Medical Coder jobs at Appalachian Regional Healthcare

This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization's health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload. Experience Requirements Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately Education, Licensure, and Certification High school diploma or GED accredited by the U.S. Department of Education required Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required Certified Coding Specialist (CCS) credential required Position Details This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities. About Valley Children's Healthcare Valley Children's Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation's largest pediatric healthcare networks, including a 358-bed children's hospital and multiple outpatient clinics. Valley Children's offers access to three national parks and is within driving distance of California's world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.

Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines. Required Education/Experience/Specialized Skills: * One (1) year of hospital/professional coding experience. * Good critical thinking and analytical skills. * Excellent written and verbal communication skills. Required Certification/Registration: * Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: * 1 year of acute inpatient hospital coding experience. * Associates or Bachelors Degree in Health Information Technology. * Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. * Registered Health Information Administrator (RHIA) At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $38.54-$55.88/hour

We are seeking a Certified Medical Coder- Remote to join our team. We are deeply rooted in the communities we serve, which means that our patients are often our family, friends, and neighbors, and it is special to be able to care for them. As one of the top healthcare systems, we are committed to your ongoing growth and development. After work, you will find things to do in every season, including beaches, outdoor recreation, unique restaurants, world-class wineries, arts and entertainment. Why work as a Coder Abstractor ? Remote work schedule Our dynamic work environment includes many opportunities for growth and development Our efforts directly impact patient satisfaction and outcomes Our employees work in positive, supportive, and compassionate environments built on our organizational values. SKILLS At least 1 years recent coding experience including coding surgical cases preferred. Experienced in coding hospital inpatient and outpatient E/M services. Thorough knowledge of medical terminology, ICD-10-CM and CPT4 coding necessary. Understanding of both the medical and business side of healthcare operations. Highly organized, self-motivated, detail-oriented and energetic team player. Excellent verbal and written communication skills. Strong computer skills including MSOffice, Internet, and E-mail. Epic experience helpful Summary: Under general supervision, according to established policies, procedures and protocols, codes all disease and operations according to accepted classifications. Insure compliance with PRO data reporting and other regulatory licensing and accrediting agencies. The Benefits of Working : Competitive salaries Full benefits, paid holidays, and paid time off (up to 19 days your first year) Tuition reimbursement and ongoing educational opportunities Retirement savings plan with employer match and personal consulting Wellness plans, an employee assistance program and employee discounts Applicant Location: Remote USA Only

**MUST ATTEND ORIENTATION IN PERSON IN ARCATA, CALIFORNIA SUMMARY: The primary function of this position is to review ICD, CPT and HCPCS coding for data and reimbursement. The coding function is a primary source for data and information used in health care today, and promotes quality client care, captures accurate reporting numbers and optimizes reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Level I Performs comprehensive review of the health record, evaluates the record for documentation, consistency, accuracy and correlation of recorded data. Ensures the final diagnosis as stated by the provider is valid, complete and accurately reflects the care and treatment rendered. Consults with provider when conflicting or ambiguous documentation is present. Requests correction of the record before assigning a code that is not supported by documentation. Assigns and sequences International Classification of Diseases (ICD), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), Current Dental Terminology (CDT), Diagnostic and Statistical Manual of Mental Disorders (DSM) codes to diagnosis and procedures from documented information. Adheres to all official coding guidelines, conventions, standards of ethical coding and rules established by the American Health Information Management Association (AHIMA), American Academy of Professional Coders (AAPC), American Medical Association (AMA), and Centers for Medicare & Medicaid Service (CMS). Assists with performing routine audits in accordance with the facility Compliance Plan and Quality Improvement, which may include findings from provider documentation trends, coding peer reviews, and reimbursement denials. Reviews the records for compliance with established third party reimbursement agencies and special screening criteria. Provides medical staff and other healthcare providers education on coding and classification systems, including updates or changes in coding conventions or rules, documentation guidelines, and rules and regulations governing reimbursement. Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code. Participates in committee I staff meetings as delegated by the supervisor. Performs all duties according to established safety procedures and UIHS policy. Performs other duties assigned by the Operating Revenue Manager. Level II NextGen Certified Professional Serve as the primary resource for: Training and supporting UIHS Coders. Medical providers regarding coding, workflows, addendums, and templates. Troubleshooting technical systems including NextGen Practice Management, ClaimRemedi, and reporting and claims issues. Assist in preparing financial reports as needed for fiscal audits and reconciliations. SUPERVISORY RESPONSIBILITIES: This position is a not a supervisory position. The incumbent reports to the Operating Revenue Manager. QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION /EXPERIENCE: Educational degrees must be from a US Department of Education accredited school Level I Must have High School Diploma or equivalent. Two years of coding experience using ICD-10-CM or equivalency. The incumbent is expected to enroll in continuing education courses to maintain certification; many of which will be provided by UIHS. Six to twelve months would be required to become proficient in most phases of the job. Level II All education listed as above and five (5) years of coding experience, or Associates Degree or equivalent and two (2) years of direct, unsupervised coding experience

Job Details LHSD - SAN DIEGO, CA Fully Remote $27.00 - $31.00 HourlyDescription Who We Are: Lorian Health is a home health and hospice agency seeking energetic candidates to join our team of skilled professionals. Come join a home health agency that is thoughtful, generous, and family-oriented, placing focus on taking the best care of our patients and our employees! Lorian Health sets the highest quality standards for home health services in existence today. Foremost of these, is our belief in equanimity in regard to the treatment of all our patients. Lorian Health is committed to fostering a socially responsible environment within our organization and community and is determined to provide the highest caliber of health care for our patients and their families. What We Offer: We offer a comprehensive employee benefits package that includes, but is not limited to: Health, Dental, Vision, 401K with company match Competitive pay Paid vacation, holidays, and sick leave Full time includes company paid health insurance, dental insurance, vision insurance, paid life insurance, supplemental insurance and 401(k) plan with 4% match, as well as annual accrual of 10 vacation days,10 sick days, 9 holidays. Join our innovative team to help patients empower themselves to improve self-care. Qualifications Requirements: Must live in Pacific, Mountain or Central Time Zones Completion of coding specific coursework Current ICD-10 Coding Certification (HCS-D, BCHH-C, or HCS-H) Minimum of 1 year previous experience with Home Health ICD-10 coding with verified employment/experience are required. Minimum of 1 year previous experience with Hospice ICD-10 coding with verified employment/experience are required. Knowledge of and ability to follow appropriate skilled documentation under Medicare guidelines and conditions of participation. Knowledge of Patient Driven Grouping Models (PDGM) Knowledge of insurance reimbursement procedure. Ability to maintain confidentiality of records and information. Ability to be flexible, follow verbal and written instruction while working in a team oriented environment. Detail oriented with critical thinking and strong clinical judgement and analytical skills. Ability to demonstrate flexibility in response to unexpected changes in work volume and work schedule. Excellent interpersonal relation skills including active listening, conflict resolution, and team building. Communicates effectively with the clinical and office staff involved in any given case in a constructive, goal directed, and professional manner Excellent computer skills to include Microsoft applications (i.e. Word/Excel) and ability to type at least 40 wpm Preferred: OASIS certification (COS-C, HCS-O) Background on OASIS E Graduate of Bachelor is Science in health field Experience with HCHB software

. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. KEY RESPONSIBILITIES & DUTIES: * Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner. * Post and reconcile hospital setting (IP/OP/OBS) charges daily. * Communicate inefficiencies to the coding supervisor such as the medical necessity of services; unspecified truncated and lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends. * Reference coding and payer resources to accurately code and bill the provider documented services. * When needed, assist the AR Specialist with a complicated coding denial. Furthermore, the coder assists with creating an appeal letter regarding the coding denial along with any supporting documentation. Coder will forward the appeal documentation(s) to the AR Specialist to handle. * Continue education with coding and billing via Encoder Pro, coding subscriptions and resources provided by CHP. * Other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES * Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS. * Must be able to communicate effectively in English, verbally, and written. Additional languages are desirable. * Excellent customer service and phone etiquette skills. * Must be able to maintain a high degree of confidentiality and work well under productivity standards. * Able to prioritize and balance the workload on short and long-term company needs. * Must be able to work independently and be able to solve problems efficiently and accurately. * Able to create channels of communication to obtain information necessary to perform job tasks. * Strong organizational skills with the ability to prioritize a high-volume workload. * Helpful attitude, positive teamwork spirit with a willingness to help. CREDENTIALS/EDUCATION/EXPERIENCE * High School Diploma or Equivalent required. * Minimum of 2 years of experience in medical billing and/or coding. * Certifications in Medical Billing and Coding highly desirable

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

Lamoille Health Partners is looking for a Certified Medical Coder to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection. ESSENTIAL FUNCTIONS: Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures. Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations. Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements. Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service. Identify and resolve coding discrepancies, errors, and omissions by clarifying information with physicians and other healthcare providers when necessary. Stay up-to-date on coding guidelines, regulations, and payer policies through continuous learning and professional development. Utilize coding software and electronic health record (EHR) systems to accurately input and manage coded data. Maintain a high level of accuracy and efficiency in coding assignments. Adhere to HIPAA guidelines and maintain the confidentiality of patient information. Collaborate with billing staff to ensure accurate and timely claim submission. Assist with internal and external coding audits as needed. Contribute to the development and implementation of coding policies and procedures. Abide by Lamoille Health Partners' Compliance Program and Standards of Conduct during term of employment. Note that this job description is not designed to cover or contain a comprehensive listing of activities or responsibilities that are required of the Team Member for this position. Duties, responsibilities may change at any time with or without notice. EDUCATION/EXPERIENCE: High school diploma or equivalent required; Associate's degree in Health Information Technology or related field preferred. Current and valid medical coding certificationfrom a recognized professional organization such as: AAPC (American Academy of Professional Coders): CPC (Certified Professional Coder), CPC-A (Certified Professional Coder-Apprentice), COC (Certified Outpatient Coder), CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor). AHIMA (American Health Information Management Association): CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist - Physician-based), CCA (Certified Coding Associate). Minimum of 3 years of medical coding experience, preferably in a medical center. Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and guidelines. Familiarity with medical terminology, anatomy, physiology, and pathophysiology. Experience with electronic health records (EHR) and coding software [Specify software if applicable]. Strong analytical and problem-solving skills. Excellent attention to detail and accuracy. Strong organizational and time-management skills with the ability to meet deadlines. Effective communication (written and verbal) and interpersonal skills. Ability to work independently and as part of a team. Proficient in basic computer applications (Microsoft Office Suite). Knowledge of HIPAA regulations and patient privacy.

Lamoille Health Partners is looking for a Certified Medical Coder to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection. ESSENTIAL FUNCTIONS: Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures. Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations. Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements. Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service. Identify and resolve coding discrepancies, errors, and omissions by clarifying information with physicians and other healthcare providers when necessary. Stay up-to-date on coding guidelines, regulations, and payer policies through continuous learning and professional development. Utilize coding software and electronic health record (EHR) systems to accurately input and manage coded data. Maintain a high level of accuracy and efficiency in coding assignments. Adhere to HIPAA guidelines and maintain the confidentiality of patient information. Collaborate with billing staff to ensure accurate and timely claim submission. Assist with internal and external coding audits as needed. Contribute to the development and implementation of coding policies and procedures. Abide by Lamoille Health Partners' Compliance Program and Standards of Conduct during term of employment. Note that this job description is not designed to cover or contain a comprehensive listing of activities or responsibilities that are required of the Team Member for this position. Duties, responsibilities may change at any time with or without notice. EDUCATION/EXPERIENCE: High school diploma or equivalent required; Associate's degree in Health Information Technology or related field preferred. Current and valid medical coding certificationfrom a recognized professional organization such as: AAPC (American Academy of Professional Coders): CPC (Certified Professional Coder), CPC-A (Certified Professional Coder-Apprentice), COC (Certified Outpatient Coder), CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor). AHIMA (American Health Information Management Association): CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist - Physician-based), CCA (Certified Coding Associate). Minimum of 3 years of medical coding experience, preferably in a medical center. Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and guidelines. Familiarity with medical terminology, anatomy, physiology, and pathophysiology. Experience with electronic health records (EHR) and coding software [Specify software if applicable]. Strong analytical and problem-solving skills. Excellent attention to detail and accuracy. Strong organizational and time-management skills with the ability to meet deadlines. Effective communication (written and verbal) and interpersonal skills. Ability to work independently and as part of a team. Proficient in basic computer applications (Microsoft Office Suite). Knowledge of HIPAA regulations and patient privacy.

+ Oakland, CA + Information Systems + Health Information Servcies + Full Time - Day + $29.59 - $49.31/ hour + Req #:41965-31091 + FTE:1 **SUMMARY:** Reads and interprets medical record documentation to assign diagnosis codes, assigns CPT codes, and applies knowledge of payer reimbursement guidelines to ensure proper reimbursement. Performs related duties as required. **DUTIES & ESSENTIAL JOB FUNCTIONS:** NOTE:The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification. 1. Adheres to the ICD-9-CM (International Classification of Diseases, 10th revision, Clinical Modification) coding conventions, official coding guidelines approved by the cooperating parties, the CPT (Current Procedural Terminology) rules established by the American Medical Association, and any other official coding rules and guidelines established for use with mandated standard code sets. 2. Selection and sequencing of diagnoses and procedures must meet the definitions of required data sets. Utilizes up-to-date versions of CPT and ICD-10-CM resources and remains current on changes in coding and billing standards. 3. Strives for the optimal payment to which the facility is legally entitled, remembering that it is unethical and illegal to maximize payment by means that contradict regulatory guidelines. 4. Consults physicians for clarification and additional documentation prior to code assignment when there is conflicting or ambiguous data in the health record. 5. Diagnosis coding must be accurate and carried to highest level of specificity; assigns and reports codes that are clearly and consistently supported by documentation in the health record. 6. Follow up status of charges held for clearance; work error reports. 7. Responsible for properly performing month end tasks within the established time-frame including running month end reports for each center assigned and tracking of cases that are not yet billed for the month. 8. Provides feedback and education to physicians regarding billing and documentation. 9. Works with the Billing & Collection team to resolve coding issues. 10. Performs professional fee and documentation audits for a wide variety of specialties. 11. Manage work files to resolve coding edits by researching and using the most up-to-date tools available in order to make the appropriate and compliant corrections for reimbursement. **MINIMUM QUALIFICATIONS:** Education:High School Diploma or equivalent required, Associate's degree preferred. Minimum Experience:Five years relevant coding experience. Minimum Experience:Experience coding and auditing professional fee surgical procedures and office visits. Required Licenses/Certifications:Certified Coding Specialist (CCS-P) or Certified Professional Coder (CPC) certification required from AHIMA or AAPC. PAY RANGE: $29.59 - $49.31/ hour _The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate's experience, education, skills, licenses and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program._ Alameda Health System is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, veteran status, or military background.

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Hierarchical Condition Categories (HCC) Coding Analyst will effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to Centers for Medicare and Medicaid Services (CMS). Provide coding expertise as well as administrative oversight to ensure successful integration of AHC's HCC initiatives. GENERAL DUTIES/RESPONSIBILITIES 1. Monitors coding & abstracting quality by conducting &/or coordinating ongoing audits to ensure coding quality & performance improvement standards are maintained, achieved & improved. 2. Develops, implements, evaluates & improves IPA's educational tools for their respective providers in order to accurately capture acute and chronic conditions. 3. Tracks & reports progress of the audits performed on the coding vendors in order to assure the coding accuracy and quality of the data submitted to CMS. 4. Works with Risk Adjustment Management on any Data Validation and /or RADV coding audit to ensure completeness and coding accuracy of all submissions to CMS. 5. Maintains a comprehensive tracking and management tool for assigned IPA's within Alignments Healthcare provider network. 6. Tracks all Risk Adjustment activities for assigned medical groups and ensure that all tasks are completed in a timely manner. Correlate activities, processes, and HCC results/ metrics to evaluate outcomes. 7. Ensures compliance with all applicable federal, state &local regulations, as well as with institutional/organizational standards, practices, policies & procedures. 8. Supports the Risk Adjustment Management Team in scheduling/training activities. Maintain records of training. 9. Suggests new Physician Group Risk Adjustment coding initiatives. Participate in SCITs/ Education meetings as needed 10. Coordinates Risk Adjustment audit activities as it relates to the assigned groups. Assist with CMS Data Validation activities, including suggested record selections, tracking and submission, in conjunction with Risk Adjustment Healthcare Management 11. Educates and updates: a. Regularly updates all Risk Adjustment materials for clinical and official guideline changes. b. Updates all education materials based on CMS-HCC Model and ICD-9/ ICD-10 annual changes c. Suggests, updates, and enhances clinical educational materials to assist in training physicians and clinical staff on Risk Adjustment Healthcare Programs including CMS-HCC Models, Clinician Chart Reviews, and Encounter Documentation. d. Suggests customizations of Risk Adjustment education for various audiences, Support Staff, PCPs, Specialists, Employees vs. contracted and Central Departments e. Stays current of industry coding, compliance, and HCC issues. f. Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; and participating in professional societies. 12. Contributes to team effort by accomplishing related results as needed. 13. Other duties as assigned to meet the organization's needs. Job Requirements: Experience: • Required: Minimum 3+ years of coding in a medical group or health plan setting required; Professional Coding experience required. Minimum 1 year experience with strategic planning in risk mitigation. •Work Hours: Pacific Standard Time • Preferred: Previous experience and use of Epic, Allscripts, EZCap a plus Education: • Required: High School Diploma or GED. Training: • Preferred: Certified Coder training courses Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Proficient user in MS office suite, MS access a plus Licensure: • Required: Certified Coder required, HCC/Risk Adjustment experience, Experience with Athena EHR • Preferred: CCS, CCS-P, CPC, Certified Auditor a plus. Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $58,531.00 - $87,797.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.

Title: Certified Medical Coder Performs all coding for Omni Family Health practices to ensure consistency and meet compliance guidelines needed to ensure appropriate and effective reimbursement. Supports Omni Family Health Physicians and hospital-based providers with monthly physician reimbursement and act as a back up to the department supervisor. Develops policies and procedures to support coding guidelines. Job Duties: The following are essential job accountabilities: 1. Ensures completion of documentation and coding on billing slip and HER when needed for correct and complete claim. 2. Read and interpret patient medical information and apply correct ICD- 10, CPT and I-ICPCS codes as needed for optimal reimbursement. 3. Research documentation with physician and/or Non Physician Provider (NPP). 4. Post charges for both out-patient and in-patient facilities for multiple providers to ensure accuracy of coding and patient accounts including following up with providers and putting together a complete file for accurate posting of charges 5. Schedules and coordinates monthly and quarterly coder educational seminars. Provides documentation and feedback to Supervisor, Coding & Compliance as needed to support certified coders on-going education. 6. Supports the incoming charges processed through NextGen EHR including monthly reconciliation and finalizing. 7. Acts as a coding resource for Omni Family Health physicians and clinic staff. 8. Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing. Additional Duties 1. HIPAA compliance - Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential. 2. Compliance - Ensure compliance with all local, state, and federal regulations. 3. QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization. 4. IT - Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures. 5. All employees will participate in Patient Centered Home Health Model at Omni Family Health. Qualifications, Education, and Experience Education: 1. High school graduate Experience: l. Possess three years of medical billing and accounts receivable experience. Certification: l. CPC, CPCH, and /or CCS-P certification required Skills: 1. Basic knowledge of CPT and ICDI 0 codes. 2. Minimum of 5 years multi-specialty physician billing and leadership experience. 3. Ability to operate computers, Microsoft operating system and provide direction to staff as needed. 4. Must be able to take responsibility and work under pressure. 5. Ability to work under pressure. 6. Ability to handle multiple functions. 7. Demonstrate effective communication skills with medical/dental providers and staff. Responsible to: Coding Coordinator Classification: Full-time, Non-exempt

Title: Certified Medical Coder Performs all coding for Omni Family Health practices to ensure consistency and meet compliance guidelines needed to ensure appropriate and effective reimbursement. Supports Omni Family Health Physicians and hospital-based providers with monthly physician reimbursement and act as a back up to the department supervisor. Develops policies and procedures to support coding guidelines. Job Duties: The following are essential job accountabilities: 1. Ensures completion of documentation and coding on billing slip and HER when needed for correct and complete claim. 2. Read and interpret patient medical information and apply correct ICD- 10, CPT and I-ICPCS codes as needed for optimal reimbursement. 3. Research documentation with physician and/or Non Physician Provider (NPP). 4. Post charges for both out-patient and in-patient facilities for multiple providers to ensure accuracy of coding and patient accounts including following up with providers and putting together a complete file for accurate posting of charges 5. Schedules and coordinates monthly and quarterly coder educational seminars. Provides documentation and feedback to Supervisor, Coding & Compliance as needed to support certified coders on-going education. 6. Supports the incoming charges processed through NextGen EHR including monthly reconciliation and finalizing. 7. Acts as a coding resource for Omni Family Health physicians and clinic staff. 8. Various other work-related duties as assigned by supervisor. These duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally either verbally or in writing. Additional Duties 1. HIPAA compliance - Responsible for enforcing compliance with all HIPAA regulations and requirements. Treats all member information confidential. 2. Compliance - Ensure compliance with all local, state, and federal regulations. 3. QA/QI - Participate in QA/QI activities and contribute towards the overall performance improvement of the organization. 4. IT - Required to learn and use the Electronic Health Record and Practice Electronic System and its components as required by the job functions and highlighted in the Policies and Procedures. 5. All employees will participate in Patient Centered Home Health Model at Omni Family Health. Qualifications, Education, and Experience Education: 1. High school graduate Experience: l. Possess three years of medical billing and accounts receivable experience. Certification: l. CPC, CPCH, and /or CCS-P certification required Skills: 1. Basic knowledge of CPT and ICDI 0 codes. 2. Minimum of 5 years multi-specialty physician billing and leadership experience. 3. Ability to operate computers, Microsoft operating system and provide direction to staff as needed. 4. Must be able to take responsibility and work under pressure. 5. Ability to work under pressure. 6. Ability to handle multiple functions. 7. Demonstrate effective communication skills with medical/dental providers and staff. Responsible to: Coding Coordinator Classification: Full-time, Non-exempt

Job Summary Coder III The Coder III is responsible for analyzing medical records for completion by Medical Staff, clinical or ancillary department; performing coding and abstracting functions; efficiently navigate the electronic medical record to find patient information required for coding; and accurately abstract medical records for quality assessment screens. Licensure and Certification: * CCS required * RHIT or RHIA strongly preferred Education: * Associate Degree in Health Information Technology or Information Technology or equivalent is minimum requirement * Medical Terminology * Anatomy and Physiology * AHIMA approved coding program or equivalent with documentation of successful completion. Experience: * Acute hospital experience in an acute care hospital, with three years of inpatient and outpatient coding experience utilizing automated encoder. Knowledge and Skills: * Extensive knowledge of ICD-9-CM and CPT * Understanding of UHDDS * Computerized medical records coding and abstracting experience - at least one year. * Experience analyzing and manipulating data from medical records coding and abstracts. Knowledge of APCs, E&M coding, Modifier usage. * Ability to utilize encoder at advanced level * Ability to utilize computer to maintain current status of coding process * Ability to code advanced level inpatient, outpatient and Emergency Department records Physical Demands - Clerical/Administrative Non-Patient Care: * Frequent sitting and standing/walking with frequent position change. * Continuous use of bilateral upper extremities in fine motor activities requiring fingering, grasping, and forward reaching between waist and chest level. * Occasional/intermittent reaching at or above shoulder level. * Occasional/intermittent bending, squatting, kneeling, pushing/pulling, twisting, and climbing. * Occasional/intermittent lifting and carrying objects/equipment weighing up to 25 pounds. * Continuous use of near vision, hearing and verbal communication skills in handling telephone calls, interacting with customers and co-workers and performing job duties. Key for Physical Demands Continuous 66 to 100% of the time Frequent 33 to 65% of the time Occasional 0 to 32% of the time

Temporary Description The Certified Medical Coder represents Roots Community Health Center, working as part of a team in a highly visible setting. This position provides support to the Director of Billing, Billing and Coding Administrator. This position works in collaboration with the providers, billing specialist and finance team, using efficient medical coding. The Certified Medical Coder provides coding audits of all billing providers within the practice based on documentation guidelines, Medicare Guidelines and coding initiatives. As the coder audits and interprets patient medical records, transcriptions, test results, and other documentation, we'll rely on the coder to ask questions, make coding recommendations, research billable procedures and codes - all to ensure a smooth billing process. This is a 6-month temporary position. Duties and Responsibilities: Code office visits and procedures using CPT, ICD-10 codes Audit and review coding (CPT, ICD-10) physician notes in the EHR Manage Coder Correct/ Super Coder Codify Platforms (AAPC) Make coding recommendations; working with providers to ensure accuracy using billing/payer guidelines. Educate providers on coding policies and guidelines, medical necessity criteria, programs correct billing methods and procedure codes by written and verbal communication Correspond or meet with providers to resolve billing practices Audit documentation to ensure it supports complete, accurate and compliant billing with both CMS and payer requirements Assist practice physicians and managers with all coding errors, denials, or issues encountered in the billing process Monitor charge review queues to ensure that all accounts flow through to billing appropriately Submit all charges into billing EHR system AdvancedMD for claims processing Act as liaison between billing department and clinic management/physicians Translate written policy interpretation into CPT, HCPC, ICD-10 codes for input into systems This position is responsible for ensuring compliance with all aspects of applicable regulations, payer billing guidelines. Identify specific billing and reimbursement projects as they arise Conduct research coding on denied claims and take steps toward resolution Correct coding errors in coordination with the billing specialist Reviews insurance plans and carrier information for appropriate coding regulations per payer contracted services Verify insurance information/PCP assignment Ensure/verify the accuracy of patient demographics and insurance information in Electronic Health Record Report trends and denial patterns to the Director of Billing Participate in internal chart audits, billing audits, and other compliance programs Makes recommendations for policies and procedures relating to payer billing guidelines Attending Billing and Interdepartmental meetings. Requirements Competencies: High School Diploma or GED, Billing/Coding Certification Must have experience working in non-profit organization or a community clinic preferred, but not required. Certification in medical billing/coding Minimum 1 years' experience performing medical billing, claims review Minimum 1 years' experience with claims follow-up from physician office, third-party setting Familiarity with medical terminology and the medical record coding process In-depth knowledge/ awareness of all areas related to Payer-specific (Medicare Medi-Cal Medicaid and/or Private) Claims and how they interrelate Knowledge of principles methods and techniques related to compliant healthcare billing/collections - Familiarity with Payer-specific (Medicare Medi-Cal Medicaid -CalAim, Private) Claims management Previous experience with either Electronic Health Record and Practice Management Systems Full understanding of insurance denials, EDI coding rejections and exclusions Previous experience with HCFA 1500 claim forms and electronic billing. Interest/experience working with low-income communities of color Excellent written and verbal communication skills Solid organizational skills including attention to detail and multi-tasking skills. Demonstrates ability to manage time efficiently and multi-task effectively. Clear and effective external and internal, verbal and written, communication skills. Strong critical thinker and problem solver Excellent team-player Ability to work with patients from different backgrounds (culture competency) Ability to communicate clearly and respectfully with co-workers and clients Strong working knowledge of Microsoft Office (Word, Excel, PowerPoint) Ability/willingness to learn Electronic Health Records Insight reporting Roots Community Health Center is proud to be an Equal Employment Opportunity/Affirmative Action Employer and values diversity of culture, thought and lived experiences. We seek talented, qualified individuals regardless of race, color, religion, sex, pregnancy, marital status, age, national origin or ancestry, citizenship, conviction history, uniform service membership/veteran status, physical or mental disability, protected medical conditions, genetic characteristics, sexual orientation, gender identity, gender expression regardless of physical gender, or any other consideration made unlawful by federal, state, or local laws. Roots uses E Verify to validate the eligibility of our new employees to work legally in the United States. Salary Description $31.00-$36.00

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years. Cottage Health is a leading acute care hospital system, located on the central coast of California, widely known for our superior patient care, innovation, medical research and education. Our health system operates primarily in Santa Barbara, Ca, since 1888, and consists of three acute care hospitals, a Rehabilitation Hospital, multiple clinics and a multi-site Urgent Care system. Our mission is to serve the central coast communities with excellence, integrity, and compassion. Every day we touch thousands of lives in many different ways, resolute in our mission to put patients first. We take pride in helping our patients get back to living their lives - in the places they love. Cottage Health is an Equal Opportunity Employer. Cottage Health applicants are considered solely based on their qualifications, without regard to race, color, ethnicity, religion, age, gender, transgender, gender expression and identity, national origin, ancestry, disability, sexual orientation, marital status, military status or any other classification protected by law. This policy applies to all aspects of the relationship between Cottage Health and an applicant or employee. Cottage Health is committed to upholding discrimination-free hiring practices. We strive to cultivate an environment where exceptional people bring diverse perspectives and find belonging, support and connection to their work. Any Cottage Health applicants who require assistance or reasonable accommodations during the application process may request the need for accommodation with the Recruiter. If you're already a Cottage Health employee, please apply on this link only. CH Health Information Management, Part Time Regular , 8 hour, Days, Santa Barbara Cottage Health

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: * Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. * Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: * Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. * Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: * Minimum: CSS. * Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: * Minimum: 1 year. * Preferred: 3 years.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years.

Baptist Health Medical Group is looking for a Specialty Coder I to join their team. that requires residency in KY or IN With supervision, codes diagnosis and procedures for outpatient physician charges at the Clinic level including Evaluation and Management levels, in office procedures, procedures/surgeries in multiple settings and other clinic/outpatient coding as assigned. Reviews the medical records thoroughly to facilitate the collection of patient care information. Codes diagnosis and CPT for office and Surgical services for providers. Minimum Education, Training, and Experience Required: High School diploma Coding certification of either CPC or CCS-P required. 1 year experience in Specialty/Surgical Coding Preferred: 2+ years' Professional coding experience Work Experience Education If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! Baptist Health is an Equal Employment Opportunity employer.