44 ipa medical coder jobs found

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines....

Health Coder - Hcc & Risk Adjustment Burlingame, CA 94010 Overview Salary Range $42.79 - $48.75 Hourly Description The Healthcare Coder plays a critical role in supporting accurate and compliant coding for NEMS MSO operations with a focus on Medicare Risk Adjustment (RA) programs. This position ensures accurate capture of Hierarchical Condition Category (HCC) coding and improves risk adjustment scores by conducting chart audits, providing provider education, and supporting clinical documentation improvement (CDI) initiatives. The Healthcare Coder will collaborate closely with providers, clinical staff, and leadership to improve coding accuracy and compliance, directly impacting the organization's quality outcomes and financial performance. Essential Job Functions: Hcc Coding and Risk Adjustment (Ra) Program Support Perform comprehensive review of patient charts to identify and validate diagnosis codes in alignment with Hcc and risk adjustment guidelines. Ensure all...

Position Purpose: The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy. Collaborate with clinicians on the...

Certified Medical Coder The Certified Medical Coder plays a crucial role in the Billing Department by ensuring precise and compliant coding of medical services. Under the guidance of the Billing Department Supervisor, the Coder will assign appropriate diagnosis and procedural codes for services provided by JWCH physicians, adhering to industry standards and legal requirements. This position involves validating and auditing coding practices to guarantee accuracy in billing, supporting optimal reimbursement, and maintaining adherence to regulatory guidelines. Duties and Responsibilities: Serve as the primary liaison between providers and the Billing Department, effectively communicating to clarify diagnoses, procedures, coding, and documentation requirements. Recommend appropriate ICD-10-CM, CDT diagnosis codes, CPT codes, and HCPCS codes. Regularly review diagnosis and procedure coding within NextGen to ensure optimal billing accuracy. Collaborate with clinicians on...

Medical Coder Hybrid • Administrative Office - Los Angeles, CA 90029 Overview Salary Range $30.00 - $33.00 Hourly Position Type Full Time Job Shift Day Education Level High School Travel Percentage None Description POSITION: Medical Coder STATUS: Non-exempt; Full time REPORTS TO: Billing Manager SUPERVISES: None DEPARTMENT: Fiscal UNIT: Billing OFFICIAL DUTY STATION: Administrative Office (4216 Fountain Avenue, Los Angeles, CA 90029) SUMMARY: This position performs coding and audit functions. APHCV expects all employees to respond and participate to emergency situation per emergency policies and procedures. APHCV requires all staff to comply with Standards of Conduct and Compliance Program related policies and procedures. Such compliance is part of this position's performance evaluation. DUTIES AND RESPONSIBILITIES: Conduct various activities to improve coding, particularly but not limited to HCC coding for Medicare and other line of products)...

POSITION: Medical Coder STATUS: Non-exempt; Full time REPORTS TO: Billing Manager SUPERVISES: None DEPARTMENT: Fiscal UNIT: Billing OFFICIAL DUTY STATION: Administrative Office (4216 Fountain Avenue, Los Angeles, CA 90029) SUMMARY: This position performs coding and audit functions. APHCV expects all employees to respond and participate to emergency situation per emergency policies and procedures. APHCV requires all staff to comply with Standards of Conduct and Compliance Program related policies and procedures. Such compliance is part of this position's performance evaluation. APHCV is a tobacco free organization. DUTIES AND RESPONSIBILITIES: Conduct various activities to improve coding, particularly but not limited to HCC coding for Medicare and other line of products) Audit Medicare (and other line of products such as Medi-Cal) Managed Care (HCLA IPA) charts daily (pre-visits and post visits) following the audit tools, guidelines,...

Description About Us Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk...

Coding Concepts in Gilbert, Arizona, is seeking a Critical Access Medical Coder for a full-time, remote position. The ideal candidate will have at least 3 years of experience in coding within a Critical Access Hospital (CAH) setting, with strong knowledge of coding for Inpatient, Observation, Emergency Department, and Clinic services. The role involves ensuring coding accuracy and adherence to guidelines while maintaining high productivity and quality standards. Competitive salary, dental and health insurance, flexible schedule, and paid time off are offered. #J-18808-Ljbffr

Overview Coder, Physician Billing Ensure accurate coding and support compliant, efficient billing-playing a key role in optimizing revenue cycle performance. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: Full-Time (1.0 FTE) Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement. Responsibilities...

Working with Us Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible. Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us. The Regional Associate Director (RAD) is responsible for managing a team of...

Job Description Job Description Description: This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing. Qualified candidates must be able to (1) Review accounts for billing accuracy in order to maximize reimbursement. (2) Persuasive and tenacious follow-up on claims status (3) Appeal, and re-bill or forward claims for recalculation and / or adjudication as necessary. Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, PPO, HMO, and Indemnity Plans structure. Must meet or exceed the standard level of performance on assigned accounts. ESSENTIAL RESPONSIBILITIES: • Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy. • Working knowledge of appropriate coding systems; CPT, ICD-9...

Pediatric Coding Specialist Ann & Robert H. Lurie Children's Hospital of Chicago provides superior pediatric care in a setting that offers the latest benefits and innovations in medical technology, research and family-friendly design. As the largest pediatric provider in the region with a 140-year legacy of excellence, kids and their families are at the center of all we do. Ann & Robert H. Lurie Children's Hospital of Chicago is ranked in all 10 specialties by the U.S. News & World Report. Location: 680 Lake Shore Drive Job Description: Responsible for timely and accurate coding and abstracting of Inpatient visits. Codes and abstract patients following established coding guidelines and utilizing ICD-10 code sets. This position ensures that revenue cycle, customer service, quality, individual, and team goals are met. Essential Job Functions: Thorough review of inpatient encounter documentation for diagnoses, treatments, services. Performs daily coding and...

Job Description Job Description Benefits: 401(k) 401(k) matching Dental insurance Health insurance Paid time off Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California. Qualifications: The successful candidate must have an excellent understanding of medical billing, which includes Insurance billing and payments processing: EOBs, ICD-10 and CPT coding. Candidates must have a strong understanding and working knowledge of the appeals and denials processes for Medicare, Medi-Cal and other commercial health insurances. Candidate is going to ensure all compliance and quality requirements are met. Candidate can efficiently communicate insurance company, clinical staffs and patients regarding billing issues. In addition, this position is the main link between our facility and our referring...

Coder, Physician Billing - Surgical - Certified Ensure accurate coding and support compliant, efficient billingplaying a key role in optimizing revenue cycle performance. Work Style: Remote Location Requirement: Must reside in an approved state (FL, GA, MO, PA, SC, NC, TN, or TX) FTE: PRN (Approximately 8 hours per week) Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement. Key...

Job Description Responsibilities • Reports to: Manager, Coding • The radiation oncology coder will be responsible to abstract orders, charges and related diagnoses from radiation oncology records to ensure services billed are consistent with the record documentation • The coder will ensure compliance with all the clinical billing and coding regulations and will work with the faculty and staff to ensure accurate documentation of billable services • The coder will determine and input appropriate ICD-10 CM and other codes for all radiation therapy procedures and analyze and validate that all charges are interfaced with the appropriate ICD10 and CPT codes • The coder will be become efficient with the record and verify system ARIA where they will review the department daily charges for accuracy prior to interface from ARIA to EPIC • Is always compassionate and empathetic for both patients and team members; makes eye contact, smiles and or greets every individual using the...

Job Type Full-time Description Job Title: Provider Coding Educator / Auditor Department: Revenue Integrity & Compliance Employer: Southeast Primary Care Partners / Southeast Medical Group, P.C. FLSA Status: Non-Exempt (Hourly) Position Summary The Provider Coding Educator/Auditor is responsible for driving accurate clinical documentation, compliant coding, and revenue integrity across Southeast Primary Care Partners' ambulatory practices. The role combines prospective and retrospective E/M, procedural and risk-adjustment auditing with in-person and virtual provider education. Up to 50 % regional travel is required to meet with physicians on flexible schedules, including early-morning huddles and occasional after-hours sessions. This is an hourly, non-exempt position governed by the Fair Labor Standards Act (FLSA) overtime provisions and subject to Occupational Safety and Health Administration (OSHA) workplace safety standards. Requirements Essential...

Coder Certification Required The Coder provides coding services and support to assigned IPM Markets/Billing Entities, as required, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT-4 and ICD-10 codes and coding skills/ experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) established by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Effectively communicates with providers and market staff to ensure that clinical documentation is completed and signed to avoid coding delays and minimize lag days. Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Timely notification to the appropriate CBO...

Position Overview The Coder provides coding services and support to assigned IPM Markets/Billing Entities, utilizing clinical documentation in multiple electronic health record (EHR) systems. Applies working knowledge of medical terminology, anatomy, CPT‑4 and ICD‑10 codes and coding experience to ensure timely and accurate coding of clinical documentation. Meets or exceeds established performance targets (productivity and quality) set by the Coding Manager. Works closely with the Billing Department to ensure accuracy in charge posting to the Practice Management System (PMS). Communicates with providers and market staff to ensure that clinical documentation is completed and signed promptly, avoiding coding delays and minimizing lag days. Assists in educating providers on documentation requirements to support coding and capture all coding possibilities. Notifies appropriate CBO individuals to review coding for new procedures and initiate PMS set‑up. Demonstrates teamwork...

Overview Flexibility with remote work and is authorized within approved states only (FL, GA, MO, PA, SC, NC, TN, or TX). Reviews and analyzes medical records to assign accurate diagnostic and procedural codes in compliance with established coding guidelines and organizational policies. Collaborates with healthcare providers to clarify documentation, resolve coding discrepancies, and ensure the integrity of coded data for billing and reporting purposes. Maintains current knowledge of coding standards, including ICD, CPT, and HCPCS, and supports the billing process by providing precise coding for claims submission. Participates in auditing activities, supports staff training on coding procedures, and monitors productivity and quality metrics to drive continuous improvement. Responsibilities Reviews and analyzes medical records to assign accurate diagnostic and procedural codes Ensures compliance with coding guidelines and organizational policies Collaborates with healthcare...

Quality and Compliance Auditor About Intervala, LLC Intervala is a full-service electronics manufacturing services (EMS) provider, delivering high-quality, complex printed circuit board assemblies, cable and harness assemblies, and electromechanical systems. We partner with customers in diverse industries-including industrial, medical, transportation, and defense-to bring innovative products to life. At Intervala, we combine advanced technology, engineering expertise, and a collaborative culture to ensure reliability, flexibility, and exceptional customer service. Job Summary & Essential Functions Responsible for conducting systematic audits of the Quality Management System (QMS) to ensure compliance with ISO 13485:2016 (Medical Devices) and AS9100D (Aerospace) standards. Supports a high-precision contract manufacturing environment specializing in Printed Circuit Board Assemblies (PCBA), full-box builds, and complex cable and harness assemblies. Primary guardian of...

Job Description Job Description P.M. Medical Billing, the original and largest National Ophthalmology Billing Company is once again hiring! We are a full-service medical billing firm specializing in Ophthalmology, providing clients all over the country with the most expert knowledge and service. We welcome you to join the original and fastest-growing national Ophthalmology specific medical Billing Company. Our rapid and continuous growth with multiple clients in every state has necessitated our need to hire enthusiastic, knowledgeable and dependable billers and assistants to help us bring our doctors excellent service. Our company has been in business over twenty years and longer than any other Ophthalmology Billing Company. We need to hire full time medical billers who are experienced preferably in Ophthalmology, however we will consider other specialties. Candidate must have a strong work ethic, able to multitask and is professional on the phone with insurance companies,...

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: Full Time (40 hrs/wk), Remote GENERAL SUMMARY Works under the supervision of the Health Information Reimbursement Manager. The primary job function of the HIM Coder Level I are to assign correct, ICD-10 and CPT codes to established diagnoses and procedures to outpatient (emergency room, same-day surgery, interventional radiology, observation and/or Urgent Care Center) and/or limited inpatient records. In some instances, may audit OP and /or IP records for charging accuracy. May be asked to add or delete charges for optimal reimbursement as well as compliance following coding and governmental guidelines. The level one coder has mastered a maximum of 2 work types. Performs other duties as assigned. QUALIFICATIONS Education: High School Diploma or successful completion of an...

Health Information Management Coder Inpatient Level 2 The Health Information Management Coder Inpatient Level 2 provides timely and accurate clinical and administration data to ensure optimal reimbursement for inpatient, rehab and/or skilled nursing coding to support the facility needs. Primary patient contact is only social. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adheres to current coding rules, regulations and requirements for inpatient coding, DRG/APR-DRG assignment, rehab coding,...

Coder IPG - Full Time Job Category: Business Office / Patient Registration Requisition Number: CODER002173 Full-Time Indiana, PA 15701, USA Job Details Description Job Responsibilities Verify all documentation. Apply appropriate ICD-10 diagnosis codes and appropriate CPT codes. Enter any applicable charges to appropriate provider and place of service. Recognize the importance of appropriate use of ICD-10 and CPT codes for medical necessity. Understand the difference of each place of service and utilize the correct CPT that corresponds with it. Utilize all available resources. Answer any calls you may get in a courteous and pleasant manner, identifying yourself and the organization. Help caller with any questions or concerns they may have. Remain current regarding federal, state, hospital, interdepartmental and third-party carriers including managed care, HCFA rules and regulations. Adheres to current guidelines. Maintain the dignity of the patient...