338 lead medical coding specialist jobs found

Join our compassionate team dedicated to prioritizing health! The Lead Medical Coding Specialist plays a crucial role by extracting essential clinical information from diverse medical records and accurately assigning procedural terminology and medical codes such as ICD-10-CM and CPT to patient records. In this leadership position, you will take charge of advanced, specialized administrative and operational tasks, requiring proactive initiative and sound judgment. You will ensure correct diagnosis-related group (DRG) assignments and analyze, input, and manipulate essential databases. Also, you will respond to internal inquiries regarding medical information and determine daily priorities for an administrative work group while overseeing the progress of work activities along with external vendors. This role operates under minimal supervision and broad guidelines. Utilize your expertise to make a difference! WORK STYLE: This is a remote position with occasional travel to...

Join our compassionate team dedicated to prioritizing health! The Lead Medical Coding Specialist plays a crucial role by extracting essential clinical information from diverse medical records and accurately assigning procedural terminology and medical codes such as ICD-10-CM and CPT to patient records. In this leadership position, you will take charge of advanced, specialized administrative and operational tasks, requiring proactive initiative and sound judgment. You will ensure correct diagnosis-related group (DRG) assignments and analyze, input, and manipulate essential databases. Also, you will respond to internal inquiries regarding medical information and determine daily priorities for an administrative work group while overseeing the progress of work activities along with external vendors. This role operates under minimal supervision and broad guidelines. Utilize your expertise to make a difference! WORK STYLE: This is a remote position with occasional travel to...

Join our compassionate team dedicated to prioritizing health! The Lead Medical Coding Specialist plays a crucial role by extracting essential clinical information from diverse medical records and accurately assigning procedural terminology and medical codes such as ICD-10-CM and CPT to patient records. In this leadership position, you will take charge of advanced, specialized administrative and operational tasks, requiring proactive initiative and sound judgment. You will ensure correct diagnosis-related group (DRG) assignments and analyze, input, and manipulate essential databases. Also, you will respond to internal inquiries regarding medical information and determine daily priorities for an administrative work group while overseeing the progress of work activities along with external vendors. This role operates under minimal supervision and broad guidelines. Utilize your expertise to make a difference! WORK STYLE: This is a remote position with occasional travel to...

Lead Coding Specialist Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. Liaison between coding and other departments, managing coding-related tasks and denials. Provides mentoring support to coders on coding questions/reviews and...

Remote If you are a current Adventist HealthCare employee, please click this link to apply through your Workday account. Adventist HealthCare seeks to hire an experienced Lead Coding Specialist for our Medical Coding Department who will embrace our mission to extend God's care through the ministry of physical, mental, and spiritual healing. As a Lead Coding Specialist, you will: • Conduct reviews to validate I-10-CM diagnosis codes and PCS procedure codes for inpatient bill hold related to PSI, PPC & other reimbursement conventions to be resolved prior to final coded data. • Manages daily DNFB and DNFC reports and work queues for un-coded or outstanding records. • Under the direction of the coding manager, the coding specialist lead should be proficient in communicating with the coding team. • Oversees coding corrections, abstracts elements for HSCRC submissions, and ensures coding compliance with coding standards. • Liaison between coding and other departments,...

Join Our Innovative Health Information Management Team! About the Opportunity: We are on the lookout for a Lead Inpatient Medical Coding Specialist to become a vital part of our forward-thinking healthcare information management team. In this pivotal role, you will seamlessly connect clinical data with cutting-edge technology, contributing to the evolution of AI-driven solutions for medical coding and billing. Your extensive expertise will shape our product development strategies and help us redefine the future of healthcare. Key Qualifications: A minimum of 3 years of substantial experience in inpatient medical coding within a hospital setting. Demonstrable proficiency in accurately identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and relevant modifiers from patient records. A comprehensive understanding of the evidence requirements for precise and accurate coding. Hands-on experience with grouper software for MS-DRG and...

Lead Medical Coder and Auditor ProSidian Consulting is looking for a talented professional ready to deliver real value to clients in a fast-paced, challenging environment. ProSidian Consulting is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land...

Job Description Job Description Description: Job Title: Medical Biller II Salary: $25hr-$28hr DOE Location: Tustin, CA Openings: 1 Position Purpose: The Medical Billing Specialist II supports the revenue cycle team by independently performing a broad range of billing functions with moderate complexity. This role is responsible for accurate insurance verification, charge entry, claim submission, payment posting, and resolution of routine denials to ensure compliance with payer requirements and timely reimbursement. Core Duties and responsibilities, include but are not limited to: Insurance & Eligibility Verification Verify complex insurance coverage (Medi-Cal, Medicare, Managed Care, Commercial, PPO/HMO). Research and resolve discrepancies in patient coverage or eligibility. Document eligibility outcomes in the EHR/PM system. Charge Entry & Coding Support Perform charge entry and apply CPT, ICD-10, and HCPCS codes. Review encounter forms...

Coding Account Resolution Specialist-Outpatient Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. We are seeking a Coding Account Resolution Specialist-Outpatient for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! The Coding Account Resolution Specialist-II (CARS-II) works outpatient coding related alerts/edits for SDC, OBV, and Wound Care, accounts, predominately post initial/final coding. The CARS-II performs the alert/edit resolution activities in the applicable systems. The...

Overview Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Responsibilities Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physician office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new specialty areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Experience Over one year of experience in physician /professional, outpatient surgery, and/or emergency department coding. Skill and proficiency in coding physician/professional outpatient...

Lakewood Surgery Center is hiring a full time Medical Biller Welcome to Lakewood Surgery Center At Lakewood Surgery Center, we provide first-class surgical services for local communities and recognize our employees as our number one assets. We focus on offering a high quality, ambulatory care alternative to a hospital for surgical procedures. Our facility is accredited by The Joint Commission. Medical Biller at Lakewood Surgery Center The Medical Biller is responsible for overseeing the entire billing process for patient accounts, from submitting all billings to insurance in a timely manner, to working with our coding specialist to ensure that all cases are coded correctly, leading monthly coding audits, and taking the lead role in driving insurance collections. Essential Job Duties and Responsibilities include the following: Electronically submit patient procedure bills to third party payers Perform timely and accurate postings of payments received from...

COMPANY INFORMATION: As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County. MISSION: To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care. Full-Time Medical Billing & Coding Specialist POSITION SUMMARY: The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately. DUTIES AND RESPONSIBILITIES: Performs...

Overview Come lead with us at Corporate. At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines. Qualifications Education Associate’s or higher degree in a Commission on Accreditation for Health Informatics and Information Management accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree Experience Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program Licenses and Certifications Required RHIT - Certified Health Information Technician (AHIMA) RHIA - Registered Health Information Administrator (AHIMA) CCS - Certified Coding Specialist...

Job Type Full-time Description POSITION SUMMARY The AR Medical Payment Specialist Supervisor is responsible for researching outstanding balances and determining correct action to be taken to ensure maximum reimbursement. Must take the lead on corrective actions for accounts with outstanding balances in a timely manner to obtain reimbursement. Responsible for processing correspondence relating to the financial status of an account. Responsible for recognizing trends for denials and reimbursement issues and reporting such to the Accounts Receivable & Collection Manager. Monitors Billing Staff performance and productivity and meets with Accounts Receivable & Collection Manager regarding updates on appropriate utilization and quality assurance. Work is typically performed in an office environment, but this position may have the option to work from home. The specific statements for this job description are not intended to be all inclusive. They represent typical...

Coder III Avera Downtown Building-Sioux Falls Regular Day Shift (United States of America) $25.50 - $38.00 Position Highlights You belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter. A Brief Overview Responsible for the timely and accurate assignment of diagnostic and procedural codes for most types of outpatient charts for multiple facilities within Avera Health, with a focus on the more complex and high-dollar cases. Accurate abstracting along with other reporting and editing function is also a major responsibility. The Coder III works independently to meet quality and production goals for the position. Varied amounts of time will be spent educating Coder I, III and III coders along with helping others with denials management. What You Will Do Review all aspects of a patient's clinical documentation in order to identify the appropriate sequence of ICD-10-CM,...

Coding Account Resolution Specialist-Outpatient Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. We are seeking a Coding Account Resolution Specialist-Outpatient for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! The Coding Account Resolution Specialist-II (CARS-II) works outpatient coding related alerts/edits for SDC, OBV, and Wound Care, accounts, predominately post initial/final coding. The CARS-II performs the alert/edit resolution activities in the applicable systems. The...

Coding Account Resolution Specialist-Outpatient Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. We are seeking a Coding Account Resolution Specialist-Outpatient for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! The Coding Account Resolution Specialist-II (CARS-II) works outpatient coding related alerts/edits for SDC, OBV, and Wound Care, accounts, predominately post initial/final coding. The CARS-II performs the alert/edit resolution activities in the applicable systems. The...

Under the direction of the Enterprise Coding Manager, the Enterprise Coding Supervisor is responsible for providing first-line supervision for Medical Coding staff. Supervisor responsibilities include but are not limited to: daily supervision and monitoring of quality and productivity performance, interviewing, hiring, and any necessary discipline of staff. This position also involves participation in process improvement projects and supporting the work needed to meet department and institutional wide goals. Provides daily supervision of coding staff and provides feedback to the Coding Manager on exceptional and/or substandard performance. Leads all efforts associated with hiring, interviewing, onboarding and discipline Provides ongoing feedback to staff on areas for improvement Ensures that all members of the coding team are following official policies and standard procedures and conducts discipline for those in violation Counsels coding staff on actions required to...

Professional Surgical Coder At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. Qualifications 1. Education: High School...

Job Posting Job Summary Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Responsibilities Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physician office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new specialty areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Specifications Experience Minimum Required Over one year of experience in physician/professional, outpatient surgery, and/or emergency department coding. Skill and...