Certified Professional Coder jobs at Beth Israel Lahey Health

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.

Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

Exciting Career Opportunity with Avance Care! Join our rapidly expanding network of 37 practice locations in the Triangle Area (Raleigh-Durham-Chapel Hill), the Charlotte Region, and Wilmington, NC. Avance Care is dedicated to elevating the standard of healthcare. As one of North Carolina's largest networks of independent primary care practices, we offer comprehensive services to support the physical, mental, and emotional health of our patients. As a Coding Specialist, you'll support and maintain coding compliance and patient assessments by applying Certified Professional Coding (CPC) principles to claim documentation process, reducing institutional, legal and financial risk. This is a full-time role involving 8 hours weekday shifts with no weekends schedule. We operate in a busy, fast-paced environment, and we seek a candidate who thrives under such conditions. We offer a comprehensive benefits package available on the first of the month following 30 days of employment. Selected Responsibilities Actively abstract and code daily patient encounters through chart documentation, billing for all services, and appropriate assignment of E&M coding related to chart documentation, time, and medical decision making Thorough understanding of clinic coding (E/M) documentation requirements and HCC concepts impacting population Health Risk Adjustment reimbursement initiatives Ability to review documentation and abstract all codes with specific emphasis on identifying the most accurate severity of illness according to CMS HCC guidelines Maintains knowledge regarding policies and procedures with Medicare/Medicaid Carriers and third-party payers, including HCC and RAF guidelines Effectively work with and support providers through structured communication as it related to chart documentation and coding practices Understand and apply Correct Coding Initiative (CCI) edits and modifiers, as sometimes specifically required by 3 rd party payers or Medicare Assign missing procedure CPT, or HCPCS from the Current Procedure Manual and Common Procedure Coding System Manual when necessary Candidates should preferably have one of the following certifications: Certified Professional Coder (CPC) required, Certified Professional Coder (CPC-A) preferred, or Certified Risk Adjustment Coder (CRC) highly preferred along with at least one year of E&M Coding experience. Other Priorities Strong verbal and written communication Knowledge of insurance practices Knowledge of CPT, HCPCs, and ICD-10 coding Time management and workload prioritization skills If you are excited to join a growing organization focused on changing the way healthcare is delivered to patients in North Carolina, please submit your resume. All offers of employment are contingent upon the successful completion of a background check and drug screen. Avance Care provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to religion, race, creed, color, sex, sexual orientation, gender identification, alienage or citizenship status, national origin, age, marital status, pregnancy, disability, veteran or military status, predisposing genetic characteristics or any other characteristic protected by applicable federal, state or local law.

Health Information Management Data Specialist Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medical record and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs. Experience Minimum of one (1) year of related experience required Education / Licenses / Certifications Associate degree (2-year) in Health Information Technology required Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required Active California Registered Nurse (RN) license preferred About Valley Children's Healthcare The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.

At NorthBay Health, the ED Professional Coder II will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner. This person is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system who can also effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work focuses on ED using the approved classification Coding systems to include the modifiers. All work must be carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Health coding guidelines. At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey. Education: * High School diploma or equivalent preferred. Licensure/Certification: * Certified Professional Coder (CPC) or Certified Coding Specialist - (CCS-P). CEDC certification strongly preferred. Experience: * Five or more years of continuous coding experience in a professional fee setting within the last 8 years. * 1-2 years ED coding experience. Skills: * Coder must have extensive experience assigning physician E&M levels. Experience with an encoder & CAC system preferred. * Demonstrated knowledge of anatomy and physiology, medical terminology, and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS). * Demonstrated understanding of the clinical content of a health record. * Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired. * Microsoft Office: Email, Word, Excel. * Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances. * Ability and self-discipline to be able to work remotely. * Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements. * The ability to work independently as well as in a team environment. * Technically savvy (ability to learn software and troubleshoot equipment as needed) Interpersonal Skills: * Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. Hours of Work: * Days, Monday through Friday as assigned based on business need. * Job is classified as hybrid remote. Other Requirements: * Must have a private, distraction-free area in your home for work (HIPAA reasons). * Web-cam training will be used frequently for team engagement. * Internet Requirements: Must have high speed internet. * Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer. Compensation: * Hourly Salary Range Min $41.01 - Max $49.84(Offered hourly rate based on years of experience)

At NorthBay, the Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner in the hospital setting. Our ideal candidate is a dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Abstracts demographic and physician data to meet both internal and regulatory requirements for reporting utilizing the hospital's abstracting system. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. At NorthBay Health, our vision is to be the trusted healthcare partner of choice for the communities we serve. We are dedicated to improving the well-being of our community by providing accessible, high-quality care to all who need it. Every member of our team plays a vital role in delivering compassionate and effective healthcare solutions. We invite you to join us in our mission to ensure that every patient and family member feels valued, respected, and cared for throughout their healthcare journey. 1. Education: High School Graduate or equivalent preferred. 2. Licensure: Certified Professional Coder (CPC), Certified Coding Specialist - Physician (CCS-P), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) 3. Experience: * Five or more years of continuous experience in Multi-specialty Profee Hospital and clinical coding required. * EMR Medical records experience is required. Experience with an encoder system preferred. * Comprehensive knowledge and application of profee E&M guidelines for physician inpatient coding and billing * Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS). * Demonstrated understanding of the clinical content of a health record. * Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired. * Microsoft Office: Email, Word, Excel. * Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances. * Ability and self-discipline to be able to work remotely. Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements. The ability to work independently as well as in a team environment. 4. Skills: * Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position) * Technically savvy (ability to learn software and troubleshoot equipment as needed) 5. Interpersonal Skills: Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 6. Hours of Work: Full Time Days Monday through Friday as assigned based on business need. * Timing may also be at discretion of leadership based on business need. 7. Other requirements: * Must have a private, distraction-free area in your home for working (HIPAA reasons) * Web-cam training will be used frequently for team engagement. * Internet Requirements: Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer. 8. Compensation: $41.00 to $49.00 based on years of experience doing the duties of the role. Max is commensurate of 20+ years of experience.

At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. The coder is dedicated, knowledgeable individual with a strong understanding of medical terminology, coding guidelines, regulations, and proficiency in utilizing an EHR/encoder system. Can effectively communicate with providers via email, query, phone call or in person to educate or discuss coding requirements. Work is performed using the approved classification Coding systems to include the modifiers. All work carried out in accordance with the rules, regulations and coding conventions of the AAPC/AMA CPT Guidelines, AAPC/AMA. American Hospital Association (Coding Clinic), ICD 10-CM CMS, HCAI, and NorthBay Healthcare coding guidelines. 1. Education: High School Graduate or equivalent preferred. College coursework a plus 2. Licensure: Certified Professional Coder (CPC), Certified Coding Specialist (CCS),or Certified Coding Specialist - Physician (CCS-P) 3. Experience: * Five or more years of experience in professional fee coding required including surgical coding in both inpatient and outpatient settings. * Some leadership experience preferred, but not required. * EMR Medical records experience is required. Experience with an encoder system preferred. * Comprehensive knowledge and application of profee surgical guidelines including appropriate coding of assistants and co-surgeons * Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS). * Demonstrated understanding of the clinical content of a health record. * Knowledge of and experience with PC's, Cerner, and/or computer systems and programs highly desired. * Microsoft Office: Email, Word, Excel. * Has a comprehensive understanding of insurance requirements and compliance guidelines for Medicare, PHP, WHA and Medi-Cal, Worker's Compensation, Commercial Insurances. 4. Skills: * Ability and desire to hit metrics upon training (idle time is also monitored on this hourly paid position) * Technically savvy (ability to learn software and troubleshoot equipment as needed) * Ability and self-discipline to be able to work remotely. Ability to withstand the pressure of continual deadlines and receipt of work with variable requirements. The ability to work independently as well as in a team environment. 5. Interpersonal Skills: Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 6. Hours of Work: Full Time Days Monday through Friday as assigned. Timing may also be at discretion of leadership based on business need. 7. Other Requirements: * Must have a private, distraction-free area in your home for work (HIPAA reasons) * Web-cam training will be used frequently for team engagement. * Internet Requirements: Must have high speed internet. Please test your internet prior to applying to make sure you are over 125 mbps download speed or be willing to upgrade upon an offer. 8. Compensation: $41to $49.84 based on years of experience doing the duties of the role.

Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture * Commitment to employee wellness, engagement, and success * Growth and development opportunities, including CEU access and recertification reimbursement * Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions * Accurately codes Inpatient records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM/PCS coding system. * Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). * Works as a team to meet departmental goals and AR goals. * Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $29.41 - $38.23 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. * AHIMA Registered Health Information Technician. Additional Qualifications: * Required coding certificate. * If not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees. * For Boca they are required to have either CCS, CCA, CPC, COC, RHIT or RHIA. * Knowledge and thorough understanding of encoder system, Inpatient Prospective Payment System (IPPS), DRG/MSDRGs and National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff, and physicians. Minimum Required Experience: 3 Years

Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture * Commitment to employee wellness, engagement, and success * Growth and development opportunities, including CEU access and recertification reimbursement * Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions * The position will serve as the primary support to the Coding Supervisor. Assist in the supervision of coding, abstracting and reimbursement supporting billing ensuring compliance along with efficient operations for all Baptist Health facilities. * Ensures established goals and ICD-10-CM/PCS guidelines, CPT, and coding conventions are adhered to. * Assist with monitoring reports and workflows identifying opportunities for improvement, work volume and distribution, reviewing and reconciling reports, providing coding training within the Coding Department and performing research on coding issues. * Monitors coding personnel activities ensuring accurate and timely processing in accordance with state and federal regulations. Assist with monitoring reports and workflows identifying opportunities for improvement. Estimated pay range for this position is $31.20 - $40.56 / hour depending on experience. Degrees: * Associates. Licenses & Certifications: * AHIMA Certified Coding Specialist. Additional Qualifications: * Prefer RHIA or RHIT or equivalent experience. * At least five years Inpatient or Outpatient Surgery, Ancillary and Emergency Room coding experience in a large healthcare institution required. * Excellent verbal and written communication skills with ability to communicate clearly with both internal and external customers, problem-solving and personnel management skills. * Knowledgeable in health information systems, database management, spreadsheet design, and computer technology. * Strong computer proficiency (MS Office - Word, Excel and Outlook). * Must be able to work under pressure and meet deadlines, while maintaining a positive attitude and providing exemplary customer service. * Ability to work independently and to carry out assignments to completion within parameters of instructions given, prescribed routines, and standard accepted practices. Minimum Required Experience: 5 years

Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture * Commitment to employee wellness, engagement, and success * Growth and development opportunities, including CEU access and recertification reimbursement * Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions * Accurately codes Inpatient records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM/PCS coding system. * Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). * Works as a team to meet departmental goals and AR goals. * Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $29.41 - $38.23 / hour depending on experience. Degrees: * High School Diploma or Equivalent Licenses & Certifications: * Must have AHIMA CCS or RHIT * AHIMA Certified Coding Specialist. * AHIMA Registered Health Information Technician. Additional Qualifications: * Required coding certificate. * With extensive relevant experience and not CCS or RHIT certified upon hire they must obtain within 2 years. * Knowledge and thorough understanding of encoder system, Inpatient Prospective Payment System (IPPS), DRG/MSDRGs and National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff, and physicians. Minimum Required Experience: 3 years of inpatient facility coding

Join our in-house Coding Team at Baptist Health South Florida, where you'll find stability, a welcoming environment, and colleagues who truly care. * Flexible scheduling to support work-life balance * Supportive and engaged leadership that fosters a welcoming culture * Commitment to employee wellness, engagement, and success * Growth and development opportunities, including CEU access and recertification reimbursement * Individual quarterly performance bonus opportunities, along with performance-based recognition for outstanding contributions * Accurately codes Inpatient records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM/PCS coding system. * Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). * Works as a team to meet departmental goals and AR goals. * Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $29.41 - $38.23 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. * AHIMA Registered Health Information Technician. Additional Qualifications: * Required coding certificate. * If not CCS or RHIT certified upon hire they must obtain within 2 years * For Boca they are required to have either CCS, CCA, CPC, COC, RHIT or RHIA. * Knowledge and thorough understanding of encoder system, Inpatient Prospective Payment System (IPPS), DRG/MSDRGs and National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff, and physicians. Minimum Required Experience: 3 years of IP facility coding

Accurately codes Outpatient Surgery and Observation records for the classification of all diseases, injuries, procedures, and operations using the ICD10CM and CPT4 coding system for BHSF facilities. Ensures compliance of coding rules and regulations according to Regulatory Agencies (CMS, OIG). Works as a team to meet departmental goals and AR goals. Abstracts prescribed data elements from the medical records. Estimated pay range for this position is $26.50 - $34.45 / hour depending on experience. Degrees: * High School,Cert,GED,Trn,Exper. Licenses & Certifications: * AHIMA Certified Coding Specialist. CCS or RHIT * AHIMA Registered Health Information Technician. Additional Qualifications: * Required Coding Certificate. * With extensive relevant experience and not CCS or RHIT certified upon hire they must obtain within 2 years, except for BRRH employees. * Knowledge of encoder system, outpatient prospective payment system (OPPS), APCs and Ambulatory Surgical Center payment system (ASC). * Knowledge and thorough understanding of National and Local Coverage Determination, NCD and LCD, Policies. * Competency in Word and Excel. * Ability to communicate effectively with coworkers, management staff and physicians. Minimum Required Experience: 3 years of outpatient Same Day Surgery SDS coding

Remote - Clinic/Outpatient Coder III Outpatient Coding PRN Status Variable Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.

Remote - Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.

Job DescriptionOphthalmic Consultants of Boston (OCB is seeking a detail-oriented and experienced Certified Professional Coder (CPC) to join our team on a part-time basis. The primary responsibility of this role is to review modifier 25 ophthalmology claims and associated documentation, providing feedback and guidance to clinical teams to ensure accurate coding and compliance with regulatory standards. Working Hours: Full time position Monday through Friday. Travel is required. Waltham 3 days per week, Plymouth 1 day per week, and an optional remote day(work from home). Key Responsibilities: Review and analyze modifier 25 claims and related documentation for accuracy and compliance. Provide detailed feedback and recommendations to clinical teams to improve coding practices. Collaborate with clinical teams to address coding and documentation questions and concerns. Maintain up-to-date knowledge of coding regulations and industry best practices. Assist in the development and implementation of coding policies and procedures. Generate reports and maintain logs to track coding accuracy and identify areas for improvement. Qualifications: Certified Professional Coder (CPC) certification required. Minimum of 5 years of experience in medical coding, with a focus on modifier 25 claims. Strong understanding of coding guidelines, regulations, and compliance standards. Excellent analytical and problem-solving skills. Effective communication and interpersonal skills. Ability to work independently and as part of a team. Proficiency in using coding software and EPIC EHR systems. OCB offers industry leading benefits including: Medical & dental insurance (starts on the 1st day of employment!) 401(k) plan with Company match Company paid Life Insurance Company paid Long Term Disability Eye care discounts Generous Paid Time Off and Paid Holidays To learn more about OCB, please visit our website at ***************** #seabrighterfuture #OCBjobs Powered by JazzHR hrnk UdVkVP

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. This position begins with a hybrid schedule and has the opportunity to become remote after the organizations introductory period is successfully completed. currently geographically local to Central Massachusetts Other Key Responsibilities: Serve as resource and subject matter expert to staff. Collaborate with clinicians on documentation discrepancies. Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing. Comply with behavioral health coding guidelines and policies. Qualifications High School diploma, GED or equivalent, required. Applicants must currently reside geographically local to Central Massachusetts. Certified professional coder with specialization in behavioral health, required. 3-5 years of experience in human/social services, healthcare, or related field, required. Experience in a behavioral health setting with use of electronic health record, required. Must have knowledge of payor guidelines and 3 rd party billing practices. Valid drives license and acceptable driving history, required. About Us At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL. At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond. As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives. Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today! Benefits of Working for Open Sky Include: Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!) We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications. Medical, Dental and Vision Insurance with Prescription Plan 403b Retirement Plan with Employer Match Life Insurance (100% Employer-Paid) Eligible employer for the Public Student Loan Forgiveness Program And more! Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status. Base Rate USD $25.58/Hr.

Description and Responsibilities Come join our billing team! Open Sky is looking for a skilled, part-time Behavioral Health Coder to provide coding support to the organization. They will audit clinical documentation for Evaluation and Management and psychotherapy services by validating coded data, ensuring services rendered support reimbursement and reporting purposes. The coder will also evaluate electronic health records to identify any documentation deficiencies and ensure all revenue is captured. Other Key Responsibilities: * Serve as resource and subject matter expert to staff. * Collaborate with clinicians on documentation discrepancies. * Support the VP of Accounting & Financial Reporting and the Billing Manager with projects related to third party billing. * Comply with behavioral health coding guidelines and policies. Qualifications * High School diploma, GED or equivalent, required. * Certified professional coder with specialization in behavioral health, required. * 3-5 years of experience in human/social services, healthcare, or related field, required. * Experience in a behavioral health setting with use of electronic health record, required. * Must have knowledge of payor guidelines and 3rd party billing practices. * Valid drives license and acceptable driving history, required. About Us At Open Sky Community Services, we open our doors, hearts, and minds to the belief that every individual, regardless of perceived limitations, deserves the chance to live a productive and fulfilling life. Open Sky is on an anti-racist journey, committed to learning, living, and breathing inclusion, opportunity, diversity, racial equity, and justice for ALL. At Open Sky, you'll join over 1,300 compassionate and highly trained professionals who put innovative, evidence-based practices to work in ways that positively impact our communities across Central Massachusetts and beyond. As a trauma-informed organization, Open Sky strives for transparency and sensitivity to the experiences of those we interact with. Self-care is encouraged, and we are committed to providing a positive work culture that is focused on continuous learning and the value of diverse perspectives. Open Sky is proud to be an industry leader in pay and benefits. Open the Door to Possibility and begin your career with Open Sky today! Benefits of Working for Open Sky Include: * Excellent Supervision (Individual and Group), Professional Development, and Training Opportunities * Generous paid time off plan - you start with 29 days (almost 6 weeks!) in your first year, including 12 paid holidays. Increases to 32 days in your 2nd year, and the current maximum is 43 days (OVER 8 WEEKS!) * We pay for your higher education! Ask about our Tuition Reimbursement Program, and reimbursement for a variety of Human Services certifications. * Medical, Dental and Vision Insurance with Prescription Plan * 403b Retirement Plan with Employer Match * Life Insurance (100% Employer-Paid) * Eligible employer for the Public Student Loan Forgiveness Program * And more! Open Sky celebrates diversity and is proud to be an Equal Opportunity Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, veteran, or disabled Veteran status. Base Rate USD $25.58/Hr. Responsibilities 2025-10459

**When you join the growing BILH team, you're not just taking a job, you're making a difference in people's lives.** Under the direction of a Manager of Health Information Management, the Health Information Management Technician is responsible for the timely movement of patient medical records and documentation, and accurate filing of patient information. - Processes all requests for medical records accurately, appropriately, and expeditiously. - Processes all paperwork received in the Department accurately, appropriately, and expeditiously. - Assists physicians with record completion when called upon. - Understands and uses department computers in an appropriate and efficient manner. - Adheres to Department, Hospital, and Human Resource Policies. - Performs other duties as required and requested. - Neatly manages paper and record flow in an organized manner. - Understands and manages electronic information flow in an organized and efficient manner. - Strictly adheres to state and federal laws on confidentiality of protected health information. **Job Description:** **Essential Duties & Responsibilities** including but not limited to: 1. Receives requests for patient medical records by phone or printer and responds to requests as soon as possible. 2. Delivers stat requests within 10 minutes of the call. 3. Delivers or routes records to the appropriate area or to authorized personnel within one hour. 4. Signs out and/or returns medical records to the appropriate location using the correct medical record number and portion. 5. Takes responsibility when pulling a list, completing by the due date, and providing necessary information. 6. Combines the hybrid record into one source document, assuring that all patient information has been printed and properly filed prior to hardcopy charts being reviewed. 7. Processes loose paperwork received by sorting, routing, and filing to appropriate locations as required. 8. Able to identify and find misfiles. 9. Accurately checks the receipt of all emergency visits and/or inpatient discharges. 10. Analyzes Emergency Department records, verifies in the Electronic Health Records (EHR) and/or vendor website any missing emergency visit dictation. Assigns dictation to the correct MD. 11. Neatly and in an organized manner, preps and scans the emergency department record and verifies the quality of the image. 12. Retrieves all current discharges and previous records daily. 13. Follows up on missing discharges, communicates with other sites or shifts in an effort to track down a record. **Minimum Qualifications:** Education: High school graduate or equivalent Experience: 0-1 years of experience Skills, Knowledge & Abilities: + Medical terminology + Knowledge of JC, CMS, DPH documentation regulations; Medical Staff Bylaws and Department documentation standards + Knowledge of laws and regulations pertaining to patient confidentiality. Preferred Qualifications & Skills: + Previous medical record experience preferred + Computer skills; EHR experience desirable **Pay Range:** $19.00 - $25.57 The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law. **As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.** **More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.** **Equal Opportunity Employer/Veterans/Disabled**