Remote Certified Coder
Remote certified professional coder job
Job Title: Urology Coder
Hours: Monday - Friday, 8:00 AM - 5:00 PM CST
Contract Type: Contract
Pay: $20-29/hr
Seeking an experienced Urology Coder to accurately assign ICD-10, CPT, and HCPCS codes for urology charts. The ideal candidate will have strong coding knowledge, particularly in surgical cases and outpatient procedures, with experience in a fast-paced healthcare setting.
Key Responsibilities
Assign appropriate ICD-10, CPT, and HCPCS codes to ensure proper reimbursement and data collection.
Review and code Urology charts, including surgical cases for:
Ambulatory Surgery Centers (ASC)
Injection/Infusion procedures
Outpatient hospital charges
Code from physician's outpatient notes accurately.
Apply modifiers correctly based on procedural and coding guidelines.
Maintain coding accuracy specific to urology procedures.
Qualifications
Certification: CPC required
Minimum of 1-3 years of general coding experience
Experience coding urology charts preferred
Familiarity with Athena is a plus
CPC-A candidates welcome
Strong knowledge of CPT, ICD-10, and HCPCS coding rules and guidelines
Training & Productivity Expectations
Initial training period: 4 weeks
Productivity: ~7 encounters per hour
Certified Medical Coder
Remote certified professional coder job
Pride Health is hiring a Certified Medical Coder (Remote Role) to support our client's medical facility based in Bronx, NY - 10461. This is a 3 -month assignment with the possibility of a contract-to-hire opportunity and a great way to start working with a top-tier healthcare organization!
Job Title: Certified Medical Coder (Remote Role)
Facility Location: Bronx, NY - 10461.
Pay Range: $33.00/hr to $36.00/hr
Shift: Days, 8:00 AM to 4:00 PM
Duration: 03 Months (Contract) with possible extension
Work Schedule & Arrangement:
Position begins with 1-2 weeks of onsite training (flexible based on candidate experience)
Transitions to a remote work arrangement once job duties are successfully mastered
Hiring Manager is flexible regarding onsite training duration based on candidate skill level
Job Duties and Responsibilities:
Perform accurate medical coding for acute care inpatient and Emergency Department (ED) records using ICD-9-CM and CPT-4 coding systems.
Utilize 3M/HDS coding applications and encoder tools to assign diagnosis and procedure codes in compliance with established standards.
Apply coding guidelines, payer requirements, and federal billing regulations to ensure accurate reimbursement and regulatory compliance.
Review clinical documentation and research coding-related issues to resolve discrepancies and ensure complete, compliant coding.
Demonstrate working knowledge of anatomy, physiology, and disease processes to support accurate code assignment.
Maintain proficiency in computer applications, including MS Word, Excel, and coding encoders.
Participate in and provide training and guidance to coding staff, supporting competency development and quality improvement.
Collaborate with clinical and administrative teams to clarify documentation and improve coding accuracy.
Ensure coding accuracy, timeliness, and compliance with internal policies and external regulatory standards.
Education Requirements:
High School Diploma or GED (required)
Completion of an accredited Health Information Management program preferred
AHIMA credentials such as RHIA or RHIT preferred
Skills & Experience Requirements:
Minimum three (3) years of medical coding experience
Strong knowledge of ICD-10 coding guidelines
Demonstrated experience with EPIC and 3M coding systems
Proven proficiency in inpatient and outpatient coding, with a strong emphasis on Outpatient and Emergency Department (ED) coding
Ability to work independently with minimal training
Strong attention to detail and ability to apply coding guidelines accurately
Certification Requirements:
CCS (Certified Coding Specialist) or CPC (Certified Professional Coder) certification (required)
Additional certifications such as CCP preferred
Pride Global offers eligible employee's comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance, and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, , legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Certified Medical Coders
Remote certified professional coder job
Job Title : Certified Medical Coders - Inpatient
Duration : 3 Months Contract (with possible extension)
Education : High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
Shift Details : 8:00 AM-04:00 PM
General Description:
·Medical coding in an acute care setting; must possess proficient computer skills (e.g., MS Word, Excel, ICD 9 CM, CPT 4, Encoder); knowledge of coding guidelines, payor guidelines, federal billing guidelines; knowledge of anatomy, physiology & disease processes; ability to research coding related issues; competence in coder training; must have CCS and knowledgeable with 3M/HDS coding application.
·Seeking certified coders with a strong inpatient coding background.
·Candidate should be able to work with minimal training.
Inpatient and ED experience.
Starts onsite for training, then transitions to remote work once duties are mastered.
Education:
High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.
Surgical Coding Specialist II, Remote
Remote certified professional coder job
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Seeking candidates with Surgical coding experience.
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations
Does this position require Patient Care? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
-Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
-Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
-Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
-Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
-Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
-Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
- In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
- Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
- Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
- Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
- Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
- Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyCertified Coder I
Remote certified professional coder job
At Caris, we understand that cancer is an ugly word-a word no one wants to hear, but one that connects us all. That's why we're not just transforming cancer care-we're changing lives.
We introduced precision medicine to the world and built an industry around the idea that every patient deserves answers as unique as their DNA. Backed by cutting-edge molecular science and AI, we ask ourselves every day:
“What would I do if this patient were my mom?”
That question drives everything we do.
But our mission doesn't stop with cancer. We're pushing the frontiers of medicine and leading a revolution in healthcare-driven by innovation, compassion, and purpose.
Join us in our mission to improve the human condition across multiple diseases. If you're passionate about meaningful work and want to be part of something bigger than yourself, Caris is where your impact begins.
Position Summary
The Certified Medical Coder I is responsible for maintaining regulatory compliance to all applicable regulatory requirements.
Job Responsibilities
Reviews case documentation to confirm patient demographics and enter insurance information received for every case.
Reviews completed patient reports to enter the appropriate diagnosis codes in accordance with established SOP's and healthcare guidelines.
Maintains regulatory compliance to all applicable regulatory requirements (CLIA, NYS, CAP, FDA, ISO, etc.).
Required Qualifications
High school diploma and completion of Medical Coding course.
0-2 years of experience in medical coding. Completion of medical coding courses and certification are required.
Must hold an active medical coding certification through AAPC or AHIMA.
Must have a solid foundation of knowledge regarding medical terminology and anatomy.
Ability to multi-task and work in a fast-past, deadline driven environment.
Enthusiasm and dedication to meeting group objectives.
Consistently exhibits a professional demeanor in the workplace and works to maintain positive relationships.
Ability to work under routine and stressful situations in an accurate and timely manner.
Effective verbal and written communication skills. Proven attention to detail with effective organizational skills.
Effective interpersonal and team skills.
Proficient in Microsoft Office Suite, specifically Word, Excel, Outlook, and general working knowledge of Internet for business use.
Drive for Results (Service, Quality, and Continuous Improvement) - Ensure procedures and processes are in place that lead to delivery of quality results and continually reassess their effectiveness to achieve continuous improvement.
Communication - Proficient verbal and written communication skills. Willingness to share and receive information and ideas from all levels of the organization to achieve the desired results.
Teamwork - Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
Customer Service Focus - Demonstrate a focus on listening to and understanding client/customer needs and then delighting the client/customer by exceeding service and quality expectations.
Preferred Qualifications
Knowledge of healthcare insurance plans.
Experience working in a regulated environment preferred (CLIA, NYS, CAP, FDA, ISO, etc.)
Significant experience working with ICD-10 codes.
Experience working with different coding systems, including: Level 1 HCPCS and Level 2 HCPCS.
Knowledge of laboratory safety procedures for biohazards and chemicals, as well as quality control procedures and regulations.
Physical Demands
Must possess ability to sit, stand, and/or work at a computer for long periods of time.
Visual acuity and analytical skill to distinguish fine detail. Ability to pass a visual color discrimination test.
Training
All job specific, safety, and compliance training are assigned based on the job functions associated with this employee.
Conditions of Employment: Individual must successfully complete pre-employment process, which includes criminal background check, drug screening, credit check ( applicable for certain positions) and reference verification.
This reflects management's assignment of essential functions. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.
Caris Life Sciences is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.
Auto-ApplyInpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 8A-4:30P
Remote certified professional coder job
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
Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P
Remote certified professional coder job
Inpatient Coding Specialist, Fully Remote, $5000 Bonus, CCS or RHIT certified, FT, 08A-4:30P-154910Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 25 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2024-2025 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 45 high-performing honors.What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels out commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in. Description 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.Qualifications 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 Job CorporatePrimary Location RemoteOrganization CorporateSchedule Full-time Job Posting Dec 5, 2025, 5:00:00 AMUnposting Date OngoingEOE, including disability/vets
Auto-ApplyRemote - Clinic/Outpatient Coder III
Remote certified professional coder job
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.
Medical Records Coder
Remote certified professional coder job
Job DescriptionDescription:
About the Company
NextStep Technology Inc. is seeking a Medical Records Analyst. The medical records analyst is primarily responsible for review of health information. The MRA reviews the medical records for specific criteria and validation of specific code year sets submitted from selected organizations to government and commercial client. The position requires review of protected health information and must maintain strict confidentiality when addressing or referring to such records. The incumbent must have the ability to use a variety of office equipment, computer software, the ability to use sound and professional judgement, and to work independently. The candidate(s) will be hired as an employee up to 40 hours per week (flexible scheduling). This is a remote position
About the Role
The medical records analyst is primarily responsible for review of health information.
Responsibilities
Analyze protected health information according to project specific rules.
Participates in the Intake Process of records.
Assigns ICD-9/10-CM codes according to the guidelines as defined by the AMA.
Discusses project related discrepancies with Team Lead(s).
Maintain coding credentials and continuing education or Possess and maintains a current and comprehensive understanding of coding rules, changes, and guidelines as defined by the AMA.
Other duties as assigned
Requirements:
Must possess a minimum of one (3-6) years of experience in abstracting and ICD-9/ICD-10 coding of general acute hospital (inpatient and outpatient) and physician medical records by applying ICD-9/ICD-10 Coding Guidelines for inpatient and outpatient settings and related Official Coding Clinics.
ICD9 proficiency required.
Knowledge in anatomy and physiology, pathology of disease and medical terminology required.
Ability to write appropriate correspondence and effectively communicate with other members of NS personnel, clients, and customers as necessary.
Must be able to work independently with little or no supervision and use professional judgment as detailed in the AHIMA Code of Ethics.
Passing score on a administered coder assessment must be achieved before further consideration.
Required
Skills Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT), or CCS (Certified Coding Specialist).
HIM Coder-Inpatient
Remote certified professional coder job
Business Unit: Rush Medical Center Hospital: Rush University Medical Center Department: Medical Records Work Type: Full Time (Total FTE 1.0) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 4:30:00 AM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (*****************************************************
Pay Range: $29.36 - $47.79 per hour
Rush salaries are determined by many factors including, but not limited to, education, job-related experience and skills, as well as internal equity and industry specific market data. The pay range for each role reflects Rush's anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of each case.
Summary:
Accurately and independently makes decisions based on specialized knowledge and standard protocol. This includes, but is not limited to coding inpatient and outpatient. Exemplifies the Rush mission, vision, and values, and acts in accordance with Rush policies and procedures.
Other information:
Knowledge, Skills, and Abilities:
High School (GED) required
RHIA, RHIT, and/or CCS Certification required
Minimum 3 years experience in medical record coding required
Knowledge of medical terminology and anatomy and physiology required
Windows applications, Outlook, WebEx and other apps as needed to perform role
Cooperates well with others
Competent attention to detail and accuracy
Proficient with computer use and software applications
Ability to concentrate on task at hand in open distracting environment independent manner; minimizing distractions in private work-from-home space
Ability to apply local, state, and federal coding guidelines with attention to detail.
Responsibilities:
* Assigns ICD-10-CM-PCS and/or CPT-4 diagnostic and procedure codes to patient charts with accuracy and attention to detail
* Abstracts selected data items and enters in 3M encoder/Epic software with accuracy and attention to detail
* Completes UHDDS data abstraction as required
* Maintains a log of work performed
* Completes other assigned duties as directed by management
Rush is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.
Coder 2
Remote certified professional coder job
Are you an expert Coding Specialist looking to join an outstanding organization? We at M Health Fairview are looking for a Coder 2 to join our Hospital Based ED coding team! This is a fully remote position that is approved for a 1.0 FTE (80 hours per pay period) on the day shift.
The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2's also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging.
Responsibilities
* Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.
* Actively participates in creating and implementing improvements.
* Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines.
* Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.
* Extracts required information from electronic medical record and enters encoder and abstracting system.
* Follows-up on unabstracted accounts to assure timely billing and reimbursement.
* Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines.
* Meets departmental productivity and quality standards
* Complete projects as assigned.
* Timely and accurate work
* Contributes to the process or enablement of collecting expected payment
* Understands and adheres to Revenue Cycle's Escalation Policy.
Required Qualifications
* Certificate program in Coding or A.A./A.S. in HIM or Certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle)
* 1 year of coding experience
* Basic knowledge of Windows-based computer software. Epic and Microsoft Teams.
* Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary.
* Registered Health Info Admin (RHIA) or Registered Health Info Tech (RHIT) or Certified Coding Specialist (CCS) or Professional Coder Cert (CPC) or Certified Coding Specialist - Professional (CCS-P) or Professional Coder- Hospital (CPC-H) or Certified Outpatient Coding (COC) or AAPC specialty certifications
Preferred Qualifications
* B.S./B.A. in HIM
* 2 years of coding experience
Benefit Overview
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: *****************************************************
Compensation Disclaimer
An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.
EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
Auto-ApplyMedical Coding Specialist - OBGYN/Fertility
Remote certified professional coder job
We are seeking a skilled Medical Coding Specialist to manage the initial submission of insurance claims and self-pay posting in line with established procedures. The ideal candidate will also address coding-related denials and handle the resubmission of corrected claims. Responsibilities encompass a broad range of coding tasks, including CPT, ICD-10, and HCPC coding, electronic claims submission, and providing coding feedback to practice staff, physicians, and management.
This position is fully remote.
Key Responsibilities:
* Accurately code CPT, ICD-10, modifiers, and HCPC codes from physician/clinic documentation for both professional and facility billing.
* Work with A/R and Billing teams to resolve coding-related denials and rejections.
* Address and resolve denied claims promptly, following coding guidelines and policies.
* Provide feedback and updates to the Coding Manager on billing/coding, charge entry, and denial trends.
* Complete end-of-month reports to ensure timely and accurate coding of all services.
* Maintain coding certification and stay current with coding guidelines and federal regulations.
* Research and address coding-related questions from executive leadership.
* Assist with various special projects as needed.
Education and/or Experience:
* High School Diploma or equivalent; college preferred.
* 1-3 years' work experience in a similar or related role, within a medical practice or office environment.
* Knowledgeable with E/M, laboratory, and surgical billing.
* Fertility experience preferred.
* CPC-A or CPC certification is preferred.
* Strong written and verbal communication skills are essential.
Why You'll Love Working Here - Our Amazing Benefits:
Comprehensive Health Coverage: Medical, dental, and vision plans for our full-time employees, along with complimentary basic life insurance, Employee Assistance Program, and long-term disability insurance. FREE or low-cost employee only healthcare coverage option is also available.
Family Building Support: Take advantage of our comprehensive fertility benefits, adoption assistance, and surrogacy support to help grow your family.
Paid Parental Leave: Generous maternity, paternity, and partner leave so you can focus on what matters most.
Plenty of Paid Time Off: Start with 18 days of PTO annually and enjoy 11 paid holidays, including one floating holiday to use as you choose!
Retirement Ready: Invest in your future with our 401(k) plan, featuring a competitive company match and full vesting after just 2 years.
Lifestyle Spending Account: Access a company-funded account to reimburse expenses that boost your physical, financial, and emotional well-being.
Health Savings Account (HSA): If eligible, enjoy regular employer contributions to your HSA with every paycheck.
Rewards for Connections: Earn extra money with our Employee Referral Program-your network is invaluable!
Growth Opportunities: We support your career with continuing education reimbursement and dedicated time off for professional development.
Premium Calm Health Subscription: Enjoy a free premium Calm Health app subscription to support your mental wellness.
Emotional & Work-Life Support: Through our Employee Assistance Program (EAP) with SupportLinc, you'll have access to emotional well-being and work-life resources whenever you need them.
Extra Peace of Mind: Explore additional coverage options including Accident, Critical Illness, Hospital Indemnity, and Pet Insurance, to suit your needs.
Coder (Local SC Remote)
Remote certified professional coder job
Join OBHG: Join the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs. Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health. Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24/7 real-time triage and hospital-based obstetric coverage across the United States. If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!
Location: SC Upstate area strongly preferred (Remote). Open to exceptional remote candidates in SC, NC, GA (must be located in these states to be eligible).
The Good Stuff We Offer:
Hourly Compensation Range: $21.00 - $24.00 per hour + eligibily for RCM bonus
A mission based company with an amazing company culture.
Paid time off & holidays so you can spend time with the people you love.
Medical, dental, and vision insurance for you and your loved ones.
Health Savings Account (with employer contribution) or Flexible Spending Account options.
Employer Paid Basic Life and AD&D Insurance.
Employer Paid Short- and Long-Term Disability.
Optional Short Term Disability Buy-up plan.
401(k) Savings Plan, with ROTH option.
Legal Plan.
Identity Theft Services.
Mental health support and resources.
Employee Referral program - join our team, bring your friends, and get paid.
Medical Coder Position Summary: The Certified Coder is responsible for the data abstraction, evaluation and auditing of Provider assigned CPT, HCPC codes, ICD-10 CM for obstetrics.
Essential Medical Coder Responsibilities:
Assigns and sequences diagnoses and procedures in accordance ICD-10 CM Official Coding
Guidelines, CPT Assistant, Physician at Teaching Hospital Rules and Evaluation and Management Documentation Guidelines
Experience with billing, collections from insurance companies and patients, insurance follow up, charge entry
Analyze and resolve charge entry coding errors
Familiar with revenue cycle management processes
Ability to work with eBridge, Putty and Lyra software
Report and analyze errors, trends, and findings
Compose reports using Microsoft Excel and Word
Ability to interpret regulatory and payer rules and directives concerning coding
Ability to function in a high volume environment producing quality work
Solid interpersonal and telephone communication skills
Ability to consistently work independently and problem solve
Must be able to multi-task and prioritize job responsibilities
Must be dependable, responsible and team oriented
Strong attention to detail (such as interpretation of clinical data including medical terminology and disease
processes)
Demonstrate a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times
Strong working knowledge of HIPAA as it relates to the entire revenue cycle management cycle process
Perform other duties as assigned.
Essential Skills/Credentials/Experience/Education
Certified AAPC Coder
Associate or Bachelor's Degree, OR AN EQUIVALENT COMBINATION OF RELEVANT EDUCATION AND/OR EXPERIENCE
Skill in operating a personal computer; must be proficient in Word, Excel, Power Point.
Ability to compose letters, memos, and other correspondence.
Effective interpersonal skills required in interactions with Ob Hospitalists and personnel.
Ability to work with highly confidential materials.
Must possess high ethical standards.
Enhances professional growth and development through in-service meetings, education, programs, conferences, etc.
Physical Demands (per ADA guidelines)
Sitting for long periods of time. Occupation requires this activity more than 66% of the time (5.5+ hrs/day)
Risk Adjustment Medical Coder
Remote certified professional coder job
Job DescriptionDescription:
Full Time, Remote
Exempt / Salary
Organization
High Country Community Health (HCCH) is a federally funded Community and Migrant Health
Center with medical locations in Watauga, Avery, Burke, and Surry Counties. The mission of
HCCH is to provide comprehensive and culturally sensitive primary health care services that
may include dental, mental and substance abuse services to the medically under-served
population of Watauga, Avery, Burke, and Surry Counties and the surrounding rural
communities.
Supervisory Relationship:
Reports to: Deputy CFO
Job Summary and Responsibilities
Provides thorough concurrent, prospective, and retrospective review of ambulatory medical
record clinical documentation to ensure accurate and complete capture of the clinical picture,
severity of illness, and patient complexity of care. Utilizes knowledge of official coding
guidelines, HCC standards, Risk Adjustment Factor (RAF) scoring, and physician query briefs.
Will participate in Provider education on the importance of diagnosis specificity and
documentation guidelines. The Risk Adjustment Coder works to maintain a thorough knowledge
of our current automated eClinicalsWork (eCW) enterprise billing system, through which the
coding and documentation review are functionalized to provide support to HCCH providers and
staffs as necessary. Provides subject matter expertise to others including staff in the Billing
department as necessary. This position requires professional maturity, responsibility, integrity,
and subject matter expertise to complete the work timely; communicate setbacks to deliverables.
and to collaborate with others to meet production and quality standards.
Responsibilities include:
-Review and accurately code medical records and encounters for diagnoses and
procedures related to Risk Adjustment and HCC coding guidelines
-Validate and ensure the completeness, accuracy, and integrity of coded data.
-Concurrently, prospectively, and retrospectively review medical records to identify
unclear, ambiguous, or inconsistent documentation ensuring full capture of severity,
accuracy, and quality.
-Query providers when documentation in the record is inadequate, ambiguous, or
otherwise unclear for medical coding purposes.
-Utilizes approved resources to determine the appropriate ICD-10-CM, CPT, and/or
HCPCS and ensures documentation in the medical record follows official coding
guidelines, internal guidelines, and AHIMA physician query brief standards.
-Comply with the Standards of Ethical Coding as set forth by the American Health
Information Management Association and adhere to official coding guidelines.
-Comply with HIPAA laws and regulations.
-Maintain coding quality and productivity standards set forth by HCCH.
-Maintain competency in evolving areas of coding, guidelines, and risk adjustment
reimbursement reporting requirements.
-Assist in internal and external coding audits to ensure the quality and compliance of
coding practices.
-Provide ongoing feedback to physicians and other providers regarding coding guidelines
and requirements, including education and support for improvement in HCC coding, and
RAF scoring.
-Assist with educational in-services for physicians, other providers, and clinic staff
relating to coding and documentation compliance as well as new policies and procedures
relating to clinical documentation compliance related to billing.
-Maintains complete confidentiality of patient information.
-Assists with developing, implementing, and reviewing policies, procedures, and forms
related to areas of responsibility.
-Other duties as assigned by your Supervisor.
Requirements:
Requirements/Skills/Experience
-High-speed internet access
-Strong clinical knowledge related to chronic illness diagnosis, treatment, and
management.
-Knowledge and demonstrated understanding of Risk Adjustment coding and data
validation requirements is highly preferred.
-Personal discipline to work remotely without direct supervision
-Dental coding skills a plus
-Knowledge of HIPAA, recognizing a commitment to privacy, security, and
confidentiality of all medical chart documentation.
Qualifications:
-Bachelor's degree in allied health or any related field required.
-Minimum 2 years of progressive Professional Risk Adjustment Coding experience
required.
-Active Certified Risk Adjustment Coder certification (CRC and/or CPC) required
-Candidates hired with active CPC, but without Certified Risk Adjustment Coder
certification (CRC) must obtain CRC certification within 9 months of hire.
Travel Requirements
None.
Salary
Commensurate with experience, education and certifications
Coding Specialist II, Remote
Remote certified professional coder job
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
This position will be coding for Cardiology.
Seeking candidates with EP and Cath lab coding experience
Job Summary
Summary:
Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.
Does this position require Patient Carre? No
Essential Functions:
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
* Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
* Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.
* Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
* Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.
* Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
* Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.
Qualifications
Education
High School Diploma or Equivalent required
Licenses and Credentials
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred
Experience
Medical Coding Experience 3-5 years required
Knowledge, Skills and Abilities
* In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.
* Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.
* Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.
* Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.
* Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.
* Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.
Additional Job Details (if applicable)
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$21.78 - $31.08/Hourly
Grade
4
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyRisk Adjustment Coding Specialist
Remote certified professional coder job
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
The Risk Adjustment Coding Specialist is responsible for comprehensive clinical documentation and coding chart review assigned for PacificSource Medicare Advantage Plans. This individual will collaborate with the Risk Adjustment Coding Manager to ensure the chart review process is maintained in accordance with coding expectations and meets the Medicare program regulations and coding guidelines set forth by the Centers for Medicare and Medicaid Services. This individual will be responsible to lead the application of a standardized HCC chart review process as a foundation of coding guidance supporting Medicare Advantage FFS lines of business, engage and develop strong relationships with all stakeholders at PacificSource Health Plans. This individual will also identify opportunities to improve provider documentation and deliver customized provider-specific documentation improvement recommendations to the Risk Adjustment Coding Manager for escalation purposes.
Essential Responsibilities:
Provide support and coding expertise to all programs that support risk adjustment and data validation efforts for assigned PacificSource Health Plans, along with other ad hoc and long-term projects assigned by the Risk Adjustment Coding Manager.
Assign appropriate ICD-10-CM codes, mapping to risk adjustment models as applicable.
Comply with the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and adhere to official coding guidelines.
Comply with the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and adhere to official coding guidelines.
Assist in obtaining patient records from provider Electronic Health Record (EHR) systems.
Assist in obtaining remote EHR access for our chart review vendors and internal PacificSource teams.
Supporting Responsibilities:
Reliability and a commitment to meeting tight deadlines.
Personal discipline to work remotely without direct supervision.
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Complete other projects and duties as needed and assigned.
SUCCESS PROFILE
Work Experience: A minimum of 3 years of experience as a certified coder in professional setting. A minimum 2 years of risk adjustment HCC Coding experience. Ability to code using an ICD-10-CM code book. Computer proficiency (including MS Windows, MS Office, and High-speed Internet access.
Education, Certificates, Licenses: Active certified coder certification (CRC, CPC, CCS - P) through AHIMA or AAPC. Certified Professional Coder certification through AHIMA or AAPC. A CRC certification is required for this role.
Knowledge: Knowledge of HIPAA, recognizing a commitment to privacy, security, and confidentiality of all medical chart documentation. Strong clinical knowledge related to chronic illness diagnosis, treatment, and management. Extensive knowledge of ICD-10-CM outpatient diagnosis coding guidelines (knowledge and demonstrated understanding of Risk Adjustment coding and data validation requirements is highly preferred). Reliability and a commitment to meeting tight deadlines. Exemplary attention to detail and completeness. Strong organization, interpersonal, and customer service, written and oral communication, and analytical skills.
Competencies:
Adaptability
Building Customer Loyalty
Building Strategic Work Relationships
Building Trust
Continuous Improvement
Contributing to Team Success
Planning and Organizing
Work Standards
Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.
Skills:
Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Auto-ApplyHospital Coding Specialist III (Remote)
Remote certified professional coder job
Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Hospital Coding Specialist III (Remote) Cost Center: 101651098 System Support-Facility Coding Scheduled Weekly Hours: 40 Employee Type:
Regular
Work Shift:
Mon-Fri; day shifts (United States of America)
Job Description:
May be eligible for a sign-on bonus!
JOB SUMMARY
The Hospital Coding Specialist III accurately codes inpatient conditions and procedures as documented in the International Classification of Diseases (ICD) Official Guidelines for Coding and Reporting and in the Uniform Hospital Discharge Data Set (UHDDS) and assignment of the appropriate MS-DRG (Medicare Severity-Diagnosis Related Group) or APR-DRG (All Patients Refined Diagnosis Related Groups) for complex, multi-specialty inpatient services. This individual understands and applies applicable medical terminology, anatomy and physiology, surgical technology, pharmacology and disease processes. The Hospital Coding Specialist III reviews professional and hospital inpatient medical record documentation and properly identifies and assigns:
* ICD CM and PCS codes for all reportable diagnoses and procedures. This includes determining the correct principal diagnosis, co-morbidities and complications, secondary conditions, surgical procedures and/or other procedures.
* MS-DRG /APR-DRG
* Present on admission indicators
* HAC (Hospital Acquired conditions) and when required, report through established procedures
* PSI conditions and report through established procedures
* Discharge Disposition code
* Works collaboratively with the Clinical Documentation Improvement Specialists to address documentation concerns and DRG assignments
* Assists in the preparation of responses to DRG validation requests and other third party payer inquiries related to coding and DRG assignments as requested
JOB QUALIFICATIONS
EDUCATION
The individual applying must meet the minimum qualifications in all three required sections below to be considered a candidate for interview. Please consider when listing minimum qualifications.
Minimum Required: AHIMA or AAPC approved Medical Coding Diploma or Health Information Management Degree or related program.
Preferred/Optional: None
EXPERIENCE
Minimum Required: Three years of progressive inpatient coding experience in an acute care facility.
Preferred/Optional: Experience with electronic health record systems. Academic or level I or II trauma experience is a plus.
CERTIFICATIONS/LICENSES
The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position
Minimum Required: Active credential of Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) through the American Health Information Management Association (AHIMA); or AAPC (American Academy of Professional Coders) at the time of hire.
Preferred/Optional: If AAPC credential, preferred is CIC (Certified Inpatient Coder).
May be eligible for a sign-on bonus!
Given employment and/or payroll requirements of individual states, Marshfield Clinic Health System supports remote work in the following states:
Alabama (limitations in some counties)
Arizona (limitations in some counties)
Arkansas
Colorado (limitations in some counties)
Florida
Georgia
Idaho
Illinois (limitations in some counties)
Indiana
Iowa
Kansas
Kentucky (limitations in some counties)
Louisiana
Maine (limitations in some counties)
Michigan
Minnesota (limitations in some counties)
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire (limitations in some counties)
North Carolina
North Dakota
Ohio
Oklahoma
Oregon (limitations in some counties)
Pennsylvania (limitations in some counties)
South Carolina
South Dakota
Tennessee
Texas (limitations in some counties)
Utah
Virginia
Wisconsin
Wyoming
Marshfield Clinic Health System will not employ individuals living in states not listed above.
Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first.
Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.
Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Auto-ApplyPGA Certified STUDIO Performance Specialist
Certified professional coder job in Columbus, OH
Overview (pay range: 15-23 HR) At PGA TOUR Superstore, we are always looking for enthusiastic, self-motivated, flexible individuals who will share a passion for helping transform our business. As one of the fastest growing specialty retailers, we are dedicated to hiring selfless team players from different backgrounds to influence the growth of our organization. Part of the Arthur M. Blank Family of Businesses, PGA TOUR Superstore continuously strives to create a family culture for our Associates - driven by our vision to inspire people through golf and tennis.
Position Summary
Reporting to the Sales and Service Manager, the STUDIO Performance Specialist delivers world-class service through expert instruction and precision fitting. This hybrid role blends the responsibilities of a Golf Instructor and a Fitting Specialist, ensuring every customer receives a tailored experience that improves their game and drives lasting relationships.
The STUDIO Performance Specialist is responsible for achieving KPIs across both fittings and lessons, proactively growing their client base, and maintaining a fully booked schedule. The role also supports the visual and operational excellence of the STUDIO, leveraging advanced technology and product knowledge to deliver measurable performance results.
Key Responsibilities:
Customer Experience & Engagement
* Engage every customer with world-class service by demonstrating PGA TOUR Superstore's Service Behaviors.
* Build lasting relationships that encourage repeat business and client referrals.
* Educate and inspire customers by connecting instruction and equipment performance to game improvement.
Instruction & Coaching
* Conduct one-on-one lessons, clinics, and group events tailored to player needs, goals, and skill levels.
* Utilize technology such as TrackMan, SAM PuttLab, and USchedule to deliver data-driven instruction.
* Develop personalized lesson plans and track student progress, providing constructive feedback and measurable improvement.
* Proactively organize clinics and performance events to build customer engagement and community participation.
Fitting & Equipment Performance
* Execute professional club fittings using PGA TOUR Superstore's certified fitting techniques and technology.
* Maintain a brand-agnostic approach to ensure customers are fit for the best equipment based on their unique swing data and goals.
* Educate customers on product features, benefits, and performance differences across brands.
* Accurately enter and manage custom orders, ensuring all specifications are documented precisely.
Operational & Visual Excellence
* Maintain all STUDIO areas (simulators, components drawers, putting green) to the highest visual and operational standards.
* Ensure equipment, software, and technology remain functional and calibrated.
* Support front-end operations, including returns, lesson redemptions, loyalty programs, and promotions.
* Stay current on marketing campaigns and merchandising events, executing promotional setups and maintaining accurate displays.
Performance & Business Growth
* Achieve key performance indicators (KPIs) such as:
* Lessons and fittings completed
* Sales per hour and booking percentage
* Clinic participation and conversion to sales
* Proactively grow the STUDIO business through client outreach, networking, and relationship management.
* Provide consistent feedback to the Sales and Service Manager to improve operations, merchandising, and customer experience.
Qualifications and Skills Required
* Certification: Only PGA Members and Apprentices in good standing with the PGA of America are eligible for this role. The candidate must maintain good standing with the PGA for the duration of employment. The candidate may be asked to provide proof of PGA membership in the form of a current membership card or proof of membership dues payment.
* Communication: Strong interpersonal, listening, and verbal/written communication skills with the ability to engage and educate customers.
* Technical Proficiency: Working knowledge of Microsoft Office Suite and fitting/instruction technology (TrackMan, SAM PuttLab, USchedule).
* Organization: Ability to manage multiple priorities, maintain schedules, and meet deadlines.
* Education: High school diploma or equivalent required; PGA certification or equivalent instruction credentials preferred.
* Experience:
* 2+ years of golf instruction and club fitting experience preferred.
* Experience with swing analysis tools and custom club building highly valued.
* Physical Demands: Must be able to stand for extended periods, move throughout the store, lift up to 30 lbs overhead, and work in simulator environments.
* Availability: Must maintain flexible availability, including nights, weekends, and holidays.
* Accountability: Demonstrates strong self-accountability, professionalism, and a proactive drive for results.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
PGA TOUR Superstores is an Equal Opportunity Employer, committed to a diverse and inclusive work environment.
We comply with all laws that prohibit discrimination based on race, color, religion, sex/gender, age (40 and over), national origin, ancestry, citizenship status, physical or mental disability, veteran status, marital status, genetic information, and any other legally protected status. Employment discrimination isn't just unlawful, it violates our policies and is not who we are. Every associate at every level in the organization is prohibited from engaging in any form of discrimination.
An associate who believes s/he is being discriminated against should report it immediately to the Human Resources department. The law and our policies prohibit retaliation against anyone for making such a report.
Auto-ApplyRisk Adjustment Medical Record Coder
Remote certified professional coder job
The Risk Adjustment & Quality Division at BCBST is seeking a skilled Risk Adjustment Medical Record Coder to support our mission of delivering accurate and compliant coding practices.
What You'll Do: In this role, you will perform first-pass reviews of member medical records to identify and capture active conditions that map to risk values. This is a remote, day-shift position with flexibility to work up to 8 additional hours per week in accordance with BCBST policy.
Preferred Qualifications:
CRC (Certified Risk Adjustment Coder) certification is a plus. If not currently certified, you must obtain it within one year of hire.
Strong expertise in HCC (Hierarchical Condition Category) coding, with experience in MA (Medicare Advantage) and Affordable Care Act (ACA) programs highly preferred.
What Sets You Apart:
Self-motivated and proactive, thriving in a remote work environment
A true team player, ready to engage in team chats and support colleagues
A learner, eager to grow and adapt in a constantly evolving industry
Job Responsibilities
Maintain compliance with CMS risk adjustment diagnosis coding guidelines.
Perform comprehensive 1st pass reviews of medical records and physician assessment forms (HCC coding).
Assist with the intake and quality assurance of medical records as necessary.
Perform or participate in special projects as directed by management.
ICD-10 Coding assessment is required.
Job Qualifications
Education
Associates degree or equivalent work experience required. Equivalent experience is defined as 2 years of professional work experience.
Experience
1 year - Progressive medical coding and health care experience required.
Skills\Certifications
Professional coding certification from AHIMA or AAPC (CPC, CCS, RHIT, RHIA).
Must acquire the Certified Risk Adjustment Coder (CRC) certificate from AAPC within one year, after completed training.
Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability.
Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint).
Proven analytical and problem-solving skills and ability to perform non-routine analytical tasks.
Must be a team player, be organized and have the ability to handle multiple projects.
Excellent oral and written communication skills.
Strong interpersonal and organizational skills.
Understanding of ICD-10 coding standards required.
Number of Openings Available
0
Worker Type:
Employee
Company:
BCBST BlueCross BlueShield of Tennessee, Inc.
Applying for this job indicates your acknowledgement and understanding of the following statements:
BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law.
Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page:
BCBST's EEO Policies/Notices
BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
Auto-ApplyHealth Information Management - HIM - Coder - Inpatient - REMOTE
Remote certified professional coder job
Job Description
Health Information Management - HIM - Coder - Inpatient
The Inpatient Coder is responsible for coding discharged inpatient encounters. May work in collaboration with Clinical Documentation Improvement nurses. Utilizes Clintegrity encoder for DRG assignment. Submits coding queries as necessary for appropriate provider clarification. Maintains coding knowledge and certifications. Maintains working knowledge of Medicare rules and regulations.
•Understands importance coding plays in the revenue cycle process
•Meets or exceeds coding productivity and quality standards
•Assists with DRG appeals as necessary
•Assists Coding Manager with identifying problems or trends that need immediate attention
•Adheres to all department and hospital policies and procedures
High School diploma required. Associates or bachelors degree preferred. Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Coding Associate (CCA), or Certified Professional Coder (CPC) required.
KNOWLEDGE AND SKILLS REQUIRED:
Must possess critical thinking and analytical skills. Knowledgeable in medical terminology, anatomy and physiology, ICD-10 and PCS coding guidelines, CPT, HCPCS, and basic coding principles according to whether assigned to inpatient or outpatient duties.
About Rome Health
Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College.
The best care out there. Here.