Certified professional coder work from home jobs - 562 jobs
Remote Medical Records
Teksystems 4.4
Remote job
Now Hiring: Remote Medical Records Specialist Join a leading nationwide revenue cycle organization through TEKsystems! Are you detail-oriented, tech-savvy, and passionate about healthcare operations? We're looking for a Client Coordinator/Medical Records Specialist to support medical data workflows and ensure accurate, timely case processing through CMS portals.
Key Responsibilities
* Navigate CMS portals to process and enter case data into internal systems.
* Review medical records for eligibility and completeness.
* Upload and organize documentation from external client sites into internal databases.
* Ensure all medical record components are accurate and complete before routing to clinical reviewers.
* Support insurance claim decisions by preparing records for clinical insight and review.
* Respond promptly to client inquiries via email regarding case status, documentation, and general information.
* Maintain compliance with regulatory and company standards while delivering exceptional customer service.
Schedule
* Monday-Friday | 8:00am-4:30pm CST
* 100% Remote - Must have reliable internet and a private, distraction-free workspace - needs to be HIPPA compliant
Qualifications
* Minimum 2 year of experience in medical records or medical claims
* Strong attention to detail and organizational skills.
* High school diploma or equivalent required.
* Comfortable working independently in a remote environment
*Job Type & Location*
This is a Contract position based out of Rockford, IL.
*Pay and Benefits*The pay range for this position is $15.00 - $15.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*This is a fully remote position.
*Application Deadline*This position is anticipated to close on Jan 21, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
$15-15 hourly 2d ago
Looking for a job?
Let Zippia find it for you.
Coding Specialist II, Remote
Massachusetts Eye and Ear Infirmary 4.4
Remote 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 vascular surgery.
Job Summary
Summary:
Responsible for reviewing patient medical records after a visit and translating the information into codes that insurers use to process claims from patients. Duties include confirming treatments with medical staff, identifying missing information and submitting information to insurers for reimbursement. Participates in peer review to ensure accuracy and timeliness standards are maintained. Resolve complex coding questions that arise from team.
Does this position require Patient Care? No
Essential Functions
-Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits and to ensure that data complies with legal standards and guidelines.
-Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-9-CM and CPT codes.
-Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
-Manages complex coding situations and supports peers through challenging questions.
-Peer reviews records for management to ensure accuracy of information.
-Audits clinical documentation and coded data to validate documentation supports services rendered for reimbursement and reporting purposes.
-Researches, analyzes, recommends, and facilitates plan of action to correct discrepancies and prevent future coding errors.
-Identifies reportable elements, complications, and other procedures.
Qualifications
Education
High School Diploma or Equivalent required
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Experience
Medical Coding Experience 2-3 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.
- Strong understanding of coding guidelines, regulations, and industry best practices.
- Excellent leadership and team management skills, with the ability to motivate and develop coding team members.
- Strong communication and interpersonal skills to effectively collaborate with healthcare providers, coders, and other stakeholders.
- Strong problem-solving skills to address coding-related challenges and implement effective solutions.
- 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:
0100 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.
$21.8-31.1 hourly Auto-Apply 7d ago
Outpatient Surgery Coding Specialist
Medical Record Associates 4.1
Remote job
Surgery Coding Specialist -
Facility-based
Full-Time Preferred
About MRA
MRA is an established, fast growing Healthcare information company providing Coding & Auditing Services to bring peace of mind to healthcare since 1986. MRA has been providing high quality services to hospitals and healthcare providers across the United States from the beginning. Our history of superior customer service and industry expertise has earned us a 92% customer retention rate.
Why work with us?
MRA practices our values daily: Quality, Responsiveness, Accountability, Wellness, & Growth. We emphasize the importance of our employee's contribution to our continued growth and success. We support the work/life balance in our employees in offering 100% remote workforce in the United States. FREE CEU's to our employees to help our workforce stay in compliance and further their career
What we are looking for:
MRA is looking for experienced, facility SDS/ASU Coders to join our team in providing quality consulting services to hospitals located throughout the country.
Who you are:
MUST have a minimum of 3 years' experience surgery coding in an acute care hospital, teaching facility, or trauma center
MUST have a coding certificate from AHIMA to include one or more of the following credentials, RHIT, RHIA, or CCS with facility coding experience
MUST have a demonstrated track record of maintaining high quality and 95% accuracy standards
Perks & Benefits
We believe that our team is the biggest key to our success. Therefore, we are setting out to create an employee experience that is inclusive, collaborative, and rewarding.
Stay Healthy: Medical, Dental, Vision, FSA, company paid LTD
Flexibility: Full time remote position
Work/Life balance - Generous PTO
Paid MRA holidays
401K with a company match
MRA provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.
$53k-65k yearly est. Auto-Apply 60d+ ago
Certified Coder -Administrative Services East - Full Time
Ogden Clinic 4.1
Remote job
Are you a CertifiedProfessionalCoder looking for more than just a ? At Ogden Clinic, we're not just hiring-we're inviting you to be part of a thriving, supportive, and forward-thinking team. We're a physician-owned organization with 35 clinic locations stretching from Logan to Bountiful, and we're growing fast. Our team of 45 coding professionals works both onsite at our South Ogden campus and remotely from home. We believe in doing good work, staying compliant, and supporting each other every step of the way.
Why You'll Love Working Here
* Collaborative Team Culture: Work independently while being part of a large, friendly team. You'll have access to peers, mentors, and supervisors who are always ready to help.
* Ongoing Training & Support: Weekly team meetings, regular feedback, and tools like Encoder Pro ensure you have everything you need to succeed.
* Growth Opportunities: Depending on your experience, you'll have the chance to expand your coding expertise across specialties-from Family Medicine to Neurosurgery.
* Flexible Work Options: Enjoy the flexibility of remote work while staying connected to a dynamic and inclusive team.
* Professional Development: We invest in your growth with scholarship programs, performance-based raises, and annual salary reviews.
What We're Looking For
You must be a CertifiedProfessionalCoder with:
* Strong knowledge of coding and medical terminology
* Excellent problem-solving and communication skills
* Impeccable attention to detail
* A collaborative spirit and the ability to work independently
Benefits That Matter
Ogden Clinic offers a competitive pay and benefits package for full-time employees, including:
* Medical (with a partially company-funded HSA and in-house discount plan)
* Dental, Vision, Disability, and other coverage options
* Company-paid life insurance for employees and their families
* Employee Assistance Program with free counseling
* Paid Time Off and Holidays
* 401(k) with generous profit-sharing contributions
* Competitive pay starting at $22.52+ hourly, with potential for higher starting pay based on experience
* Annual merit increases up to 5%
* Limited benefits available for non-full-time employees
If you're passionate about coding and want to be part of a team that values accuracy, compliance, and community, we'd love to hear from you.
Full job description available upon request: **********************
$22.5 hourly Easy Apply 60d+ ago
Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 8A-4:30P
Baptisthlth
Remote job
Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 8A-4:30P-149987Baptist 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 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.Qualifications Degrees:
Associates.
Licenses & Certifications:
AHIMA Certified Coding Specialist.
Additional Qualifications:
Prefer RHIA or RHIT or equivalent experience.
At least five years Inpatient Hospital 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 Job CorporatePrimary Location RemoteOrganization CorporateSchedule Full-time Job Posting Apr 28, 2025, 4:00:00 AMUnposting Date OngoingEOE, including disability/vets
$31.2-40.6 hourly Auto-Apply 3d ago
Lead Coding Specialist Inpatient, $5000 Bonus, Fully Remote, CCS or RHIT certified, FT, 09A-5:30P
Baptist Health South Florida 4.5
Remote job
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. 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
$56k-70k yearly est. 3d ago
Remote - Clinic/Outpatient Coder III
Mosaic Life Care 4.3
Remote 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 - CertifiedProfessionalCoder 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.
$24.7-37.1 hourly 60d+ ago
Medical Records Coder
Nextstep Technology Inc.
Remote 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).
$58k-94k yearly est. 28d ago
HIM Coder - Inpatient
Rush University Medical Center
Remote 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 PM) 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.
$29.4-47.8 hourly 18d ago
Certified Coding Specialist (Pediatric Specialty)
Pediatrix
Remote job
We have an exciting opportunity for a
Coding Specialist
to join our corporate team. Pediatrix Medical Group is a physician lead organization, and we are one of the nation's largest providers of prenatal, neonatal and pediatric services.
Talented business professionals from diverse backgrounds choose Pediatrix because
we are an exciting and innovative company
that focuses on a team approach to improve the lives of patients everywhere.
We are confident that you'll love being a part of the Pediatrix team.
Responsibilities
The
Coding Specialist
is responsible for coordinating and participating in the coding of pertinent medical information from a variety of complex records and coding edits to include diagnosis, treatment of illness and procedures performed while ensuring accuracy of work adherence to established coding procedures of ICD-CM (International Classification of Diseases) and CPT-4 (Current Procedural Terminology).
Perform concurrent audit of provider-selected coding data during the coding and billing process, interpreting medical records and updating and/or verifying all valid diagnoses, procedure codes, modifiers, providers, and place of service as determined by the coder.
Participate in SOX control review (audit) processes.
Reviewing all pertinent medical records for diagnosis and procedures performed and documented while maintaining strict adherence to Pediatrix Compliance program guidelines.
Analyze source of errors and issues in order to determine next steps (provider error, system or edit issue).
Communicate to physicians by Electronic Mail all discrepancies in coding based on the medical record reviewed, per department guidelines and processes.
Review and educate physicians, advanced nurse practitioners and other staff as necessary on documentation requirements and coding guidelines.
Communicates to Coding management any claims edit updates needed, identified during concurrent audit of billing and coding.
Review claim denials submitted to Coding by RCM for changes to coding and updates to system edits to prevent future denials. Troubleshoot denials for cause and determine resolution.
Research and review third party payer guidance for establishment of system edits.
Participating in company processes for obtaining facility medical records (view with direct access, request via online forms, send provider requests) as well as being the organization representative to provide other departments with records from certain sites for which coder has access.
Maintain facility EMR system access as assigned (complete demographic forms, attend facility training, etc).
Participates in audit, education, and coding team meetings to discuss solutions to coding and documentation scenarios identified during coder assessment of provider coding and billing selections.
Facilitate new provider system access and training in charge capture systems.
Timely and appropriate coding of services as required to meet production needs - Meet or exceed required departmental productivity standards on a consistent basis.
Performs a variety of other Coding Compliance duties as needed.
Maintain strict confidentiality in accordance with HIPAA regulations and Company policy.
Presents a positive, professional appearance and conveys a professional demeanor in the performance of assigned duties.
Performs other job-related duties within the job scope as requested by Management of Coding.
Embodies the principles of the corporate Mission Statement and Philosophy at all times.
Complies with departmental and company-wide policies and procedures.
Qualifications
Education/Experience:
CertifiedProfessionalCoder (CPC) or Certified Coding Specialist - Physician (CCS-P) designation required with current active status.
Minimum of three years related experience and/or training; or equivalent combination of education and experience preferred in addition to certification.
Knowledge/Skills:
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and communicate them to physicians, coders, and other staff in a way that facilitates understanding.
Software:
Microsoft Office (Excel, Word, Outlook, Teams), Medical Coding reference resources, and various hospital, vendor or proprietary documentation and billing platforms.
Benefits and Compensation
Take great care of the patient, every day and every way.TM
At Pediatrix & Obstetrix, that's not only our motto at work each day; it's also how we view our employees and their families. We know that our greatest asset is YOU.
We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families.
About Us
Pediatrix Medical Group is one of the nation's leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group's high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives.
Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site:
*************************
.
#LI-Remote
Pediatrix is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
We can recommend jobs specifically for you! Click here to get started.
$43k-61k yearly est. Auto-Apply 6d ago
Surgical Certified Procedural Coding Specialist
University of Arkansas for Medical Sciences 4.8
Remote job
Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for “Find Jobs for Students”.
All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through “My Draft Applications” located on your Candidate Home page.
Closing Date:
01/22/2026
Type of Position:Clinical Staff - Clinical Support
Job Type:Regular
Work Shift:Day Shift (United States of America)
Sponsorship Available:
No
Institution Name: University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
Health: Medical, Dental and Vision plans available for qualifying staff and family
Holiday, Vacation and Sick Leave
Education discount for staff and dependents (undergraduate only)
Retirement: Up to 10% matched contribution from UAMS
Basic Life Insurance up to $50,000
Career Training and Educational Opportunities
Merchant Discounts
Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************.
Department:FIN | CORE Coding - PB Surgery
Department's Website:
Summary of Job Duties:** REMOTE CODING POSITION **
** WILL WORK FROM HOME **
The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures.
Qualifications:
Minimum Qualifications:
High School Diploma/GED.
Must have an understanding of CPT and ICD-10.
Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA.
Must have two (2) years of coding experience.
Preferred Qualifications:
Associates or Bachelor's in Health Information Management.
Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA.
OR
Bachelor's degree in health information management or related field.
Preferred RHIA or RHIT.
Additional Information:
Responsibilities:
Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned.
Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures;
Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system;
Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs;
Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity.
Salary Information:
Commensurate with education and experience
Required Documents to Apply:
License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact *********************** for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site *****************************************
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:Criminal Background Check
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting
Frequent Physical Activity:Hearing, Talking
Occasional Physical Activity:Standing, Stooping, Walking
Benefits Eligible:Yes
$40k-47k yearly est. Auto-Apply 28d ago
Coder - Facility - CABG/Heart Cath
CPSI 4.7
Remote job
Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures. Works with coding databases and confirms DRG and CPT assignments. Inputs and maintains data on procedures required for state or other reporting. May require an associate degree. Requires an AAPC CertifiedProfessionalCoder (CPC) or AHIMA RHIT or CCS active credentials. Works with the coding manager and the coding team on this site. Works under moderate supervision. Has attained full proficiency in multiple specialties of discipline. Typically requires 4+ years of related coding experience. Performs coding on multiple specialties with proficiency.
Business Support
$40k-56k yearly est. Auto-Apply 5d ago
Hospital Coder
Albany Medical Health System 4.4
Remote job
Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements.
Essential Duties and Responsibilities
* Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines.
* Support the reporting of healthcare data elements (e.g. diagnoses and procedure codes, hospital acquired conditions, patient safety indicators) required for external reporting purposes (e.g. reimbursement, value based purchasing initiatives and other administrative uses, population health, quality and patient safety measurement, and research) completely and accurately, in accordance with regulatory and documentation standards and requirements, as well as all applicable official coding conventions, rules, and guidelines.
* Query the provider (physician or other qualified healthcare practitioner), whether verbal or written, for clarification and/or additional documentation when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicators). Advance coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities.
* Advances coding knowledge and practice through continuing education, including but not limited to meeting continuing education requirements.
* Utilizes official coding rules and guidelines apply the most accurate coding to represent that patient services on the hospital claim.
* Comply with comprehensive internal coding policies and procedures that are consistent with requirements.
* Attends coding meetings and roundtable sessions.
* Participates in daily huddles and LEAN problem-solving activities.
* Focused with no distractions while working and participating in meetings.
* Ensures camera on while attending Teams calls.
* Assists with organizing the shared drive for the medical coding department.
* Other duties as assigned by manager.
Qualifications
* High School Diploma/G.E.D. - required
* Prior experience in hospital medical coding - preferred
* Prior experience with 3M 360 and EPIC system - preferred
* Applicants must receive a score of 80% or above on assessment. Will consider new coders with a higher assessment score. (High proficiency)
* Excellent computer skills, navigating multiple systems at once, troubleshooting. (High proficiency)
* Must be able to work independently as position is fully remote. Maintain a remote coding work area that protects confidential health information. (High proficiency)
* Excellent written and verbal communication skills. (High proficiency)
* Knowledge of ICD-10-CM, and ICD-10-PCS or CPT-4 Coding classification system, depending on the position being hired for. (High proficiency)
* Detail-oriented and efficient while maintaining productivity.
* Coding certification / credential through AHIMA or AAPC and be in good standing. - required
Equivalent combination of relevant education and experience may be substituted as appropriate.
Physical Demands
* Standing - Occasionally
* Walking - Occasionally
* Sitting - Constantly
* Lifting - Rarely
* Carrying - Rarely
* Pushing - Rarely
* Pulling - Rarely
* Climbing - Rarely
* Balancing - Rarely
* Stooping - Rarely
* Kneeling - Rarely
* Crouching - Rarely
* Crawling - Rarely
* Reaching - Rarely
* Handling - Occasionally
* Grasping - Occasionally
* Feeling - Rarely
* Talking - Frequently
* Hearing - Frequently
* Repetitive Motions - Frequently
* Eye/Hand/Foot Coordination - Frequently
Working Conditions
* Extreme cold - Rarely
* Extreme heat - Rarely
* Humidity - Rarely
* Wet - Rarely
* Noise - Occasionally
* Hazards - Rarely
* Temperature Change - Rarely
* Atmospheric Conditions - Rarely
* Vibration - Rarely
Thank you for your interest in Albany Medical Center!
Albany Medical Center is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that: Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
Thank you for your interest in Albany Medical Center!
Albany Medical is an equal opportunity employer.
This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that:
Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.
$55.9k-83.8k yearly Auto-Apply 42d ago
Risk Adjustment Medical Coder
High Country Community Health 3.9
Remote 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 Codercertification (CRC and/or CPC) required
-Candidates hired with active CPC, but without Certified Risk Adjustment Codercertification (CRC) must obtain CRC certification within 9 months of hire.
Travel Requirements
None.
Salary
Commensurate with experience, education and certifications
$38k-49k yearly est. 15d ago
Inpatient Coder - Teaching Health System
Savista, LLC
Remote job
Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
Code complex Inpatient records for a large teaching level health system. Two (2) years of recent and relevant hands-on coding experience. Requires active CCS, CCA, CCS-P, COC, CPC, CPC-A, RHIT or RHIA credential.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice
$44k-65k yearly est. Auto-Apply 4d ago
Surgical Certified Procedural Coding Specialist
University of Arkansas System 4.1
Remote job
Current University of Arkansas System employees, including student employees and graduate assistants, need to log in to Workday via MyApps.Microsoft.com, then access Find Jobs from the Workday search bar to view and apply for open positions. Students at University of Arkansas System will also view open positions and apply within Workday by searching for "Find Jobs for Students".
All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).
If you close the browser or exit your application prior to submitting, the application process will be saved as a draft. You will be able to access and complete the application through "My Draft Applications" located on your Candidate Home page.
Closing Date:
01/22/2026
Type of Position:
Clinical Staff - Clinical Support
Job Type:
Regular
Work Shift:
Day Shift (United States of America)
Sponsorship Available:
No
Institution Name:
University of Arkansas for Medical Sciences
The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
UAMS offers amazing benefits and perks (available for benefits eligible positions only):
* Health: Medical, Dental and Vision plans available for qualifying staff and family
* Holiday, Vacation and Sick Leave
* Education discount for staff and dependents (undergraduate only)
* Retirement: Up to 10% matched contribution from UAMS
* Basic Life Insurance up to $50,000
* Career Training and Educational Opportunities
* Merchant Discounts
* Concierge prescription delivery on the main campus when using UAMS pharmacy
Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position, please click the Apply link/button.
The University of Arkansas is an equal opportunity institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of any category or status protected by law, including age, race, color, national origin, disability, religion, protected veteran status, military service, genetic information, sex, sexual orientation, or pregnancy. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.
Persons must have proof of legal authority to work in the United States on the first day of employment.
All application information is subject to public disclosure under the Arkansas Freedom of Information Act.
For general application assistance or if you have questions about a job posting, please contact Human Resources at ***********************.
Department:
FIN | CORE Coding - PB Surgery
Department's Website:
Summary of Job Duties:
REMOTE CODING POSITION
WILL WORK FROM HOME
The Certified Procedural Coding Specialist - Surgical will work under supervision and reads/ interprets health record documentation to identify all diagnoses and procedures.
Qualifications:
Minimum Qualifications:
* High School Diploma/GED.
* Must have an understanding of CPT and ICD-10.
* Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA.
* Must have two (2) years of coding experience.
Preferred Qualifications:
* Associates or Bachelor's in Health Information Management.
* Must have one of the following certifications: CCA, CCS, CPC, RHIT or RHIA.
OR
* Bachelor's degree in health information management or related field.
* Preferred RHIA or RHIT.
Additional Information:
Responsibilities:
* Assess the adequacy of health record documentation to ensure that it supports all diagnoses and procedures to which codes are assigned.
* Apply knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to assign accurate codes to diagnoses and procedures;
* Apply knowledge of disease processes and surgical procedures to assign non-indexed medical terms to the appropriate class in the classification/nomenclature system;
* Apply knowledge of Uniform Hospital Discharge Data Set (UHDDS) definitions to select the principal diagnosis and principal procedures; apply knowledge of Prospective Payment System to confirm DRGs as well as APCs;
* Possess a complete understanding of ICD-10 and CPT coding classification systems; apply knowledge of coding to assist patient billing Services to submit clean claims for medical necessity.
Salary Information:
Commensurate with education and experience
Required Documents to Apply:
License or Certificate (see special instructions for submission instructions), List of three Professional References (name, email, business title), Resume
Optional Documents:
Special Instructions to Applicants:
Recruitment Contact Information:
Please contact *********************** for any recruiting related questions.
All application materials must be uploaded to the University of Arkansas System Career Site *****************************************
Please do not send to listed recruitment contact.
Pre-employment Screening Requirements:
Criminal Background Check
This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law.
Constant Physical Activity:
Manipulate items with fingers, including keyboarding, Repetitive Motion, Sitting
Frequent Physical Activity:
Hearing, Talking
Occasional Physical Activity:
Standing, Stooping, Walking
Benefits Eligible:
Yes
$37k-43k yearly est. Auto-Apply 27d ago
Certified Coding Specialist
Heart & Vascular Partners 4.6
Remote job
Heart and Vascular Partners is a fast-paced, growing heart and vascular MSO seeking a Certified Coding Specialist! As the Certified Coding Specialist, you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. If you are an organized and detail-oriented individual looking to make a positive impact in a healthcare setting, then this is the perfect role for you!
Essential Functions of the Role:
Evaluates medical record documentation and charge-ticket coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports outpatient visits and to ensure that data complies with legal standards and guidelines.
Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct ICD-10-CM and CPT codes.
Reviews state and federal Medicare reimbursement claims for completeness and accuracy before submission to minimize claim denial.
Evaluates records and prepares reports on such topics as the number of denied claims or documentation or coding issues for review by management and/or professional evaluation committees.
Makes recommendations for changes in policies and procedures; works with data processing staff to revise the computer master file. Develops and updates procedures manuals to maintain standards for correct coding, to minimize the risk of fraud and abuse, and to optimize revenue recovery.
Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation, and/or codes that do not conform to approved coding principles/guidelines.
Reads bulletins, newsletters, and periodicals and attends workshops to stay abreast of issues, trends, and changes in laws and regulations governing medical record coding and documentation.
Educates and advises staff on proper code selection, documentation, procedures, and requirements.
Identifies training needs, prepares training materials, and conducts training for physicians and support staff to improve skills in the collection and coding of quality health data.
Minimum Qualifications:
Knowledge of ICD-10-CM coding guidelines; medical terminology; anatomy and physiology; state and federal Medicare reimbursement guidelines; English grammar and usage.
Ability to research and analyze data, draw conclusions, and resolve issues; read, interpret, and apply policies, procedures, laws, and regulations.
Ability to read and interpret medical procedures and terminology.
Ability to develop training materials, make group presentations, and to train staff
Ability to exercise independent judgment;
Excellent written and verbal communication skills to prepare reports and related documents and to maintain working relationships with physicians and other staff.
Ability to maintain confidentiality.
Education and Experience:
Possession of a Certified Coding Specialist designation (CCS) issued by the American Health Information Management Association;
or
Possession of a CertifiedProfessionalCoder designation (CPC) issued by AAPC
Remote Work Requirements
Must be available to work during scheduled work hours, except for lunch and breaks
A Quiet, distraction-free environment
High-speed private internet connection
Respond to all non-urgent calls and emails withing 1 business day
Notify your manager immediately for any technical and/ or access issues that prevent you from completing your work
Notify your manager at least 30 minutes prior to your scheduled start time for any unplanned days off.
Work Environment
This position is a Remote position Monday- Friday from 8:00 am - 5:00 PM.
Physical Requirements
This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk, and stand; talk or hear, both in person and by telephone; use hands repetitively to handle or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.
Equal Employment Opportunity Statement
We provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Salary and Benefits
Full-time, Non-Exempt position. Competitive compensation and benefits package to include 401K; a full suite of medical, dental, and ancillary benefits; paid time off, and much more.
The statements contained herein are intended to describe the general nature and level of work performed by the Certified Coding Specialist, but is not a complete list of the responsibilities, duties, or skills required. Other duties may be assigned as business needs dictate. Reasonable accommodation may be made to enable qualified individuals with disabilities to perform the essential functions.
$43k-50k yearly est. Auto-Apply 13d ago
Cardiology Coding Specialist (Remote)
Cardiology 4.7
Remote job
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)
$57k-72k yearly est. 60d+ ago
Coder IV
Ohiohealth 4.3
Remote job
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities.
Summary:
This position performs facility coding and abstracting functions of Inpatient.
Responsibilities And Duties:
1. 60%
Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining
95%
quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the minimum standards of
95%
Review Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least
95%
or better Monitor and appropriately assign HAC codes when appropriate Responsible for recognizing when it is necessary to obtain further clarification from physician when documentation is inadequate, ambiguous, or unclear for coding purposes. Assists educators and supervisors with reviewing accounts denied by RAC and other governmental payers for appropriate documentation to support original coding. 2.
20%
In the event of insufficient, missing or conflicting documentation, assigns transaction codes in HBOC system and follows department policy for follow up and physician query. 3.
10%
: Abstracts all data elements necessary to complete UB0 4 and meet hospital-reporting requirements. 4. 5%
: Verifies demographics, corrects account number, charges and service and identify missing or incorrect forms in each record. 5. 5%
: Identifies problem cases on the DNFB and forwards to appropriate staff for follow up. The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor.
Minimum Qualifications:
Bachelor's Degree (Required) AHIMA - American Health Information Management Association - American Health Information Management Association, CCS - Certified Coding Specialist - American Health Information Management Association
Additional Job Description:
Work Shift:
Day
Scheduled Weekly Hours :
40
Department
Hospital Coding
Join us!
... if your passion is to work in a caring environment
... if you believe that learning is a life-long process
... if you strive for excellence and want to be among the best in the healthcare industry
Equal Employment Opportunity
OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment
Remote Work Disclaimer:
Positions marked as remote are only eligible for work from Ohio.
$45k-54k yearly est. Auto-Apply 60d+ ago
Health Information Management (HIM) Coder - Outpatient - PER DIEM
Rome Health 4.4
Remote job
Job Description
Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO.
•Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred
•Experience with Clintegrity, Paragon, One Content helpful
•Fully remote after training
Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required.
Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
Excellent oral and written communication skills. Must have a positive, respectful attitude.
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.
$40k-52k yearly est. 6d ago
Learn more about certified professional coder jobs