3936 professional coder jobs found

About the Role To support the company by providing clinical documentation and diagnostic results through proper ICD -9- CM and ICD-10-CM and CPT codes for billing. Responsible for the Company Vision "To be the prominent urology practice with a reputation for delivering excellent and effective care in all urologic modalities. By providing full-service urology to the patients and communities we serve, there will be greater satisfaction as well as patient and physician loyalty which will allow continued success and growth." Location: This is an in-office position, no remote hours. What You'll Be Doing Proficient in assigning accurate medical codes for diagnoses, procedures, and evaluation and management services according to the appropriate classification system for outpatient and inpatient encounters Maintain knowledge of anatomy, physiology, and medical terminology commensurate with the ability to correctly code diagnoses and services Review all clinical progress...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Professional Coder 1 is responsible for a complete review of the medical record documentation and performs a variety of coding related activities for 1 or more specialties. Work may include, but are not limited to: charge review,coding review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and /or in writing, and performing other coding related tasks. EEO/AA/Disability/Veteran Responsibilities 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes for work identified for a coding review in accordance with official coding guidelines. 2. Reviews medical record documentation and reviews clinician...

JOB SUMMARY: This position is responsible for reviewing a patient's medical records after a Clinic visit and translating the information into codes that insurers use to process claims for patients. Duties include confirming treatments with medical staff, identifying missing information, and submitting information to insurers for reimbursement. RESPONSIBILITIES (ESSENTIAL FUNCTIONS): Accurately assigns and sequences codes (ICD-10-CM, CPT, HCPCS/modifiers as necessary) for each patient encounter, following proper coding guidelines and legal requirements to ensure compliance with federal and state regulations. Ensures professional/physician billing CPT codes/ICD-10 codes are assigned correctly and sequenced appropriately as per government and insurance regulations. Queries providers or other Clinic team members when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. Assigns and enters...

Overview A Certified Professional Coder (CPC) job description generally involves reviewing patient medical records, abstracting relevant clinical information, and assigning appropriate medical codes using ICD-10, CPT, and HCPCS code sets. CPC responsibilities also include ensuring accurate documentation and coding, facilitating claims processing, and complying with regulatory requirements. Responsibilities Coding and Abstracting: Accurately translate patient encounters into standardized medical codes (ICD-10, CPT, and HCPCS). Documentation Review: Analyze patient records for completeness, accuracy, and compliance with coding guidelines. Reimbursement Analysis: Research and analyze data needs for accurate and timely reimbursement. Auditing and Compliance: Conduct chart audits, identify coding discrepancies, and implement corrective actions. Communication and Collaboration: Communicate effectively with healthcare providers to clarify coding issues and...

Job Description Job Description Job Summary Very busy Orthopaedic Specialty practice seeking a full-time detail-oriented and highly organized Medical Coder/Charge Entry Clerk to join our team. This is not a remote position . Responsibilities to include but not limited to: Entry of all office based charges Review documentation and extract all applicable CPT, ICD-10, HCPS codes Knowledge of modifiers and correct coding guidelines Ensure all codes are accurate, active and billable Requesting addendums to documentation if necessary Assist office staff with billing/coding questions Compliance with all governmental and regulatory agencies Self-Pay collections process Knowledge of appeal process Payment Entry and balancing of daily payments/charges Position requires a Certified Medical Coder or minimum of 2 years prior medical charge entry and claims follow up experience. Hourly rate will be determined by current certifications and/or previous years charge entry...

Functioning within the Health System' mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity Education: Must be currently enrolled in a Medical Coding Program. Licensure/Certification: Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: Experience in Medical Office preferred Skills: Must demonstrate proficiency with reimbursement and MS-DRG's. Basic competency with Word and Excel is also required.

Functioning within the Health System' mission, values, objectives, procedures and policies, the Coder - Professional codes all physician office medical records as assigned by reviewing the entire medical record to determine if the documentation supports the code assignment as well as reviewing the chart for any specific regulations such as medical necessity. Education: An Associate's degree or completion of a certified coding program is required. Licensure/Certification: Current CPC or AHIMA Certified Physician Coder is required. Will consider candidate who is actively enrolled in certification program. To retain position, if individual without a current certification is hired into a Coder - Professional position, s/he must successfully obtain certification within one year of hire. Experience: A minimum of two years of coding experience in a physician's office or hospital setting is preferred. Skills: Must be knowledgeable in grouper mechanics, medical necessity,...

Description Come grow with us. Yeo & Yeo Medical Billing & Consulting was established in 1998 as an affiliate of Yeo & Yeo to provide clients with medical billing and additional practice management solutions. We have devoted ourselves to helping clients maximize their reimbursement and assist in educating them with the ever-changing rules and guidelines of Medicare and other insurance carriers as well as CPT, HCPCS and ICD-10 coding. Yeo & Yeo Medical Billing & Consulting maintains a highly trained staff with experience in all areas of physician billing. Several Certified Professional Coders on staff assist in choosing proper diagnostic codes and procedure codes. Our billing specialists receive ongoing training specific to medical specialty. We continually train our staff by updating and maintaining their knowledge of insurance carrier trends and changes in billing rules and policies. Our people are our future - we provide the venue for individuals who...

Overview The Professional Coder provides timely and accurate clinical and administration data to ensure optimal reimbursement for professional services performed at acute care, inpatient, outpatient, urgent care or physician offices to meet organizational needs. This position is responsible for ICD10CM diagnosis, CPT-4 coding and charge entry related to coding, documentation, billing and reimbursement issues. Works as a liaison between centralized billing staff, practice managers and office staff and may be required to meet with the office staff and physicians as needed. This position is responsible for the monitoring the quality of coding and stays current on professional coding changes, compliance issues, billing, documentation, reimbursement and interpretation of coding/documentation rules. Primary patient contact is only social. He/she demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards...

Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. Duties & Responsibilities Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. Arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number. Reviews and processes re-submits. Works closely with the...

POSITION SUMMARY Position Summary: Assigns ICD-10-CM and CPT codes for professional services using coding guidelines and principles to ensure appropriate billing processes, reimbursement follow up and analysis. Familiar with accounts receivable and collection activities. Utilizes resources available to ensure full compliance with federal Medicare and Medicaid laws and regulation provisions, and in keeping with the health center mission. POSITION QUALIFICATIONS Minimum Education High School or equivalent Coding Certification (CPC, CCS-P, CPC-H) or (RHIA or RHIT) Minimum Experience Two years coding experience preferred Knowledge of medical billing for physician services preferred Required Registration/License/Certification CPC, CCS-P, CPC-H, or other related coding certification or RHIA or RHIT.

Job Title: Certified Medical Coder / Certified Professional Coder (CPC) Duration: 3 months Location: Orange, CA 92868 Shift: Monday through Friday, 8:00 a.m. - 5:00 p.m. Mode: Onsite Pay Rate: $27.98-$43.37/hr Role & Responsibilities: Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability. Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department. Supports the manager in ensuring current coding methodology and modifier rules are applied to appropriate reimbursement and ensures the organization is following Medicare and Medi-Cal protocol for payment of claims. Maintains and monitors code listing updates for International Classification of Diseases (ICD)-10-Clinical Modification (CM)/Procedure Coding System (PCS), Current Procedural Terminology (CPT) and...

Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Assures data quality by coding and sequencing diagnoses, treatments and procedures for optimal reimbursement and validating key data elements for accurate statistics. EDUCATION A two year degree in Health Information Technology or four year degree in Health Information Management required. EXPERIENCE Previous experience in ICD-10-CM/PCS and CPT coding in an acute care setting is preferred Previous EPIC, Optum, & SMART software experience preferred. LICENSURE/REGISTRATION/CERTIFICATION One AHIMA recognized credential, RHIT, RHIA, or CCS (eligible) required Successful completion of certification exam within 18 months of hire date required. OTHER SKILLS AND QUALIFICATIONS Can proficiently code charts from primarily one setting (inpatient or...

CURRENT BRONSON EMPLOYEES - Please apply using the career worklet in Workday. This career site is for external applicants only. Love Where You Work! Team Bronson is compassionate, resilient and strong. We are driven by Positivity which inspires us to be our best and to go above and beyond for our patients, for one another, and for our community. If you're ready for a rewarding new career, join Team Bronson and be part of the experience. Location BHG Bronson Healthcare Group 6901 Portage Road Title Certified Professional Coder (Onsite) The Professional Coder performs detailed review of provider documentation/dictation and performs research on code selection for validation of appropriate codes selected for surgically complex cases (e.g., Neurosurgery, Cardiothoracic Surgery). Provides codes for surgical cases for insurance authorization. Reviews work queues and/or posts charges into Practice Management System for provider hospital and office billing and...

Ar/Claims Specialist The AR/Claims Specialist will undertake a variety of financial and non-financial tasks to help guarantee the company's revenues. Responsibilities Post unassigned payments in Phreesia to appropriate patient encounters. Resolve denied claims via telephone and email communications. Balance front desk batches to Phreesia/PM and enter on spreadsheet. Work Payment Assurance and Process Phreesia reporting monthly for text payment reminders. Work daily patients chats for collections. Generate monthly and work accounts to be turned over to collections, generate dismissal letters. Work patient voicemails weekly as assigned. Answer phone daily as backup and resolve any account issues presented. Knowledge, Skills, Abilities: Ability to work independently and as a team player. Ability to communicate effectively on the telephone with good customer service. Ability to relate to persons with diverse educational, socioeconomic, and ethnic backgrounds. Ability...

What We Offer 🎯 Why This Role Matters As a Certified Professional Coder II, you will be part of a dynamic team of Ambulatory Coders supporting patient care by driving accuracy and adherence to coding guidelines, governmental and private Third-Party rules, and regulations. Demonstrating Novant Health’s commitment to deliver the most remarkable patient experience, in every dimension, every time. What You’ll Do: Schedule: Monday – Friday, daytime hours Perform monthly on-site visits to assigned clinics within Novant Health’s Coastal Region. Review and code work queues as assigned by applying coding principles for correct coding including sequencing. Query providers for clarification of incomplete or ambiguous documentation as appropriate and monitor for timely responses. Provide provider education and regular feedback on ICD-10 and correct coding issues. Evaluate and identify front-end and back-end error trends for training needs and bring...

Coding and Billing Auditor Job is fully onsite. General Summary: Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff. Responsibilities: 1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits. 2. Audits all establish provider medical records on by annual basis: a. Audits medical records for...

Job Type Full-time Description JOB SUMMARY: Responsible for accurate coding and billing of provider office, inpatient and outpatient charges to ensure coding and billing compliance is maintained. Maintains an extensive knowledge of CPT Procedural Coding, ICD-10 Diagnosis Coding and HCPCS Level II coding along with Evaluation and Management (E&M) documentation requirements. DUTIES & RESPONSIBILITIES: Responsible for reviewing and submitting charges from the coding workqueues (WQ). Manually enters off-premise charges in Charge Review. If applicable, manually enters in-house charges for certain Specialty areas as designated. Ability to code for many different Specialties as assigned. Provides cross-coverage in the department as needed and directed by the Coding and Compliance Manager /Data Collection Team Leader. If indicated, arrives the Surgery Schedule on a daily basis using the DAR function. Checks each patient in to create the visit number....

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options. Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve. Job Description: Job Purpose The purpose of the Certified Professional Coder is to input diagnostic codes for medical services rendered and ensuring that the assigned codes meet required regulations. Essential Job Functions Input appropriate diagnostic codes for various medical services. Make sure the...

The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services. This role assists with educating physicians, management, support staff and administration. This role also identifies possible revenue opportunities. Essential Job Function Reviews medical records and codes physician services utilizing current ICD-10, CPT and HCPCS classifications systems. Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS-all levels). Assists with the Central Business Office to ensure appropriate and complete...

Overview Under general supervision, a Certified Professional Coder is responsible for correctly coding professional healthcare claims in order to obtain reimbursement from private insurance companies and government healthcare programs. This is NOT a remote position. Responsibilities Abstract charts to assign appropriate codes for anesthesia services in endo, general surgery, and a wide variety of ASC and hospital inpatient cases Ensures all cases are accurately coded and/or accounted for on each date of service Performs charge entry corresponding to respective codes, as required Maintains files and properly follows processes for task completion Identifies problems with documentation and effectively communicates all issues with leadership Maintains and updates missing information spreadsheet for assigned sites daily Follow up on monthly reconciliation, as required Maintains personal accountability for assigned locations and tasks Attend meetings and...

Overview To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Professional Coder 1 is responsible for a complete review of the medical record documentation and performs a variety of coding related activities for 1 or more specialties. Work may include, but are not limited to: charge review,coding review, prioritizing workload, resolving edits, researching denials, interacting with clinicians verbally and /or in writing, and performing other coding related tasks. EEO/AA/Disability/Veteran Responsibilities 1. Reviews medical record documentation to determine appropriate ICD-10-CM codes for work identified for a coding review in accordance with official coding guidelines. 2. Reviews medical record documentation and reviews clinician...