenance of coding work queues. Insurance Application Support Updates Winner Regional...

Job Description Job Description Description: Illuminus is seeking a full-time Health Information Coder to join our team. The Coder is responsible for extracting relevant clinical details from patient records to assign accurate diagnostic codes (ICD-10CM) while ensuring compliance with all state and federal regulations and coding guidelines. This position will work onsite generally Monday - Friday from 8:00am - 4:30pm onsite at our office located at 2970 Chapel Valley Road in Fitchburg, Wisconsin. Responsibilities Maintains and actively promotes effective communication with all individuals. Maintains a positive image of the entity in the community keeping in alignment with our mission, vision, and values. Maintains working knowledge of laws, regulations, and industry guidelines that impact compliant coding while practicing ethical judgment in assigning and sequencing codes for proper reimbursement. Researches and analyzes health records to verify clinical...