95 outpatient coder injections infusions jobs found

The McLaren system includes 12 hospitals across the state, ambulatory surgery centers, imaging centers, a 730-member employed primary and specialty care physician network, commercial and Medicaid HMOs covering more than 242,000 Michigan lives, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network, and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, a National Cancer Institute-designated comprehensive cancer center. McLaren has 20,000 full-, part-time and contracted employees and more than 93,000 network providers throughout Michigan. Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and...

Coder III Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: $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...

Job Description Job Description   Rheumatology Medical Biller We are an independent physician-owned rheumatology practice, is seeking an experienced Medical Biller to join our team. We are looking for someone who is detail-oriented, organized, accountable, and comfortable working across the full revenue cycle. Rheumatology, infusion, specialty medication, and eClinicalWorks (eCW) experience are strongly preferred. This is a hands-on role requiring someone who can identify problems, research discrepancies, follow issues through resolution, and help ensure that services provided are accurately billed and reimbursed. Key Responsibilities Review and submit professional claims for office visits, procedures, injections, infusions, and medications. Review charges for accuracy, including CPT/HCPCS codes, units, modifiers, diagnosis codes, and payer-specific billing requirements. Ensure infusion/injection medications and administration services are...

Position Summary:  MedReview is looking for a Outpatient Payment Integrity Production Coder . The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments. This role supports payment integrity operations by applying outpatient coding expertise, client payer policy, CMS guidance, CPT/HCPCS requirements, modifier rules, NCCI edits, and medical record documentation standards to ensure audit findings are accurate, defensible, and client savings consistently recovered.  Key Responsibilities  Perform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation.  Validate whether billed outpatient services are supported by documentation and...

Coding SpecialistResponsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures.Essential Functions and Responsibilities as Assigned:Responsible for outpatient coding and charge validation (charge entry) in multiple specialtiesResponsible for coding (inclusive of < 30 days of LOS and >30 days of LOS)Reviews, identifies and assigns ICD-10-CM, CPT-4 with charge validation and ICD -10-CM/ICD -10-PCS codesApplies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary.Validates CPT -4 codes (charges) captured by McLaren departments such as hard-coded charges for services provided on specific...

Coder IIILocation: Avera Downtown Building-Sioux FallsWorker Type: RegularWork Shift: Day Shift (United States of America)Pay Range: $25.50 - $38.00Position HighlightsYou Belong at AveraBe 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 DoReview all aspects of a patient's clinical documentation in order to identify the appropriate...

Senior Inpatient Medical CoderOpportunities at Northern Light Health, in strategic partnership with Optum. Whether you are looking for a role in a clinical setting or supporting those who provide care, we have opportunities for you to make a difference in the lives of those we serve. As a statewide health care system in Maine, we work to personalize and streamline health care for our communities. If the place for you is at a large medical center, a rural community practice or home care, you will find it here. Join our compassionate culture, enjoy meaningful benefits and discover the meaning behind: Caring. Connecting. Growing together.We're focused on improving the health of our members, enhancing our operational effectiveness and reinforcing our reputation for high-quality health services. As Senior Inpatient Medical Coder you will provide coding services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation...

Facility Inpatient Coder Required Skills & Experience- 3+ years of recent inpatient facility coding experience. Experience coding inpatient observations. Experience with facility-based SDS (same day surgery) coding for surgical procedures Experience coding injections and infusions Strong understanding of ICD-10-CM, ICD-10-PCS, and applicable outpatient coding guidelines Excellent communication skills and a high level of professionalism Job Description We are seeking Facility Inpatient Coders with at least three years of experience. The Inpatient Coder will be responsible for reviewing hospital patient medical records and assigning accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) to ensure proper reimbursement, accurate data for reporting, and compliance with healthcare regulations. Key responsibilities: Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. Submit necessary...

Job TitleThis position is responsible for accurately coding accounts from at least one main outpatient work type (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within three (3) days following discharge.Position Supervisory ResponsibilitiesReports To: HIM Coding ManagerSupervises: NonePosition RequirementsMinimum Education: Completion of college level course work in Medical Terminology and Anatomy and Physiology.Minimum Work Experience: A minimum of two (2) years coding experience in an acute care hospital.Required Licenses/Certifications: CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder)Required Skills, Knowledge, and Abilities: Completion of college level course work in Medical Terminology and Anatomy and Physiology.Preferred Qualification: CCS credentials (Certified Coding Specialist -- Hospital based), RHIT or RHIA credentials,...

Position Summary: Responsible for coding inpatient or outpatient records review documentation and properly identifies and assigns ICD-10-CM, CPT-4/HCPCS and/or ICD-10-PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures. Essential Functions and Responsibilities as Assigned: Responsible for outpatient coding and charge validation (charge entry) in multiple specialties Responsible for coding (inclusive of <30 days of LOS and >30 days of LOS) Reviews, identifies and assigns ICD-10-CM, CPT-4 with charge validation and ICD -10-CM/ICD -10-PCS codes Applies (charge entry) appropriate soft codes for evaluation and management level(s), observation hours, injections, infusions, and other procedures as necessary. Validates CPT -4 codes (charges) captured by McLaren departments such as hard-coded charges for services provided on...

Department: Hospital Coding Service Shift: Day Working Hours: Monday -Friday daytime hours Summary: Ability to code hospital accounts with extensive knowledge of medical terminology, ICD-9-CM, ICD-10-CM/PCS and CPT coding. Also, must have knowledge of professional and facility charging for Emergency coding as well as injection and infusions. Audit and report results as needed; assists with developing strategic plan in line with health system goals as well as revenue cycle goals; capitalize on opportunities and manage associated coding and coding outcome risks. Assists with helping to set priorities as appropriate; takes initiatives based on knowledge, priorities and goals. Ability to perform basic math and statistical calculations. Other information: Minimum of 5 years of progressive coding and auditing experience in Coding and/or HIM preferred. CPC, CCS, RHIT, or RHIA required. Knowledge of documentation regulations and/or requirements as they relate to ICD-9-CM,...

When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives. Under the supervision of the Outpatient Coding Manager and OP Coding Supervisor, the Senior Coding Specialist is responsible for the accurate, timely, and compliant assignment of ICD-10-CM, CPT, HCPCS Level II, modifiers, revenue codes, and APC classifications for complex hospital outpatient encounters. The Senior Coding Specialist reviews outpatient records and clinical documentation to ensure appropriate code assignment, regulatory compliance, and reimbursement integrity across a variety of outpatient services, including clinic, interventional radiology, cardiology, infusion, observation, procedural, and ancillary departments.Serving as a subject matter expert, the Senior Coding Specialist works closely with Coding Leadership, OP Coding Validators, Revenue Integrity, Compliance, and Clinical Operations teams to promote coding uniformity, consistency, and accuracy in...

To support a growing team, the full-time Certified Outpatient Surgery Coder will provide CPT, HCPCS, and ICD-10-CM coding for various specialties, ensuring accurate code assignment and compliance while working remotely. Key responsibilities Accurately apply diagnosis and procedure codes utilizing ICD-10-CM, ICD-10-PCS, CPT, and HCPCS for outpatient surgery and observation cases Calculate Facility E/M levels and recognize critical care cases based on patient acuity Maintain compliance with coding guidelines and company policies while participating in ongoing training and education Required qualifications Certification through AAPC (CPC or COC) or AHIMA (CCS or CCS-P) is mandatory Minimum of 1 year of experience in outpatient surgery and observations facility coding Experience with E&M, injections/infusions, and emergency department coding is a plus Proficient in Microsoft Excel and Outlook, with a solid understanding of EMR and billing systems Ability to maintain a...

Job Description We are seeking Facility Inpatient Coders with at least three years of experience. The Inpatient Coder will be responsible for reviewing hospital patient medical records and assigning accurate diagnostic or procedural codes (ICD-10-CM/PCS, DRGs) to ensure proper reimbursement, accurate data for reporting, and compliance with healthcare regulations. Key responsibilities Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. Submit necessary provider queries to resolve documentation discrepancies. Perform quality assessment of records, including verification of medical record documentation. Responsible for researching errors or missing documentation from medical records to provide accurate coding processes. Abstracts and assigns the appropriate ICD-10-CM/PCS codes for all diagnoses and procedures performed in the outpatient and inpatient settings as applicable. Skills and Requirements 3+ years of...

Location: Avera Downtown Building-Sioux Falls Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below. Actual pay rate dependent upon experience. $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...

Summary: Under the general supervision of the Coding Manager and according to established procedures, accountable for assignment of diagnoses and procedures for outpatient surgical and other services. Interprets clinical and diagnostic documentation and assigns appropriate ICD-10 (current edition) and / or CPT codes as well as modifiers, ED facility levels, Infusions/Injections and other charges as appropriate adhering to official coding guidelines. Requires knowledge of hospital coding, ambulatory classifications and coding guidelines. Abstracts required data into hospital information system. Ensure records are coded in an accurate and timely manner. Education: High School diploma or equivalent required. Licensure: Medical coding certification and training in medical terminology from an accredited program preferred. Recognized programs include: American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC). Must complete and pass...

Facility-Fee Emergency Department Medical CoderThe Facility-Fee Emergency Department Medical Coder is responsible for the accurate review, abstraction, and assignment of ICD-10-CM, CPT, HCPCS, facility-specific charging methodologies, and applicable modifiers for Emergency Department (ED) facility encounters. This role ensures coding accuracy, regulatory compliance, appropriate reimbursement, and adherence to client-specific coding guidelines, payer requirements, and industry standards.The coder will review clinical documentation, emergency department records, physician documentation, nursing notes, ancillary reports, and charging information to accurately capture facility services rendered during emergency department visits. The position requires strong knowledge of facility fee coding, emergency department leveling methodologies, and outpatient reimbursement regulations.Essential Duties and ResponsibilitiesReview emergency department medical records to assign accurate ICD-10-CM...

Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Job Description Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. We are looking for a qualified and dedicated individual...

Outpatient Payment Integrity Production CoderMedReview is looking for an Outpatient Payment Integrity Production Coder. The Outpatient Payment Integrity Production Coder is responsible for completing claim-level outpatient coding reviews to identify inaccurate coding, unsupported billing, documentation gaps, and potential overpayments. This role supports payment integrity operations by applying outpatient coding expertise, client payer policy, CMS guidance, CPT/HCPCS requirements, modifier rules, NCCI edits, and medical record documentation standards to ensure audit findings are accurate, defensible, and client savings consistently recovered.Key ResponsibilitiesPerform outpatient coding reviews using medical records, itemized bills, claim lines, payer requirements, CPT/HCPCS guidance, ICD-10-CM guidelines, revenue codes, modifier rules, NCCI edits, APC/EAPG logic, and supporting documentation.Validate whether billed outpatient services are supported by documentation and whether the...

Certified Coder, Acute Hospital Ed, Cancer & Edits Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work. Job Summary: Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. We are looking for a qualified and dedicated individual who can work full-remote. Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during...

Certified Coder, Acute Hospital Ed, Cancer & EditsLocated in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect. Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.Job Summary: Adventist Health is seeking a Certified Coder, Acute Hospital ED, Cancer & Edits for a full-time role with 8-hour day shifts. We are looking for a qualified and dedicated individual who can work full-remote.Reviews acute hospital outpatient emergency department (ED), medical oncology, adult outpatient rehab including cardiac rehab patient records including charge capture/entry to identify the diagnosis and procedure codes performed during the...

EQUAL EMPLOYMENT OPPORTUNITY Race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate shall not be a factor in employment for this position. Due to the nature of hospital services, it may become necessary to work extended hours. POSITION SUMMARY This position is responsible for accurately coding accounts from at least one main outpatient work type (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within three (3) days following discharge. POSITION SUPERVISORY RESPONSIBILITIES...

Medical Coder IIMeduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented.The Medical Coding Specialist II is responsible for correctly coding healthcare claims and analyzing denials to obtain proper reimbursement. The Medical Coder accurately and efficiently codes hospital outpatient and professional service using official code sets and classifications systems to obtain the most accurate data based on documentation.Title: Medical Coder II Location: Remote Schedule: 8am – 5pm in Eastern, Central, Mountain, or Pacific time zones Department: Insurance Reports To: Coding Supervisor Compensation: $26-$30 per hour, depending on qualifications Key Responsibilities: Read and analyze patient records Accurately and...