134 cpc certified professional coder jobs found in Woodbridge Township, NJ

The primary function of the Certified Coder is to serve as the resource for medical coding reviews within our Medical Claims Operation. Provide in-depth research on new or unusual procedures and make recommendations as appropriate. Provide support to the Medical Claims and Legal Departments. Essential Functions and Responsibilities Review medical documentation to verify correct CPT code usage by provider/facility Remain current regarding NY Fee Schedule, Medicare, and coding literature Research for documentation to support payment reimbursement Create letters of explanation and/or affidavits when coding updates have been performed Prepare support for Counsel and Litigation Department to use for defending arbitration and trials; attend hearings to testify as necessary Serve as a resource within the Department related to billing and coding issues Other duties as assigned Qualifications and Education Certified Medical Coder (CPC, CCA, CCS) with high degree of...

The primary function of the Certified Coder is to serve as the resource for medical coding reviews within our Medical Claims Operation.  Provide in-depth research on new or unusual procedures and make recommendations as appropriate.  Provide support to the Medical Claims and Legal Departments.  Essential Functions and Responsibilities Review medical documentation to verify correct CPT code usage by provider/facility Remain current regarding NY Fee Schedule, Medicare, and coding literature Research for documentation to support payment reimbursement Create letters of explanation and/or affidavits when coding updates have been performed Prepare support for Counsel and Litigation Department to use for defending arbitration and trials; attend hearings to testify as necessary Serve as a resource within the Department related to billing and coding issues Other duties as assigned Qualifications and Education Certified Medical Coder (CPC,...

Overview: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. Its also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Outpatient Coder II is responsible for accurately abstracting data following the Official International Classification of Diseases (ICD)-10-Clinical Modification (CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) Guidelines for Coding and Centers for Medicare and Medicaid Services (CMS) directives for Hackensack Meridian Health (HMH). Performs data entry of required abstracted patient information into...

Inpatient Hospital Certified Coder Clinical Document-Coding Mgmt The Inpatient Hospital Certified Coder will: CODING: Utilizing judgment gained from coding experience, assign appropriate codes for all applicable diagnosis and procedures, concurrently on patient units. Code and abstract. Independently manage daily workflow on assigned unit(s). Validate correct patient types (observation vs. inpatient) by checking physician order. Reconcile HIM discharged not final billed report (DNFB) to ensure all discharged charts are accounted for on his/her assigned units. Notify coding supervisor, director, clinical documentation; assistant manager HIM; nursing manager, and clinical documentation specialist covering unit regarding missing patient records. On discharge reconcile with clinical documentation specialist nurse, finalize coding, abstract, accept final DRG for billing. Deliver discharged charts to the Health Information Management Department. Complete concurrent admission reviews...

Atlantic Health System is seeking a HIM Inpatient Coder. Remote. This incredible opportunity is a full time, day shift from 8AM- 4PM •Codes inpatient records capturing all diagnosis, POA indicators, and procedures and validates key UHDDS elements as well as abstracts pertinent information from patient records, to accurately reflect the patient’s encounter.•Reviews CDI concurrent review notes in 3M360 and works with the CDI Team to ensure optimal code capture on all cases. Ensures optimal reimbursement in compliance with CMS policies and procedures and Official Coding Guidelines•Implements AHS physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes•Completes coding of all discharges/encounters ensuring the minimum productivity requirement of 10/day is met as well as a 95% accuracy rating. Assignments include Inpatient acute care, Inpatient Psych, Inpatient Hospice, and...

Atlantic Health System is seeking a HIM Inpatient Coder. Remote. This incredible opportunity is a full time, day shift from 8AM- 4PM •Codes inpatient records capturing all diagnosis, POA indicators, and procedures and validates key UHDDS elements as well as abstracts pertinent information from patient records, to accurately reflect the patient’s encounter. •Reviews CDI concurrent review notes and works with the CDI Team to ensure optimal code capture on all cases. Ensures optimal reimbursement in compliance with CMS policies and procedures and Official Coding Guidelines •Implements AHS physician query process when code assignments are not straightforward or documentation in the medical record is inadequate, ambiguous or unclear for coding purposes •Completes coding of all discharges/encounters ensuring the minimum productivity requirement of 10/day is met as well as a 95% accuracy rating. Assignments include Inpatient acute care, Inpatient Psych, Inpatient Hospice, and Newborn...

Responsibilities: The primary purpose of the Inpatient Coder position is to review hospital inpatient medical records and assign ICD-10 diagnosis codes and procedure codes that accurately reflect the reason for admission and patient acuity. Follows established hospital inpatient coding guidelines and utilizes Coding Clinic and other resources to ensure compliance with national coding guidelines. Qualifications: One (1) to two (2) years of satisfactory performance as an Inpatient Coder or Apprentice Inpatient Coder using ICD-10 required. Must obtain a Certified Coding Specialist certification within two (2) years of employment in this position, and must maintain this certification. Knowledge of medical terminology, anatomy and physiology, disease processes, Coding Clinic, POA, query guidelines required. Knowledge of CMS, Medicaid and third-party payer coding, billing and compliance regulations required. Experience and/or use of an encoder (Clintegrity 360) and Epic electronic...

Responsibilities: The primary purpose of the Outpatient Coder I position is to perform medical record review of clinic visits, radiology reports, laboratory requisitions, and/or other diagnostic testing/reports as assigned. The coder will identify the appropriate E/M visit charge for clinics only, and assign ICD-10 diagnosis code(s) and CPT procedure code(s) when appropriate to the encounter. Qualifications: High School Diploma or equivalent required. One (1) to two (2) years of medical records, outpatient coding experience (technical and hospital) required. Health Information Management or Health Information Technology (HIM or HIT) or a health-related field new graduates or senior students will be considered in lieu of experience. Knowledge of medical terminology, anatomy and physiology, disease processes, Coding Clinic guidelines required. Knowledge of outpatient ICD-10 and CPT-4 coding principles and guidelines required. Prior experience and/or use of an encoder...

The primary purpose of the Outpatient Coder I position is to perform medical record review of clinic visits, radiology reports, laboratory requisitions, and/or other diagnostic testing/reports as assigned. The coder will identify the appropriate E/ M Coder, Outpatient, Patient, Healthcare, Medical

Responsibilities: Primary coding resource for assigned products and studies. ccurately codes assigned data fields including, but not limit ed to, adverse events using MedDRA and concomitant medications using WHO Drug in accordance with company coding conventions and ATC. Effectively performs coding related functions for assigned studies. Prepare and manage coding assignments for new studies and collaborate with clinical team representatives on approach to coding strategy for assigned products and oversight of assigned studies including sign off document as it impacts medical coding review, product approval, analysis of coded data for safety review and signal detection and patient safety. Identifies when terms or drug names are inadequate, ambiguous or unclear for coding purposes and direct query generation in such aspects. lso, identify and resolve coding discrepancies, and review coding listings for accuracy and consistency. Participate in...

Job Summary At Carewell Health, we rely on powerfully insightful data to ensure the delivery of excellent healthcare services, and we are seeking an experienced medical coder to deliver this insight daily. The ideal candidate will have thorough knowledge of anatomical and medical terminology, as well as natural curiosity and an analytical mindset. As the coder mines and interprets patient medical records, transcriptions, test results, and other documentation, we will rely on them to ask questions, connect the dots, and uncover information that may be difficult to find - all to ensure a smooth billing process. The medical coder will abide by standard protocols of the profession while using their own methods to compile the most accurate information and promote organizational growth. Essential Functions Manage high-quality, timely coding of diagnoses and procedures for inpatient and outpatient accounts, using ICD-10, CPT-4, and HCPCS classification systems Work closely with...

About Us: CarePoint Health is one of New Jerseys leading health care systems comprised of three long-standing and highly-regarded hospitals Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing: Determines the...

About Our Company We're a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care. Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians. When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care. Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com,...

About Us: CarePoint Health is one of New Jerseys leading health care systems comprised of three long-standing and highly-regarded hospitals Bayonne Medical Center, Christ Hospital, and Hoboken University Medical Center. CarePoint united these three area hospitals to provide 360 degree coordinated care by integrating the medical facilities and physician networks associated with these institutions. With over 4,500 employees, CarePoint is the largest private employer in Hudson County, New Jersey, and each year provides care to over 300,000 individuals. CarePoint prides itself on its patient-focused approach to care delivery, with an emphasis on preventative medicine, health education, and disease management. Leveraging its vast network of physicians and healthcare experts, CarePoint is quickly becoming recognized as a leader in the broader healthcare landscape as it pioneers creative solutions to address urgent population health needs. What You'll Be Doing: Determines the...

Job Description Multi-Specialty Profee Coder / REMOTE / Multiple Openings Why work for RCM? Since 1975, RCM Health Care Services has proven to be a leading consulting and staffing firm to the nation's top healthcare institutions, providing a range of health information management solutions to improve quality and reimbursement outcomes and mitigate gaps from staffing. Multi-Specialty Profee Coder Requirements: AHIMA or AAPC credentialed 3-5 years' experience as an Profee Coder Experience working in a remote environment Ability to prioritize and work efficiently Proficient using EMR systems and Microsoft Word, Excel, Outlook Experience using EPIC and 3M preferred Experience with specific coding specialties and multi-specialties is a MUST Multi-Specialty Profee Coder Qualifications (Preferred): Experience with major academic medical centers/medical groups highly preferred Experience with large and fast paced medical groups with many providers...

Since 1875, South Brooklyn Health has established its reputation for clinical excellence and culturally competent care. It has designations as a Certified Percutaneous Coronary Intervention (PCI) Center, an Advanced Primary Stroke Center, an accredited Baby-Friendly Hospital, a U.S. News & World Report high performing hospital. The hospital's staff is as diverse as the patients they serve. Interpreter services can be provided at any time of the day or night in over 130 languages. At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons. Work Shifts 8:00 A.M - 4:00 P.M Job Description Purpose: The purpose of this position is to improve the overall quality, completeness, accuracy, specificity and timeliness of...

We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve, heal, lead, educate, and innovate. We believe that every award earned, every record broken and every patient helped is because of the dedicated employees who fill our hallways. At Ochsner, whether you work with patients every day or support those who do, you are making a difference and that matters. Come make a difference at Ochsner Health and discover your future today! This job is responsible for reviewing and accurately coding either most professional services, including evaluation and management, and Procedures or hospital outpatient surgeries/procedures and observation patients. Remains in conformance with applicable Medicare, Medicaid and third-party payer guidelines to ensure receipt of accurate reimbursement. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full-time (40 hours/week) You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Identify appropriate assignment of CPT and ICD-10 Codes for Interventional Radiology services (ex. diagnostic angiography/venography, angioplasty, stent, atherectomy, embolization, thrombectomy, thrombolysis, central...

Job Description Job Description We are seeking an experienced ASC / Outpatient Coding Auditor to join our team in a fast-paced, high-volume healthcare environment. This role is fully remote and offers competitive pay. If you have 3-5 years of ASC coding and auditing experience, and the ability to manage complex cases efficiently, you will be eligible to join our team of highly knowledgeable coders. We cover approximately 19 specialties performed in ASCs. You will be responsible for outpatient service types, providing feedback to coders and clients, and improving coding compliance through the reduction of coding liability and identification of lost revenue to a wide variety of healthcare entities. If you have experience working in large healthcare organizations and thrive in a challenging, dynamic setting, we encourage you to apply. Key Responsibilities: Review daily audit work queue assignments and audit documentation and coding of each claim. Ensure coding accuracy...

Job Description Job Description Multi-Specialty Profee Coder / REMOTE / Multiple Openings Why work for RCM? Since 1975, RCM Health Care Services has proven to be a leading consulting and staffing firm to the nation's top healthcare institutions, providing a range of health information management solutions to improve quality and reimbursement outcomes and mitigate gaps from staffing. Multi-Specialty Profee Coder Requirements: AHIMA or AAPC credentialed 3-5 years’ experience as an Profee Coder Experience working in a remote environment Ability to prioritize and work efficiently Proficient using EMR systems and Microsoft Word, Excel, Outlook Experience using EPIC and 3M preferred Experience with specific coding specialties and multi-specialties is a MUST Multi-Specialty Profee Coder Qualifications (Preferred): Experience with major academic medical centers/medical groups highly preferred Experience with large and fast paced medical groups with many providers...

Job Description Job Description We are looking for an OASIS Reviewer/Coder with Certified Home Health Agency (CHHA) experience. As an OASIS Reviewer/Coder in Home Health, you will be integral to ensuring accurate medical coding and documentation for patient care. Reporting to the Director of Patient Services, your role involves utilizing core skills in Home Care Coding/OASIS Review. You will apply premium CPT and ICD coding skills to enhance billing accuracy and compliance. Strong nursing knowledge and communication skills are essential for collaborating with healthcare teams and ensuring quality patient outcomes. Join us to make a significant impact in home health services through precise coding and documentation practices. Our OASIS Reviewer/Coder Responsibilities: Review the relevant documentation (referral, history and physical, clinical summaries) and then review the OASIS responses provided by the clinicians to ensure accuracy. This is to be addressed within the...

Job Description Job Description PRINCIPAL DUTIES AND RESPONSIBILITIES: · Perform billing/coding/collections duties, including review and verification of patient account information against insurance program specifications. · Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes, in addition to other documentation, accurately reflect and support the outpatient visit. · Interprets medical information such as diseases or symptoms in addition to diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes · Reviews Medicaid and Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denials. Ensures that all data complies with legal standards and guidelines. · Assist in the posting of Medicare, GHI, and all other INS payments as needed · Provides technical guidance to the clinical providers and other departmental...

Job Description Job Description 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...

Job Description Job Description Hi, we're Oscar. We're hiring a Risk Adjustment Coder Specialist to join our Risk Adjustment team. Oscar is the first health insurance company built around a full stack technology platform and a focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role The Senior Specialist, Risk Adjustment for Medicare Advantage (MA) and Affordable Care Act (ACA) lines of business will work with management to meet communicated single and departmental goals, deadlines set forth by Centers for Medicare & Medicaid Services (CMS) and Health and Human Services (HHS) , and be active and engaged in establishing Risk Adjustment processes. You will report to the Risk Adjustment Coding Lead. Work Location: Oscar is a blended work culture where everyone, regardless of work type or location, feels connected to their teammates, our...