Medical Coder jobs at BayCare Health System

Medical Coder Certified - USFTGP RCO - (250004IV) Description The Medical Coder Certified is responsible for accurate coding, charge verification, and data abstraction necessary for billing in various professional healthcare settings. Works from the appropriate documentation in the medical record. Classification systems include ICD-10, CPT, HCPCS, as well as other specialty systems as required by diagnostic category. This position plays a critical role in ensuring compliance with established coding guidelines and regulations to guarantee proper reimbursement. Qualifications Required:High School Diploma or GEDCertificationCertified Professional Coder - CPC OrCertified Coding Specialist Physician - CCS-PWork Experience and Additional InformationMinimum of two (2) years in practical coding experience is required. Coders are held to high standard; best practices are to achieve a greater than 95% accuracy rate during coding assessments. Primary Location: TampaWork Locations: USF Faculty Office Building 13220 USF Laurel Dr Tampa 33612Eligible for Remote Work: Hybrid RemoteJob: Health Information ManagementOrganization: Academic Medical Group IncSchedule: Full-time Scheduled Days: Monday, Tuesday, Wednesday, Thursday, FridayShift: Day JobJob Type: Hybrid RemoteMinimum Salary: 22. 03Job Posting: Dec 3, 2025, 1:54:45 PM

Coder-3 Available Codes diagnoses and procedures of patient records and abstracting information for reimbursement, research, and to generate statistical data. Perform daily feedback and education to providers, staff and patients of BMG. Assist with education of current coding staff. Performs other duties as assigned. Job Responsibilities Job Responsibilities Codes diagnoses and procedures of records. Completes assigned goals. Serves as a resource to physican office staff, clinical documentation specialist, case managers, etc. Act as lead for the team, assisting in onboarding of new staff and/or education of more specialized workflows. Assist in research of new speciality areas, new treatments in medicine, etc. Work with new acquisitions on documentation improvement and medical necessity, including education. Specifications Experience Description Minimum Required Preferred/Desired Over one year of experience in physician /professional, outpatient surgery, and/or emergency department coding. Skill and proficiency in coding physician/professional outpatient (ancillary, emergency department, or outpatient surgery, etc) records utilizing ICD-9-CM and CPT-4 . Two years experience in an acute care facility, professional office or integrated health system. One year of documented successful physician education. Education Description Minimum Required Preferred/Desired Skill and proficiency in coding physician/professional and outpatient (ancillary, emergency department, oupatient surgery, etc. ) records utilizing ICD-9-CM and CPT -4 through 5 years experience in an acute care facility, professional office or intergrated health system. Skill in communicating clearly and effectively using standard English in written, oral and verbal format to achieve high productivity and efficiency. Skill to write legibly and record information accurately as necessary to perform job duties. CPC, CPC-H, CPC-P, CCS, CCS-P Associates degree Training Description Minimum Required Preferred/Desired CPC, CPC-H, CPC-P, CCS, CCS-P,HCPCS, ICD-10, ICD-9, CPT-4 Special Skills Description Minimum Required Preferred/Desired Physician education, leadership, mentoring, workflow documentation Licensure Description Minimum Required Preferred/Desired One of the following: Certified Coding Specialist (CSS), Certified Coding Specialist Physician (CCSP), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Professional Coder (CPC), Certified Outpatient Coder (COC/CPCH), Certified Professional Coder Payer (CPCP). COC/CPCH;CPC-P ;CCS-P;CPC;CCS Reporting Relationships Does this position formally supervise employees? If set to YES, then this position has the authority (delegated) to hire, terminate, discipline, promote or effectively recommend such to manager. Reporting Relationships No Work Environment Functional Demands Label Short Description Full Description Sedentary Very light energy level Lift 10lbs. box overhead. Lift and carry 15lbs. Push/pull 20lbs. cart Light Moderate energy level Lift and carry 25-35lbs. Push/pull 50-100lbs. (ie. empty bed, stretcher) Medium High energy level Lift and carry 40-50lbs. Push/pull +/- 150-200lbs. (Patient on bed, stretcher) Lateral transfer 150-200lbs. (ie. Patient) Heavy Very high energy level Lift over 50lbs. Carry 80lbs. a distance of 30 feet. Push/pull > 200lbs. (ie. Patient on bed, stretcher). Lateral transfer or max assist sit to stand transfer. Functional Demands Rating Sedentary Activity Level Throughout Workday Physical Activity Requirements - Sitting Continuous Physical Activity Requirements - Standing Occasional Physical Activity Requirements - Walking Occasional Physical Activity Requirements - Climbing (e.g., stairs or ladders) Occasional Physical Activity Requirements - Carry objects Occasional Physical Activity Requirements - Push/Pull Occasional Physical Activity Requirements - Twisting Occasional Physical Activity Requirements - Bending Occasional Physical Activity Requirements - Reaching Forward Occasional Physical Activity Requirements - Reaching Overhead Occasional Physical Activity Requirements - Squat/Kneel/Crawl Occasional Physical Activity Requirements - Wrist position deviation Frequent Physical Activity Requirements - Pinching/fine motor activities Occasional Physical Activity Requirements - Keyboard use/repetitive motion Continuous Physical Activity Requirements - Taste or smell Physical Activity Requirements - Talk or hear Frequent Sensory Requirements Color Discrimination Near Vision Far Vision Depth Perception Hearing Yes Accurate Accurate Minimal Moderate Environmental Requirements - Blood-Borne Pathogens Not Anticipated Environmental Requirements - Chemical Not Anticipated Environmental Requirements - Airborne Communicable Diseases Not Anticipated Environmental Requirements - Extreme Temperatures Not Anticipated Environmental Requirements - Radiation Not Anticipated Environmental Requirements - Uneven Surfaces or Elevations Not Anticipated Environmental Requirements - Extreme Noise Levels Not Anticipated Environmental Requirements - Dust/Particular Matter Anticipated Environmental Requirements - Other

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 40 Work Shift: Days/Afternoons (United States of America) Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. ESSENTIAL FUNCTIONS Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. ·Correctly abstract required data per facility specifications. ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. Training/Mentoring - SMART Responsibilities where applicable Required Minimum Education: Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire Preferred: RHIA or RHIT or CCS or COC or CCA or CPC MINIMUM QUALIFICATIONS Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. Mercy Health is an equal opportunity employer. As a Mercy Health associate, you're part of a Misson that matters. We support your well-being - personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. What we offer • Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) • Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts • Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders • Tuition assistance, professional development and continuing education support Benefits may vary based on the market and employment status. Department: SS Revenue Cycle - Legacy MH Acute It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, a ll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health- Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email *********************. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************.

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Memorial is seeking an experienced Medical Coder with a strong background in professional billing for Radiation Oncology services. The ideal candidate will have in-depth knowledge of CPT, ICD-10, and HCPCS coding, with proven expertise in radiation oncology coding guidelines, documentation requirements, and payer-specific billing practices. Reviews medical record documentation. May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance. Responsibilities: Enhances and maintains coding knowledge and skills. Reviews all appropriate work queues daily to address edits and makes corrections following procedures and processes. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Communicates with insurance companies about coding errors and disputes (physician billing). Abstracts pertinent data points for billing and quality reviews. Communicates with various departments as needed to ensure accuracy of patient data.Reviews medical record documentation to determine all appropriate diagnosis (including HCC Coding Hierarchical Condition Category), procedural and modifier code assignments. For hospital coding, reviews medical record documentation (i.e., provider orders); may code outpatient diagnostic and therapeutic encounters requiring minimal procedural coding.Submits daily productivity report to HIM manager by defined deadline. Meets and maintains HIM coding quality and productivity standards. Attends internal and external educational meetings and seminars to maintain certification and continuing education requirements.Conducts audits and/or coding reviews with various health care professionals to ensure all documentation is accurate (physician billing).Reviews and validates the accuracy of data in the Admission, Discharge Transfer (ADT) fields following HIM coding procedures and processes.May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures. Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments. Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity. Researches medical record for any additional diagnoses documented to meet medical necessity.For physician billing, collaborates with billing department to ensure all bills are satisfied. For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing. Makes appropriate coding corrections, when advised, and follows procedure to notify billing. Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - CODER, ACCURACY - OUTPATIENT, ANALYSIS AND DECISION MAKING, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - CODER, HEALTH INFORMATION MNGMT, MEDICAL RECORD CODING, MEDICAL TERMINOLOGY (1), PRODUCTIVITY - IP CODING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR, TEAM WORK Education and Certification Requirements: High School Diploma or Equivalent (Required) Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - State of Florida (FL), Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA) Additional Job Information: Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills. Ability to perform job duties using an electronic medical record system. Strong knowledge of anatomy, physiology and medical terminology. Knowledge of coding classification systems and procedures. Required Work Experience: For HIM coder, one (1) year hospital-based outpatient coding experience. For Physician Billing Coder, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System. Other Information: For HIM: Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) or Certified Coding Associate (CCA).For Physician Billing: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Risk Adjustment Coder (CRC) by AAPC, or Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCSP) by AHIMA.For Hospital Billing: Certified Coding Specialist (CCS), Certified Coding Associate (CCA) or Certified Professional Coder (CPC). Working Conditions and Physical Requirements: Bending and Stooping = 40% Climbing = 0% Keyboard Entry = 60% Kneeling = 40% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 40% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 40% Pushing or Pulling 26 - 75 lbs Non-Patient = 0% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 40% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 60% Running = 0% Sitting = 60% Squatting = 40% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing - Far = 60% Seeing - Near = 60% Bio hazardous Waste = 0% Biological Hazards - Respiratory = 0% Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0% Computer Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0% Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: * We serve faithfully by doing what's right with a joyful heart. * We never settle by constantly striving for better. * We are in it together by supporting one another and those we serve. * We make an impact by taking initiative and delivering exceptional experience. Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: * Eligibility on day 1 for all benefits * Dollar-for-dollar 401(k) match, up to 5% * Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more * Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level Job Summary The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. Essential Functions of the Role * Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. * Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. * Communicates with providers for missing documentation elements and offers guidance and education when needed. * Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. * Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. * Reviews and edits charges. Key Success Factors * Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. * Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. * Sound knowledge of anatomy, physiology, and medical terminology. * Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. * Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. * Ability to interpret health record documentation to identify procedures and services for accurate code assignment. * Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Belonging Statement We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. QUALIFICATIONS * EDUCATION - H.S. Diploma/GED Equivalent * EXPERIENCE - 2 Years of Experience * Must have ONE of the following coding certifications: * Cert Coding Specialist (CCS) * Cert Coding Specialist-Physician (CCS-P) * Cert Inpatient Coder (CIC) * Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) * Cert Professional Coder (CPC) * Reg Health Info Administrator (RHIA) * Reg Health Information Technician (RHIT).

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced coding position that requires review of medical record documentation and accurately assigns ICD-10-CM, ICD-10 PCS, CPT IV codes, as well as assignment of the Medicare Severity Diagnosis Related Group, (MS-DRG) / All Patient Refined - Diagnosis Related Group, (APR-DRG) based on payor classification and abstracts specific data elements for each case in compliance with federal regulations. This position codes all types of inpatient records and follows the Official Guidelines of Coding and Reporting, the American Health Information Management Association, (AHIMA) Coding Ethics, as well as all American Hospital Association, (AHA) Coding Clinics, CMS directives and bulletins, Fiscal intermediary communications. Utilizes 3M 360 in accordance with established workflow. Follows Ensemble policies and procedures and maintains required quality and productivity standards. **Essential Job Functions** + Reviews medical record documentation and accurately assigns appropriate ICD-10 diagnoses and procedure codes, leading to the assignment of the correct Medicare Severity-Diagnosis Related Group, (MS-DRG) or All Patient Refined Diagnosis Related Group, (APR-DRG.) The Inpatient Coding Specialist is responsible for verification of the patient's discharge disposition and to ensure the appropriate present on admission, (POA) indicators are assigned to each code. The assigned codes must support the reason for the visit that is documented by the provider in order to support the care provided. + Correctly abstract required data per facility specifications. + Responsible to assist with writing appeals for Diagnosis Related Group, (DRG) denials in order to support the assigned Diagnosis Related Group, (DRG) and to address the clinical documentation utilized in the decision making process to support the validity of the assigned codes. + Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and epremis, and as a team, ensure timely, compliant processing of inpatient accounts through the billing system. + Collaborates with Clinical Documentation Specialists, (CDEs,) and members of the medical staff to ensure completeness of documentation in the charts so that appropriate codes, and ultimately the correct Diagnosis Related Group (DRG,) may be assigned. + Responsible to ensure accuracy and maintain established quality, productivity standards, and key performance indicators established for 3M 360 CAC for CRS and Direct Code. + Remain abreast of current Centers for Medicare and Medicaid Services, (CMS) requirements as well as Correct Coding Initiative, (CCI) edits, Hospital Acquired Conditions, (HAC's) and when applicable, National Coverage Determinations, (NCDs) and Local Coverage Determinations, (LCDs,) including the addition of appropriate modifiers to ensure a clean claim the first time through. + Maintains competency and accuracy while utlizing tools of the trade, such as the 3M encoder, Computer Assisted Coding, (CAC,) Clinical Documentation Improvement System, (CDIS,) and abstracting systems, and all reference materials. Reports inaccuracies found in software applications to HIM Coding Manager/Supervisor, reports any potential unethical and/or fradulent activity per compliance policy. + This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation **Required Licensure:** RHIA, RHIT, CCS, CIC, or CCA As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Bon Secours Mercy Health, we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. Advanced outpatient coding position that reviews medical record documentation and accurately assign ICD-10-CM, ICD-10-PCS, as well as CPT IV codes based on the specific record type and abstract specific data elements for each case in compliance with federal regulations. This position codes all types of outpatient visits to include ancillary, urgent care, emergency department, observation, same day surgery, and interventional procedures. Follows the Official Guidelines for Coding and Reporting, the American Health Information Management Association, (AHIMA,) Coding Ethics, as well as the American Hospital Association, (AHA) Coding Clinics, CMS directives and Bulletins, Fiscal Intermediary communications. Utilizing Coding Applications in accordance with established workflow. . Follows Mercy Policies and Procedures and maintains required quality and productivity standards. **ESSENTIAL FUNCTIONS** + Reviews medical record documentation and accurately assigns appropriate ICD-9-CM, ICD-10, CPT IV, and HCPCS codes utilizing the 3M software tools for all OP Work Types (Ancillary, ED Charge/Code, Same Day Surgery, and Observation. . The assigned codes must support the reason for the visit and the medical necessity that is documented by the provider to support the care provided. When applicable, apply the appropriate charges such as the Evaluation & Management, (E&M) level and injections and infusions, and/or other necessary requirements for Observation cases, using a third party software systems such as LYNX. + ·Correctly abstract required data per facility specifications. + ·Perform "medical necessity checks" for Medicare and other payers as required per payment guidelines. + Responsible for monitoring and working of accounts that are Discharged Not Final Billed, failed claims, stop bills, and premise as a team, ensure timely, compliant processing of outpatient claims in the billing system. + Responsible to maintain established productivity requirements, key performance indicators established for 3M 360 CAC for CRS & Direct Code as well as ensure accuracy to maintain established quality standards. + Remain abreast of current requirements of the Centers for Medicare & Medicaid Services, (CMS,) to include National Coverage Determinations, (NCD) and Local Coverage Determinations, (LCD) guidelines, related to the assignment of modifiers, to ensure the submission of a clean claim the first time through. + Maintains competency and accuracy while utilizing tools of the trade, such as the 3M encoder, Computerized Assisted Coding, (CAC,) Medical Necessity software, abstracting system, code books, and all reference materials. Reports inaccuracies found in Coding Software to HIM Management/Supervisor, reports any potential unethical and/or fraudulent activity per compliance policy + Follows all established Mercy Health policies and procedures to include abiding by paid time off, (PTO) requirements. + Attends required system, hospital and departmental meetings and educational sessions as established by leadership, as well as completion of required annual learning programs, to ensure continued education and growth. + Training/Mentoring - SMART Responsibilities where applicable **Required Minimum Education:** + Vocational/Technical Degree, Specialty/Major: HIM / Coding Certification + Preferred Education: 2 year/Associate's Degree, Specialty/Major: HIM / Coding Certification + LICENSURE/CERTIFICATIONS (must be non-expired/active unless otherwise stated): + Required: If RHIA or RHIT or CCA upon hire without COC or CCS, will be required to acquire COC or CCS and CRCR within 1 year of hire + Preferred: RHIA or RHIT or CCS or COC or CCA or CPC **MINIMUM QUALIFICATIONS** + Minimum Years and Type of Experience: Completion of Coding Curriculum with one year of previous coding experience. + Other Knowledge, Skills and Abilities Required: Satisfactory completion of Medical Terminology and Anatomy and Physiology. Completion of ICD-10 training. Previous use of Coding Software Tools. + Knowledge of medical record content to include electronic medical records, (EMRs.) Ability to function independently, with minimal supervision, as well as part of a team. + Ability to function under continual deadlines. Ability to maintain accuracy during frequent interruptions. + Proficiency in keyboarding skills and working knowledge of computers. Excellent communication skills. + Other Knowledge, Skills and Abilities Preferred: Previous coding experience in an acute care setting and previous use of coding software tools. Previous use of CAC. As a Bon Secours Mercy Health associate, you're part of a Mission that matters. We support your well-being-personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way. **What we offer** + Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible) + Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts + Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders + Tuition assistance, professional development and continuing education support _Benefits may vary based on the market and employment status._ All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Bon secours Mercy Health - Youngstown, Ohio or Bon Secours - Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email ********************* . If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at *********************

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: Hybrid Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Additional Locations: Job Information: CPC Required.CRC Required or must be obtained within 6 months of hire.HCC experience strongly preferred .Local candidates preferred due to occasional onsite requirements. Job Summary: Evaluates and analyzes medical records for proper documentation and the correct diagnosis (ICD-10-CM) codes for a wide variety of clinical cases and services for risk adjustment models (e.g., hierarchical condition categories (HCCs), Chronic Illness & Disability Payment System (CDPS), and U.S. Department of Health and Human Services (HHS) risk adjustment). CRCs review provider documentation and communicates coding opportunities for HCC coding so that disease processes are coded accurately to follow risk adjustment models. Position Responsibilities: Evaluates and analyzes medical records for proper documentation. Identifies and communicates coding deficiencies to clinicians in order to improve documentation for accurate risk adjustment coding. Provides on-going training and education to the clinicians and physicians during 1:1, physician group, performance improvement and ad hoc meetings. Manages and trends data collection for HCC and other risk coding. Performs data mining from data captured through risk adjustment coding. Works with Manager and Director of VMG Quality Department to strategize and prioritize chart reviews and education. Assists with the development of action plans to improve documentation. Completes chart reviews for various Values Based Programs focusing on annual review of suspect chronic conditions; utilizes payer portals as necessary to complete annual coding reviews. Position Qualifications Required: Required Experience: Minimum of two years records coding experience or equivalent Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and team work skills Previous experience with an electronic legal health record system. Understand the anatomy, pathophysiology, and medical terminology necessary to correctly code diagnoses Understands medical coding guidelines and regulations including compliance and reimbursement and the impact of diagnosis coding on risk adjustment payment models Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Training / Certification / Licensure: CPC required Risk Adjustment Coder Certification (CRC) required or must obtain within six months of hire. Hourly Rate: $26.22 - $40.65 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

Required\: Possession of a national certification in health information management coding from the American Health Information Management Association (AHIMA), as a Certified Coding Specialist (CCS). Advanced-level knowledge of guidelines for the sequencing of diagnosis and procedure codes for appropriate classification systems. Advanced-level knowledge of anatomy, physiology, pathophysiology, pharmacology and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting purposes. Experience in computerized encoding and abstracting software. Excellent professional verbal and written communication skills. At least two years of coding experience in an acute care setting, preferably a Trauma 1 teaching hospital or large healthcare delivery system. Ability to multi-task and work independently. Ability to efficiently complete work assignments and interact with coding leadership team to review and discuss documentation, coding and reimbursement issues. Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will: Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM/PCS) and the Current Procedural Terminology (CPT) coding systems. Maintain quality and productivity standards established for the department and work under close supervision of the coding team to learn routine coding functions pertaining to low to medium complexity medical records. The Coder 2 may provide guidance and assistance to Coder I staff, Apprentices and clinical practice students orienting to the department. The Coder 2 is responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital

HIM Coder 2, Inpatient - Remote - (250003N2) Description Job SummaryUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will:Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes.Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper.Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter.Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record.Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM/PCS) and the Current Procedural Terminology (CPT) coding systems.Maintain quality and productivity standards established for the department and work under close supervision of the coding team to learn routine coding functions pertaining to low to medium complexity medical records. The Coder 2 may provide guidance and assistance to Coder I staff, Apprentices and clinical practice students orienting to the department. The Coder 2 is responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital Qualifications Required: Possession of a national certification in health information management coding from the American Health Information Management Association (AHIMA), as a Certified Coding Specialist (CCS). Advanced-level knowledge of guidelines for the sequencing of diagnosis and procedure codes for appropriate classification systems. Advanced-level knowledge of anatomy, physiology, pathophysiology, pharmacology and medical terminology to accurately translate medical record documentation into the appropriate classification system for reporting purposes. Experience in computerized encoding and abstracting software. Excellent professional verbal and written communication skills. At least two years of coding experience in an acute care setting, preferably a Trauma 1 teaching hospital or large healthcare delivery system. Ability to multi-task and work independently. Ability to efficiently complete work assignments and interact with coding leadership team to review and discuss documentation, coding and reimbursement issues. Primary Location: TampaWork Locations: TGH WFLA 200 S Parker St Tampa 33606Eligible for Remote Work: Fully RemoteJob: Health Information ManagementOrganization: Florida Health Sciences Center Tampa General HospitalSchedule: Full-time Scheduled Days: Monday, Tuesday, Wednesday, Thursday, FridayShift: Day JobJob Type: RemoteMinimum Salary: 25.54Job Posting: Dec 15, 2025, 1:27:55 PM

HIM Coder 2 - Outpatient - (250004L8) Description JOB SUMMARYUnder the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will; 1. Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. 2. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. 3. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. 4. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. 5. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM/PCS) and the Current Procedural Terminology (CPT) coding systems. 6. Maintain quality and productivity standards established for the department and demonstrate proficiency in coding all types of moderate to high-complexity inpatient and outpatient records. The Coder 2 may provide guidance and assistance to Coder I staff, Apprentices and clinical practice students orienting to the department. The Coder 2 is responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital. Qualifications High School Diploma or GEDCertified Coding Specialist (CCS) Or RHIT (Registered Health Information Technician) certification though the American Health Information Management Association (AHIMA) Or RHIA (Registered Health Information Administrator) certification though the American Health Information Management Association (AHIMA) Two (2) years of coding experience in an acute care setting Primary Location: TampaWork Locations: TGH WFLA 200 S Parker St Tampa 33606Eligible for Remote Work: Fully RemoteJob: Health Information ManagementOrganization: Florida Health Sciences Center Tampa General HospitalSchedule: Full-time Scheduled Days: Monday, Tuesday, Wednesday, Thursday, FridayShift: Day JobJob Type: RemoteShift Hours: 7am to 3:30pm, Varies/FlexibleMinimum Salary: 25. 54Job Posting: Dec 5, 2025, 6:56:25 PM

At Memorial, we are dedicated to improving the health, well-being and, most of all, quality of life for the people entrusted to our care. An unwavering commitment to our service vision is what makes the difference. It is the foundation of The Memorial Experience. Summary: Utilizing an electronic medical record and computerized encoder, assigns and sequences diagnosis and procedure codes and present on admission indicators for inpatient encounters based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, encoder software guidance and Health Information Management (HIM) policies and procedures. Responsibilities: Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements. Formulates physician queries for validation of pathological findings. Requests clinical validation queries for Clinical Documentation Integrity (CDI) review and follow-up. Seeks clarification from providers or other designated resources to ensure accurate and complete coding. Attends educational meetings and seminars to maintain certification and continuing education requirements. Reviews appropriate inpatient coding work queues daily to address coding edits and needed corrections and follows procedure to notify billing as needed. Reviews accounts and performs needed correction for internal audits and external denials. Reviews inpatient medical records to assign and sequence all appropriate diagnosis and procedure codes utilizing encoder software and following official coding guidelines. Reviews Medicare Severity Diagnosis Related Groups (MSDRGs) and All Patient Refined Diagnosis Related Groups (APRDRGs) for appropriate code assignment. Reviews and validates accuracy of Admission-Discharge-Transfer (ADT) data fields; abstracts discharge disposition, physicians, procedure dates, and present on admission (POA) indicators. Performs all other duties as requested. Meet and maintain Memorial Healthcare System (MHS) coding quality and productivity standards. Submit daily productivity report to manager by defined deadline. Competencies: ACCOUNTABILITY, ACCURACY (DRG), ACCURACY - CODER, CUSTOMER SERVICE, EFFECTIVE COMMUNICATION, HEALTH INFORMATION MANAGEMENT (HIM) SYSTEMS - CODER, PRODUCTIVITY - IP CODING, RESPONDING TO CHANGE, STANDARDS OF BEHAVIOR Education and Certification Requirements: High School Diploma or Equivalent (Required) Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA) Additional Job Information: Complexity of Work: Requires critical thinking skills, effective communication skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Proficient in basic computer skills and ability to utilize a computerized encoder and electronic medical record system. Required Work Experience: Three (3) years inpatient coding experience in a hospital setting or a graduate of the MHS coder intern program. Other Information: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).Additional Education Info: Focused education of hospital based coding.Additional Credential Info: Can be Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS). Working Conditions and Physical Requirements: Bending and Stooping = 40% Climbing = 0% Keyboard Entry = 60% Kneeling = 40% Lifting/Carrying Patients 35 Pounds or Greater = 0% Lifting or Carrying 0 - 25 lbs Non-Patient = 40% Lifting or Carrying 2501 lbs - 75 lbs Non-Patient = 0% Lifting or Carrying > 75 lbs Non-Patient = 0% Pushing or Pulling 0 - 25 lbs Non-Patient = 40% Pushing or Pulling 26 - 75 lbs Non-Patient = 0% Pushing or Pulling > 75 lbs Non-Patient = 0% Reaching = 40% Repetitive Movement Foot/Leg = 0% Repetitive Movement Hand/Arm = 60% Running = 0% Sitting = 60% Squatting = 40% Standing = 60% Walking = 60% Audible Speech = 60% Hearing Acuity = 60% Smelling Acuity = 0% Taste Discrimination = 0% Depth Perception = 60% Distinguish Color = 60% Seeing - Far = 60% Seeing - Near = 60% Bio hazardous Waste = 0% Biological Hazards - Respiratory = 0% Biological Hazards - Skin or Ingestion = 0% Blood and/or Bodily Fluids = 0% Communicable Diseases and/or Pathogens = 0% Asbestos = 0% Cytotoxic Chemicals = 0% Dust = 0% Gas/Vapors/Fumes = 0% Hazardous Chemicals = 0% Hazardous Medication = 0% Latex = 0% Computer Monitor = 80% Domestic Animals = 0% Extreme Heat/Cold = 0% Fire Risk = 0% Hazardous Noise = 0% Heating Devices = 0% Hypoxia = 0% Laser/High Intensity Lights = 0% Magnetic Fields = 0% Moving Mechanical Parts = 0% Needles/Sharp Objects = 0% Potential Electric Shock = 0% Potential for Physical Assault = 0% Radiation = 0% Sudden Decompression During Flights = 0% Unprotected Heights = 0% Wet or Slippery Surfaces = 0% Shift: Primarily for office workers - not eligible for shift differential Disclaimer: This job description is not intended, nor should it be construed to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with the job. It is intended to indicate the general nature and level of work performed by employees within this classification. Wages shown on independent job boards reflect market averages, not specific to any employer. We encourage candidates to talk to their Memorial Healthcare System recruiter to discuss actual pay rates, during the hiring process. Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity. Memorial Healthcare System recruits, hires and promotes qualified candidates for employment opportunities without regard to race, color, age, religion, gender, gender identity or expression, sexual orientation, national origin, veteran status, disability, genetic information, or any factor prohibited by law. We are proud to offer Veteran's Preference to former military, reservists and military spouses (including widows and widowers). You must indicate your status on your application to take advantage of this program. Employment is subject to post offer, pre-placement assessment, including drug testing. If you need reasonable accommodation during the application process, please call ************ (M-F, 8am-5pm) or email *******************************

**About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

It's more than a career, it's a calling. MO-REMOTE Worker Type: PRN Responsible for performing audits and coding patient charts at the appropriate timepoints in care. This role will review assessments and plans of care to ensure that the coded diagnoses on patient charts are accurately reflected in assessment and plan of care documentation. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Utilizes computerized coding/abstracting equipment, codes all diagnoses/procedures in accordance with coding guidelines while meeting quality and productivity standards. Provides necessary assistance to field staff and leadership to Outcome and Assessment Information Set (OASIS), Healthy Outcomes from Positive Experiences (HOPE), and/or ICD-10 queries. Assists coders and quality review staff in performance of duties. Maintains and reports statistical information when applicable. Reviews daily reports to ensure all records are processed. Consults with field clinical staff regarding appropriate ICD codes and sequencing. Performs other duties as assigned. EDUCATION High School diploma/GED or 10 years of work experience EXPERIENCE Two years' experience PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois • Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board • Or • Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri • Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board • Or • Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Registered Nurse (RN) - Missouri Division of Professional Registration • Or • Registered Nurse (RN) Issued by Compact State State of Work Location: Oklahoma • Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board • Or • Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) State of Work Location: Wisconsin • Certificate for OASIS Specialist-Clinical (COS-C) - OASIS Certificate & Competency Board - OASIS Certificate & Competency Board • Or • Home Care Clinical Specialist - OASIS (HCS-O) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist - Diagnosis (HCS-D) - Board of Medical Specialty Coding and Compliance • Or • Home Care Coding Specialist- Hospice (HCS-H) - Board of Medical Specialty Coding and Compliance - Board of Medical Specialty Coding and Compliance • Or • Registered Nurse (RN) Issued by Compact State • Or • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services Work Shift: Variable Shift (United States of America) Job Type: Employee Department: ********** Hospice-HH Coding Scheduled Weekly Hours: 0 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs. Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday. Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members. Explore All Benefits SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law. Click here to learn more.

At Virtua Health, we exist for one reason - to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between - we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency departments, seven urgent care centers, and more than 280 other locations, we're committed to the well-being of the community. That means bringing life-changing resources and health services directly into our communities through our Eat Well food access program, telehealth, home health, rehabilitation, mobile screenings, paramedic programs, and convenient online scheduling. We're also affiliated with Penn Medicine for cancer and neurosciences, and the Children's Hospital of Philadelphia for pediatrics. Location: 100% RemoteCurrently Virtua welcomes candidates for 100% remote positions from: AZ, CT, DE, FL, GA, ID, KY, MD, MO, NC, NH, NJ, NY, PA, SC, TN, TX, VA, WI, WV only. Remote Type: 100% Remote Employment Type: Employee Employment Classification: Regular Time Type: Part time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 17 Additional Locations: Job Information: Please note all candidates must complete onsite testing in Marlton, NJ. Summary: Codes and abstracts hospital medical records (including Inpatients, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department) for diagnostic and procedural coding. Utilizes federal, state procedures/guidelines to assure accuracy of coding and abstracting and productivity standards. Collaborates with medical staff and clinical documentation improvement (CDI) staff to clarify documentation. Maintains performance in accordance with corporate compliance requirements as it pertains to the coding and abstracting of medical records, as well as Diagnosis Related Group (DRG) assignment. Position Responsibilities: Accurately reviews each record and knowledgeably utilizes ICD-10-CM, ICD-10-PCS, CPT-4, and encoder to accurately code all significant diagnoses and procedures according to American Hospital Association (AHA), American Health Information Management Association (AHIMA), Uniform Hospital Discharge Data Set (UHDDS) hospital specific guidelines and rules/conventions. Records coded include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Sequences principal (or first-listed) diagnosis and principal procedures according to documentation found in the medical records and UHDDS definitions. Utilizes ongoing knowledge and reference material regarding DRGs to validate DRG assignments. Accurately utilizes written federal and state regulations and written guidelines regarding definitions and prioritizing of abstract data elements to assure uniformity of database. Records abstracted include Inpatient, Observation, Outpatient Surgery, Invasive Outpatients, and Emergency Department. Verifies and/or abstracts required data into computer system according to procedure. Utilizes equipment and processes appropriately, to ensure efficient coding and abstracting; utilizes the established downtime procedures as needed. Participates in maintaining DNB and accounts receivable goal. Maintains department level competencies. Participates in performance improvement activities. Position Qualifications Required / Experience Required: Minimum of two years inpatient records coding experience Ability to perform functions in a Microsoft Windows environment Ability to be detailed oriented and perform tasks at a high level of accuracy Ability to make sound decisions Demonstrate good communication and teamwork skills Previous experience with an electronic legal health record system Required Education: High School Diploma or GED required Knowledge of Anatomy & Physiology/ Medical terminology required Coding education Training/Certifications/Licensure: AHIMA Certification: Certified Coding Specialist (CCS) required for all employees hired after 10/1/2025. Non-CCS-Certified Hourly Rate: $26.22 - $40.65 Hourly Rate: $27.80 - $43.12 The actual salary/rate will vary based on applicant's experience as well as internal equity and alignment with market data.Virtua offers a comprehensive package of benefits for full-time and part-time colleagues, including, but not limited to: medical/prescription, dental and vision insurance; health and dependent care flexible spending accounts; 403(b) (401(k) subject to collective bargaining agreement); paid time off, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, colleague and dependent life insurance and supplemental life and AD&D insurance; tuition assistance, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. For more benefits information click here.

The Professional Surgical Coder is an advanced coding position responsible for accurate and timely assignment of diagnoses, modifiers, and procedure codes to surgical encounters for physicians in the outpatient and inpatient settings. This position requires use of established department policies and protocols in conjunction with the current versions of ICD-10-CM and CPT-4. The Professional Surgical Coder is expected to query providers when documentation requires clarification and will proactively work with medical leadership to address concerns in documentation trends. This position works with direct support from and under the direction of the Coding Lead, Coding Supervisor, and/or Coding Manager to make certain their skills and knowledge remain in peak condition. The Professional Surgical Coder also ensures compliance with federal and state laws, regulations, and standards related to health information and coding principles. This role requires strong knowledge of medical coding guidelines, regulations, as well as best practices and serves as a resource and subject matter expert to clinical and revenue cycle staff. Required: High School Diploma or GED - required. Certification American Academy of Professional Coders (AAPC) - Certified Professional Coder (CPC) Or American Health Information Management Association (AHIMA) - Certified Coding Specialist - Physician-based (CCS-P) Work Experience and Additional Information Minimum of two (2) years' experience in surgical/procedural coding required. Must have experience with data entry of codes into a database and/or software tool. Professional working experience with Microsoft products (MS Office - Word, Excel and Outlook). Coders are held to high standard, best practices are to achieve a greater than 95% accuracy rate during coding assessments. Technical Knowledge, Skills, and Abilities * Advanced knowledge of anatomy, physiology, pathophysiology, and medical terminology. * Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems. * Knowledge of National and Local Coverage Determinations, and encoder products required. * Professional verbal and written communication skills. * Ability to effectively communicate with internal and external customers * Ability to multi-task and work independently. * Ability to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to carry out assignments to completion within parameters of instructions given, prescribed routines, and standards of accepted practices. * Advanced analytical skills to gather and interpret data. * Demonstrates meticulous attention to detail and exceptional follow up skills.

Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will; 1. Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. 2. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. 3. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. 4. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. 5. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM/PCS) and the Current Procedural Terminology (CPT) coding systems. 6. Maintain quality and productivity standards established for the department and demonstrate proficiency in coding all types of moderate to high-complexity inpatient and outpatient records. The Coder 2 may provide guidance and assistance to Coder I staff, Apprentices and clinical practice students orienting to the department. The Coder 2 is responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital. * High School Diploma or GED * Certified Coding Specialist (CCS) Or RHIT (Registered Health Information Technician) certification though the American Health Information Management Association (AHIMA) Or RHIA (Registered Health Information Administrator) certification though the American Health Information Management Association (AHIMA) * Two (2) years of coding experience in an acute care setting

Under the general supervision of Manager and direct supervision of Supervisor, following established policies, procedures and professional guidelines, the Coder 2 will; 1. Perform a thorough review of medical record documentation to accurately assign diagnosis and procedure codes. 2. Utilize the encoder system to sequence the codes assigned and calculate the corresponding MS-DRG/APR DRG/APC grouper. 3. Abstract patient information into the computerized medical record and billing systems, ensuring the accuracy and integrity of the medical record data abstracted and encounter information prior to finalizing the encounter. 4. Collaborate with the Clinical Documentation Improvement Team, Coding Team Coordinators and/or Supervisor to query for clarification of ambiguous documentation or, patient diagnostic and procedural information in the medical record. 5. Be knowledgeable in the requirements of the industry with regard to Medicare and/or Managed care regulations, the International Classification of Diseases (ICD-9 and ICD-10-CM/PCS) and the Current Procedural Terminology (CPT) coding systems. 6. Maintain quality and productivity standards established for the department and demonstrate proficiency in coding all types of moderate to high-complexity inpatient and outpatient records. The Coder 2 may provide guidance and assistance to Coder I staff, Apprentices and clinical practice students orienting to the department. The Coder 2 is responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital. High School Diploma or GED Certified Coding Specialist (CCS) Or RHIT (Registered Health Information Technician) certification though the American Health Information Management Association (AHIMA) Or RHIA (Registered Health Information Administrator) certification though the American Health Information Management Association (AHIMA) Two (2) years of coding experience in an acute care setting

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. **Position Details:** + **Location:** Fully Remote (must reside in the State of Florida) + **Status:** **PRN** (non-exempt) + **Shift:** 7:00 AM to 3:30 PM + **Days:** Monday through Friday The **Medical Records Coder I** will work remotely on a **PRN** basis. This team member must currently reside in the state of Florida. **Responsibilities** + The Medical Records Coder I assigns diagnosis and procedural codes using ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems and monitors bill hold reports and performs other duties as assigned. **Why BayCare?** Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve. **BayCare offers a competitive total reward package including** : + Benefits (Health, Dental, Vision) + Paid time off + Tuition reimbursement + 401k match and additional yearly contribution + Yearly performance appraisals and team award bonus + Community discounts and more + AND the Chance to be part of an amazing team and a great place to work! **Certifications and Licensures** + **Highly preferred Skill:** CCS Coding Certification **Education** + Required High School or equivalent + Preferred Associate's in Health Information Technology + Or Technical Coding **Experience** + Required - 1 year - Related experience in lieu of Technical Training/Program. Equal Opportunity Employer Veterans/Disabled **Position** Medical Records Coder I - PRN **Location** US:Florida | Business and Administrative | PRN **Req ID** 69634