13 cpc certified professional coder jobs found in Huntington, west VA

The Coder II must accurately code and abstract diagnoses and procedures occurring during the patient's episode of care, in a timely manner, in order for the facility to receive proper reimbursement. Associates Degree strongly preferred. One year of direct position related experience required. Experience required as follows: Coding in hospital, clinic or physician office. Basic computer knowledge required with evidence of Windows training and/or experience with demonstrated competency. Maintenance of certification through continuing education is required. Must be skilled in the application of coding guidelines set up by various third party payors. Required Certifications/Registrations RHIT or RHIA credential from the American Health Information Management Association Physical Demands: Prolonged sitting. Some standing, lifting (50 lb.), carrying, stooping, reaching. Periods of prolonged work at a computer terminal. Prolonged periods of reading, deciphering...

Job Responsibilities: Abstracts information from a variety of medical records and assigns appropriate codes based on medical documentation using the current guidelines for CPT codes and/or ICD standards. Addresses billing/coding related questions for providers as needed. Performs internal audits and provides feedback to health care providers within their department as directed. Performs any follow-up audits from either initial internal or external audits. Assists as needed to complete the professional fee reimbursement process. Attends various meetings and professional development programs to maintain certification. Serves on various committees and performs other duties as assigned. Performs other duties as assigned or requested. Education: High school diploma or GED. Certified Professional Coder certification is required. Experience: One year of billing experience in a health care organization preferred. Knowledge of medical terminology, CPT-4 and...

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). Mentors' new...

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process. Department: Health Information Management Shift/Schedule: Contingent (Works as needed), 100% Remote GENERAL SUMMARY Works under the supervision of the Health Information Reimbursement Manager. The primary job function of the Coder Level II is to assign correct ICD-10 and CPT codes to established diagnoses and procedures on all aspects of inpatient and outpatient records. Coding may be performed concurrently or post-discharge. Level II coder must have mastered 2 outpatient work types. Level II coders are required to assist in training new coders and may assist in quality coding checks. Adds or deletes charges for optimal reimbursement as well as compliance by following coding and governmental guidelines. Coder level II's must have a minimum of 1 year acute coding experience to be eligible for level II status as well as meet the above requirements....

Current Employees: If you are currently employed at SOMC please log into UKG Pro to use the internal application process.Department: Health Information ManagementShift/Schedule: Full Time (40 hrs/wk), RemoteGENERAL SUMMARYWorks under the supervision of the HIM Manager (Operations & Auditing). The primary function of the HIM Coder - Professional is to code and charge medical office visits for professional claims. Must be able to review and edit charges in Meditech as well as review leveling criteria for E/M charging accuracy, charge for procedures and other billable services provided in the clinic/office setting. Must be able to code ICD-10 diagnoses and CPT codes while ensuring they are assigned correctly and sequenced appropriately. Must apply HCC/risk coding concepts to ensure the appropriate risk score is assigned to each patient. Must understand the basic ICD-10 diagnosis and CPT procedure coding rules and guidelines. Performs other duties as...

Job Summary Evaluate patient records and assign appropriate codes. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control. Responsibilities • Read and interpret medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-10-CM and AAM codes in compliance with recognized coding principles and department policies. • Abstracts data from medical record and other sources. Enters into the Trauma Registry concurrently and retrospectively. • Perform Abbreviated Injury Severity (AIS) coding and Injury Severity Scoring. • Verify and correct any data discrepancies by initiating communication with physicians and other hospital personnel. • Identify patients who meet the criteria for inclusion in the trauma registry. • Enter all abstracted and coded data into the computer system in an accurate and timely manner. • Provide data and statistical information for performance...

Job Summary Evaluate patients records, work to resolve inaccurate charges, and assign appropriate diagnoses & procedure codes using the coding systems according to HIPPA regulations. Abstract pertinent data from patients' clinical records. Review records for reimbursement purposes and to ensure quality control. Responsibilities • Read and interpret ambulatory surgery or observation or outpatient or inpatient medical record entries to identify all diagnoses and surgical procedures. • Assign appropriate ICD-9-CM/ICD-10 and CPT-4 codes in compliance with recognized coding principles and department policies. • Determine appropriate diagnostic and procedural sequencing in compliance with UHDDS guidelines. • Effectively utilize the APCpro features of 3M with the 3M encoder and grouper software to identify appropriate assign modifiers, make appropriate changes to charges, notify departments to make changes, identify missing documentation, and prepare the account as a clean...

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. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. (5%) Performs...

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 We’re Looking For We’re looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for...

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. As an HCC (Hierarchical Condition Category) coder you will review medical records to identify and code diagnoses using a standardized system, ensuring...

JOB SUMMARY The Coding Auditor 1 is proficient in various types of coding and is responsible for performing coding quality audits and providing feedback to coders. The Coding Auditor 1 utilizes the International Classification of Disease (ICD-10-CM/PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) WORK MODEL/SALARY 100% Remote The pay range for this position is $32.02 (entry-level qualifications) - $49.63 (highly experienced) The specific rate will depend upon the successful candidate’s specific qualifications and prior experience. ESSENTIAL FUNCTIONS OF THE ROLE Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: Performs all related internal, concurrent, prospective and retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code and modifier assignments, ICD diagnosis and procedure coding, DRG/APC structure according to regulatory requirements. Reports findings both verbally and in writing and communicates results to affected areas. Uses information to generate topics for education, training, process changes, risk reduction, optimization of reimbursement with new and current coders in accordance with coding principles and guidelines. Promotes cooperation with CDMP and compliance programs to improve documentation which supports compliant coding. Interacts with external consultants regarding billing, coding and/or documentation and evaluates their recommendations and/or teaching plans in...