7 medical coding specialist jobs found in Columbia, MO

Hiring Department Hiring department #upjobs The Department of University Physicians Job Description #upjobs (This Medical Coding Specialist Certified position is a dual post linked to Job ID 54698 -MCS - University Physicians, and the department will be hiring for seven positions.) Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record documentation and coding of medical records. Assist in the presentation of...

Hiring Department #upjobs The University of Missouri School of Medicine Department of University Physicians Job Description #upjobs This position is a dual post linked to Job ID 55831 (Medical Coding Specialist - Certified - Retro Auth Team), University Physicians, and the department will be hiring for one position. Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Work with insurance and government payers to obtain appropriate retroactive authorizations based on surgical services provided. Comply with applicable organization policies; i.e. Quality Assurance, Working Remote, Productivity, etc. Remote working options available. Shift Shift Type: 8am - 5 pm, M-F Office/Administrative Hours: No - Position will not have Office/Admin Hours Flexibility for Alternative Schedules: Yes Minimum...

Hiring Department #upjobs The University of Missouri School of Medicine Department of University Physicians Job Description #upjobs This position is a dual post linked to Job ID 55830 (Medical Coding Specialist - Retro Auth Team), University Physicians, and the department will be hiring for one position Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Work with insurance and government payers to obtain appropriate retroactive authorizations based on surgical services provided. Comply with applicable organization policies; i.e. Quality Assurance, Working Remote, Productivity, etc. Remote working options available. Shift Shift Type: 8am - 5 pm, M-F Office/Administrative Hours: No - Position will not have Office/Admin Hours Flexibility for Alternative Schedules: Yes Minimum...

Hiring Department #upjobs The Department of University Physicians Job Description #upjobs (This Medical Coding Specialist position is a dual post linked to Job ID 54697 Medical Coding Specialist Certified(MCS-C) and the department will be hiring for seven positions. Final or offered title will be determined by qualifications of the final candidates) Review complex clinical documentation and diagnostic results timely to accurately assign codes for diagnoses (ICD-10-CM), procedures (CPT), and applicable modifiers for services provided to assure maximum reimbursement and regulatory compliance. Assist in the audit of medical records in order to identify potential problems with the coding and reimbursement process such as edits, denials, appeal letter, etc. Act as liaison between third party payers and assigned departments in order to coordinate all aspects of professional coding. Provide assistance to faculty, residents and department staff in the standards of medical record...

Job Summary: The Coder 1 * Risk Adjustment is responsible for clinical documentation review related to Risk Adjustment Data Validation (RADV) timelines, focusing on completeness and accuracy of provider documentation regarding severity of illness and supporting clinical care plans for Hierarchical Condition Category (HCC) diagnoses. The role involves communication with providers to clarify documentation needs, providing education on documentation integrity, and keeping providers updated on CMS, ICD-10-CM, AHA Coding, and health plan guidelines related to risk adjustment. Performs other duties as needed. Education and Experience: Bachelor's degree in Health Information Management or related healthcare field preferred; equivalent education and experience may suffice. At least 2+ years of clinical/medical experience, including 1+ year in Risk Adjustment coding or Clinical Documentation Improvement/Specialist role. Knowledge and Skills: Understanding of electronic medical...

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.) ESSENTIAL FUNCTIONS OF THE ROLE ESSENTIAL FUNCTION OF THE JOB Performs routine coding quality reviews on all coders including third party suppliers as appropriate. Performs coding quality reviews in collaboration with or for internal customers of the organization. Provides feedback as appropriate depending on findings. Abstracts and validates required data elements into the coding and abstracting system. Works collaboratively with the Clinical...

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...