544 professional coding specialist jobs found

SCOPE OF WORK: AGS Health is seeking an Profee Interventional Radiology Coding Specialist who will be responsible for coding all requested IVR medical records using the most accurate and appropriate ICD-10-CM, CPT, modifiers, and APC assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines.     JOBS-TO-BE-DONE ( JTBDs): Codes all requested Profee IVR records using the most accurate and appropriate ICD-10-CM, modifiers, and APC assignment in accordance with coding guidelines. Abstracts, codes, and assigns necessary demographic and clinical data elements required. Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements. ·           KEY SELECTION CRITERIA: Candidate qualifications :...

UW Medicine Enterprise Records and Health Information has an outstanding opportunity for INPATIENT and OUTPATIENT CODING EDUCATION ANALYSTS WORK SCHEDULE 100% FTE Mondays - Fridays 100% Remote POSITION HIGHLIGHTS Performs daily activities related to auditing, education and training of one or more content areas ERHI has coding oversight for Serve as an expert in Inpatient coding, respond to general coding questions (ICD, DRG, CPT and HCPCS), engage in the development and/or implementation of audit/monitoring plans, participate in the development and/or delivery of educational and outreach materials, report on unit activities, maintain unit records, monitor regulatory developments, and help develop Coding program policies and procedure DEPARTMENT DESCRIPTION Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding,...

AllSpine Pain and Wellness, located in Staten Island, NY, is seeking a highly organized and experienced Out-of-Network (OON) Biller/Collections Specialist to join our growing team. A new location in New Jersey will be opening shortly, and travel between the locations may be required. This role will focus on billing for pain management, vein treatments, anesthesia, and spine procedures. The ideal candidate will be familiar with No Surprises Act (NSA) billing, the IDR (Independent Dispute Resolution) process, and have extensive experience with New Jersey and New York PIP (Personal Injury Protection) and WC (Workers' Compensation) billing practices. You should possess strong attention to detail, exceptional problem-solving skills, and a proactive approach to ensuring timely reimbursement for services rendered. Key Responsibilities: OON Billing & Collections: Manage the full spectrum of OON billing, including submission, follow-up, and collections, for services provided...

Sierra7 is hiring both inpatient and outpatient medical coders to assist the Department of Veterans Affairs. This position is variable up to 25 hours per week.   - We offer great perks to medical coding employees too! Sierra7 offers professional certification reimbursement and 401K eligibility. Don’t miss out on this opportunity! - To Be eligible for this position you must have at least 1 year of experience coding for the Department of Veterans Affairs.  - Must have a minimum of two years’ experience in inpatient or outpatient coding Job Requirements: Must be credentialed and have completed an accredited program for coding certification or health information management/health information technician program. Certification from AHIMA (RHIA, RHIT, CCS, CCS-P) or AAPC (CPC, CPC-H) is required. Minimum of two years’ experience in inpatient or outpatient coding. At least one year of experience coding for the Department of Veterans Affairs. Make a...

Job Summary Remote Medical Billing Specialists provide best-in-class billing services to our private pediatric practice clients. Review claims for accuracy; oversee processing of claims to payers; resolve insurance company payments that are late, underpaid or denied; work closely with providers, practice managers and staff to implement best practice protocols. Responsibilities Learn and become proficient with the premiere pediatric system in the industry- Physician’s Computer Company (PCC) Billing. Efficiently analyze insurance claims throughout the submission process, insuring claims are accurately coded in a timely fashion, and for optimum reimbursement and compliance. Ensure that all claims reach the payers, and independently resolve any issues (underpayments, denials, etc.) with the claims so they are paid fully and on time. Post payments, organize processing of patient correspondence and statements. Answer phone inquiries from patients regarding...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking a motivated Coding Education Specialist with an emphasis in Adult Inpatient experience to join our Coding Services department.    This job can be performed 100% remotely and out of state candidates will be considered. The Coding Education Specialist will primarily be responsible for supporting and leading ongoing education to existing coding staff,...

The University Eye Center ( UEC ) of the State University of New York College of Optometry, an Article 28 Diagnostic and Treatment Center, is seeking a Certified Professional Coder. The successful candidate must be detailed oriented and be able to multitask with excellent time management, problem solving and investigative skills. Understanding of managed care, Medicare, Medicaid, commercial payers and self-pay guidelines is required. Reporting to the Director of Patient Financial Services, the Certified Professional Coder will be responsible for the review of pre and post charges in order to maximize reimbursement, minimize denials and comply with accepted coding practices. Responsibilities/Job Functions: Review provider documentation for charge accuracy and correction of diagnostic and procedural coding, coding integrity and revenue optimization prior to claims submission. Reviews and monitors statistics and key performance indicators to identify improvement...

MISSION Through a collaborative and positive approach, the Compliance Specialist/Auditor will promote ongoing organizational compliance, revenue integrity, and efforts to provide efficient and effective services to patients. Using the results of audit/monitoring activities, this role will improve identification of opportunities to mitigate risks of potential non-compliance with regulations, policy, and industry standards, while facilitating process improvement. OUTCOMES Perform regular and ad hoc reviews of key organizational risks (e.g. policies, processes, clinical documentation, statutory and regulatory changes) to promote ongoing organizational accuracy, compliance, and risk mitigation. Provide individualized and actionable feedback based on audit results. Develop appropriate educational and resource materials. Assist with audit & compliance   related special projects as requested . Use strong written, verbal, and “people”...

Medical Coding Auditor Are you passionate about making a difference in the health of rural communities? Community Health of Central Washington has an opening for a Medical Coding Auditor to train new and existing Providers on accurate coding. You will be responsible for reviewing and auditing medical coding for accuracy, compliance and completeness to ensure adherence to coding standards, guidelines and regulatory requirements. Qualifications: ·       HS Diploma or equivalent and 3 years of medical coding experience is required ·       Associate or Bachelor degree in related field is preferred ·       Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Inpatient Coder (CIC) is required ·       Certified Professional Medical Auditor (CPMA) with prior auditing experience is highly desirable ·       Valid Driver’s license and auto insurance is required Immunizations are required prior to start...

Do you want to work at one of the Top 100 Hospitals in the nation? We are guided by our values of   Love   and   Excellence   and are passionate about delivering health, not just health care. Come join us at ChristianaCare! ChristianaCare has an exciting opportunity for a passionate, and hardworking healthcare coding professional to join our team. The   Compliance Coding Auditor   supports the department through assigned auditing activities to ensure effective documentation as well as accurate coding and billing. Through communication and training activities, they deliver information or clarification on audit results, compliance inquiries, coding, documentation standards, guidelines, and regulatory requirements. They provide operational, technical, and auditing and coding support for the Office of Compliance & Privacy. The successful candidate will have proven experience with medical claims' billing/payment systems, provider billing guidelines, payer...

AGS Health is seeking an Inpatient Coding Specialist who will be responsible for coding all requested inpatient medical records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment, while meeting specified productivity and accuracy standards. The coding specialist will also be responsible for abstracting key data required from the medical information consistent with UHDDS requirements and other regulatory coding guidelines. JOBS-TO-BE-DONE ( JTBDs): Codes all requested Inpatient records using the most accurate and appropriate ICD-10-CM/PCS and DRG assignment in accordance with coding guidelines. Abstracts, codes and assigns necessary demographic and clinical data elements required.    Writes appropriate, non-leading queries. Maintains quality and productivity according to client requirements.   KEY SELECTION CRITERIA: Candidate qualifications :  Certified through AHIMA or AAPC (CCS, CPC, or CIC) Minimum 2 years...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado.   We are seeking a motivated Education Specialist to join our Audit, Compliance & Education team.    This job can be performed 100% remotely and out of state candidates will be considered.   The Medical Coding & Regulatory Education Specialist will primarily focus on the content creation of educational materials related to coding and documentation...

We are seeking  an experienced and versatile Medical Billing & Coding Specialist to join our in-house billing division and support our growing team of multi-specialty providers. ERHC personnel must be able to learn quickly, adapt to change, and maintain flexibility while ensuring a quality healthcare experience. The ideal candidate will be able to excel in a dynamic, highly patient-centered environment.   Essential Job Duties Support billing to a variety of third-party payers, to include to commercial insurance, Workers’ Compensation agencies, and public emergency agency departments Work directly with ERHC clinical providers to assist with chart review and coding optimization; provide timely and accurate review of E&M and CPT billing codes to ensure accuracy; and consult with clinical providers to clarify missing or inadequate claim information Assign appropriate codes (ICD, CPT, HCPCS) into the practice EMR for diagnoses, treatments, and...

University of Colorado Medicine (CU Medicine) is the region’s largest and most comprehensive multi-specialty physician group practice. The CU Medicine team delivers business operations, revenue cycle and administrative services to support the patients of over 4,000 University of Colorado School of Medicine physicians and advanced practice providers. These providers bring their unparalleled expertise at the forefront of medicine to deliver trusted, compassionate health care services at primary and specialty care clinics as well as facilities operated by affiliate hospitals of the University of Colorado. We are seeking 3 highly motivated Coding Quality Assurance Specialists to join our Coding Services department. This job can be performed 100% remotely.  Preference may be given to individuals residing in Colorado , but out of state applicants will also be considered . The primary responsibility of the Coding Quality Assurance Specialist is supporting and...

The Certified Coder I performs functions of coding diagnosis and procedures from outpatient center/clinic records utilizing International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) codes. (Hybrid - Fort Worth, TX) Typical Duties: Assigns codes to diagnosis and procedures of outpatient records, including clinics, Urgent Care and Emergency room, utilizing ICD and CPT codes in accordance with ICD Coding Guidelines, CPT Coding Guidelines, American Hospital Association (AHA) Coding Clinics and the JPS Outpatient Coding Policy and Procedures. These charts are typically less than one day stays and are of low to medium clinical complexity of service requiring knowledge of anatomy, physiology and basic pharmacology. Ensures codes are assigned accurately and sequenced correctly ensuring reimbursement is appropriate in accordance with government, insurance, and/or other payer regulations to include the coding of diagnoses and procedures and may...

HCCS currently has multiple full-time and part-time openings for experienced and certified Pro Fee and Pro Clinic/Outpatient Coders. The ideal candidate will need to have three plus years of current medical coding experience in coding Pro Fee/Clinic charts, along with a current coding credential from AHIMA or AAPC (CCA and CPC-A credentials are not accepted).   Full-time candidates will be expected to work 40 hours per week, M-F.  ***Sign-on Bonus available*** Position Requirements:   Current coding certification from AHIMA or AAPC   CCA and CPC-A not accepted   Three or more years of coding experience in Pro Fee IP/OBS/SDS and/or Clinic/Outpatient Coding   Three or more years of E/M Leveling experience   Recent experience in production coding within the past six months   Proficiency in coding using the 2023 coding guidelines and MDM       Specialty Areas (one or more of...