396 outpatient professional lead coder jobs found

Outpatient/Professional Lead Coder BJC is hiring for an Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health...

Additional Information About the Role BJC is hiring for a Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama, Iowa, North Carolina, Wisconsin Arkansas, Kansas, Ohio Florida, Kentucky, Oklahoma Georgia, Louisiana, South Carolina Illinois, Mississippi, Tennessee Indiana, Missouri, Texas BJC HealthCare BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple...

Additional Information About the Role BJC is hiring for a Outpatient/Professional Lead Coder. We are looking for previous coding experience in ancillary or ED. This role is responsible for being a mentor for the coders on the team. At least one of the following certifications is required for this position: RHIA, RHIT, CCS, CCS-P, CPC, COC, or CCA. Open remotely to the following states: Alabama Iowa North Carolina Wisconsin Arkansas Kansas Ohio Florida Kentucky Oklahoma Georgia Louisiana South Carolina Illinois Mississippi Tennessee Indiana Missouri Texas Overview BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health...

A leading healthcare organization is looking for an Outpatient/Professional Lead Coder responsible for mentoring staff and overseeing coding processes. Candidates should have previous coding experience, a relevant certification, and be prepared to engage in quality reviews and provide education to departments. This is a remote role open to various states, offering extensive benefits, including medical and retirement plans. Join a workforce dedicated to delivering high-quality patient care. #J-18808-Ljbffr

A nonprofit health care organization is seeking a Lead Coder to mentor and support a team of coders. This remote position requires at least 2 years of coding experience and a relevant certification. The Lead Coder will collaborate with other departments and perform quality reviews of coded information. The successful candidate will thrive in a dynamic environment and contribute to quality improvement initiatives within the coding team. #J-18808-Ljbffr

Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or coding references...

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

Job Description Remote Work Schedule: Sun-Thurs or Tues-Sat flexible hours between 7am-7pm Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1.Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2.Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3.Utilizes resources and reference materials (e.g., manuals, online resources: Official Coding Guidelines (OCG), AHA Coding Clinic, Center for Medicare Services and CPT Assistant) to identify appropriate codes and reference code applicability, rules and guidelines. 4.Applies the Uniform Hospital Discharge Data Set (UHDDS) definitions as well as any additional regulatory guidelines and/ or...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

divh2Coder III/h2pLocation: Bradford Regional Medical Center, US:PA:Bradford. Work Type: Full-Time./ppJob Description:/ppReview clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors./ppEducation and Credentials:/ppAssociates degree from an accredited institution or have obtained...

Coder III Location: Bradford Regional Medical Cntr Location of Job: US:PA:Bradford Work Type: Full-Time Shift 1 Job Description Review clinical documentation and diagnosis results as appropriate to extract data and apply appropriate ICD-9-CM and CPT4 codes for billing, internal and external reporting, research and regulatory compliance. Under the Direction of Health Information Management (HIM) or supervisor of HIM, accurately code inpatient and outpatient (for example, diagnostic, therapeutic, emergency department services, ambulatory surgery, observation service and behavioral health encounters) conditions and procedures as documented in the ICD-9-CM Official Guidelines for Coding and Reporting. Resolve error reports associated with billing processes, identify and report error patterns, and, when necessary, assist in design and implementation of workflow changes to reduce billing errors. Education And Credentials Associate's degree from an accredited...

Overview Your Career. Our Company. Together, We Grow. At Southern Illinois Healthcare (SIH), we realize that in order to provide our surrounding communities with excellent care, we must begin by providing our employees with that same care and appreciation. We offer rich opportunities to develop and grow professionally, an environment of excellence in patient care, and the awareness that everything we accomplish is a direct outgrowth of the superb efforts and dedication of our employees. As a non-profit system of almost 4000 employees, we have won national acclaim for our cancer, cardiac, stroke, bariatric, breast imaging, and rehabilitation services. Reviews provider documentation and revises and/or assigns ICD-10-CM codes and CPT/HCPCS codes as appropriate, based on official coding guidelines. Researches and takes appropriate action on any coding/claim edits. Coding focus is provider based E&M level visits or outpatient hospital based ancillary visits...

Mayo Clinic Operations Manager Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Manages daily operations for multidisciplinary support teams which include numerous departments, divisions and/or subspecialties in alignment with institutional mission, vision and objectives. Directs, supervises, and coordinates all administrative activities of the medical practice within the established guidelines set forth by Mayo Clinic ensuring adherence to all policies, procedures, and regulatory requirements. Ensures the practice maintains service excellence, compassion...

Be Part of an Extraordinary Team Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. Build the Possibilities. Make an Extraordinary Impact. Title : DRG Coding Auditor (ICD-9/10CM, MS-DRG, AP-DRG, APR-DRG) **Virtual: ** _ _ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered if candidates...

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 physican 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 speciality 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....

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

DRG Coding Auditor Principal _Virtual: _ _ ​_ This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending. The DRG Coding Auditor Principal is responsible for auditing inpatient medical records on claims paid based on Diagnostic Relation Group...

Compassion. Accountability. Collaboration. Foresight. Joy. These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day. Aspirus Wausau Hospital in Wausau, WI is seeking a Nursing Supervisor to join our Adult Medical Unit combined with a smaller Pediatrics Unit ! The Nursing Supervisor has day to day responsibility for the coordination, leadership and development of the nursing department, personnel, and operations. Assists with patient safety, quality efforts, financial management, employee satisfaction and community accountabilities. Assumes leadership responsibility in the absence of the manager or director. Promotes an environment where nursing/clinical staff can flourish through professional development, improvement in workflow and workload, optimization of talent and resources, implementation and validation of best practices, consistent and clear communication including closed loop...

Description Summary: Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD-10-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs, including but not limited to Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an on-site position with a remote option. Responsibilities: Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment....