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Medical Coder jobs at CHRISTUS Health - 498 jobs

  • Specialty Coder Senior - Neurosurgery

    Christus Health 4.6company rating

    Medical coder job at CHRISTUS Health

    Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise on designated Inpatient or Outpatient high dollar or specialty account types. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Specialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coder will work collaboratively with various CHRISTUS Health departments, including but not limited to the HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coder will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. Assign codes for diagnoses, treatments, and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. Abstracts required information from source documentation, to be entered into the appropriate CHRISTUS Health electronic medical record system. Validates admit orders and discharge dispositions. Works from assigned coding queue, completing and re-assigning accounts correctly. Manages accounts on ABS Hold, finalizing accounts when corrections have been made, in a timely manner. Meets or exceeds an accuracy rate of 95%. Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). Assists in implementing solutions to reduce backend errors. Identifies and appropriately reports all hospital‑acquired conditions (HAC). Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. Has strong written and verbal communication skills. Able to work independently in a remote setting, with little supervision. Participates in both internal and external audit discussions. All other work duties as assigned by the Manager. Job Requirements Education/Skills High school Diploma or equivalent years of experience required. Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred. Experience 1 - 3 years of experience preferred. Licenses, Registrations, or Certifications None required. Work Schedule 5 Days - 8 Hours Work Type Full Time #J-18808-Ljbffr
    $48k-58k yearly est. 4d ago
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  • Health Information Management Coder Lead - Coding

    Christus Health 4.6company rating

    Medical coder job at CHRISTUS Health

    Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise to foster an environment of teamwork and service excellence mentoring, training, cross training their designated Regional Inpatient or Outpatient Coding team. Coding Lead will work with Coders as a resource to maintain current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and/or Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better. Coding Leads will work to ensure Coders abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Coding Lead will act as a liaison for coding related questions, providing clear and concise written or verbal responses, citing official coding guidelines and Coding Clinics. Coding Lead will work to resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in performance improvement activities with other team associates. Coding Lead will work collaboratively with various CHRISTUS Health departments, including but not limited to HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials. Coder will also assist in other areas of the department, as requested by leadership. Coding Lead will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director. Responsibilities: * Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. * Abide by standardized, organization-wide policies and procedures to monitor the success and quality of coding. * Able to role model industry best practices for use of technology; job shadow and coach associates in appropriate coding workflows. * Will review internal and external audit results, to identify global and individual areas for improvement. * Able to perform remediation audits, computing audit template using Excel to calculate coding accuracy. * Coach coding associates based on internal and external audit results, or based upon coding needs. * Actively collaborate with Unbilled Analysts to complete billing workflow changes to reduce billing errors. * Manage and work billing reports, such as Connance, to provide timely corrections to accounts in questions, ensuring billing is not impacted. * Assists in implementing new systems and/or processes, to improve back-end billing errors. * Acts as coding liaison, proving expertise in coding, charging, DRG assignments, APC assignments, modifier application, special projects and denials. * Analyzes audit results to identify areas of opportunity. * Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG. * Abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system. * Validates admit orders and discharge dispositions. * Works from assigned coding queue, completing and re-assigning accounts correctly. * Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner. * Meets or exceeds an accuracy rate of 95%. * Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type. * Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). * Assists in implementing solutions to reduce backend errors. * Identifies and appropriately reports all hospital-acquired conditions (HAC). * Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists. * Participates in both internal and external audit discussions. * Strong written and verbal communication skills. * Able to work independently in a remote setting, with little supervision. * Strong understanding of departmental systems technology (i.e. Microsoft Office, EHR, Encoder, Teams, etc.) * All other work duties as assigned by the Manager. Job Requirements: Education/Skills * High school Diploma or equivalent years of experience required. * Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program preferred. Experience * 5 years of Inpatient and/or Outpatient coding experience in an acute care setting preferred. Licenses, Registrations, or Certifications * Registered Health Information Administrator (RHIA) (AHIMA) preferred. * Registered Health Information Technician (RHIT) (AHIMA) preferred. * Certified Coding Specialist (CCS) (AHIMA) preferred. * Certified Professional Coder (CPC) (AAPC) preferred. Work Schedule: 10AM - 7PM 8 HR Shift Work Type: Full Time
    $43k-52k yearly est. 58d ago
  • Clinical Coder IV/Acute Care - Medical Records

    Atrium Health 4.7company rating

    Charlotte, NC jobs

    00153661 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 1st shift Standard Hours: 40.00 Department Name: Medical Records Location Details: Onboarding at Arrowpoint, after training able to work remote Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit carolinashealthcare.org/AtriumHealth Job Summary To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Clinical Coder IV reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. An option to work as part of the clinical team and perform high level, service line based concurrent coding is also available. This position also enjoys the advantages of free CEUs and one paid professional membership. Essential Functions Reviews medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes. Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Reviews charges and Evaluation and Management levels. Demonstrates proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Facilitates peer review and training for all Acute Clinical Coders in the coding department. Provides support to management. Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High school diploma or GED required; Bachelors degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required. 4 years coding experience in acute care setting required. Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the CHS Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Carolinas HealthCare System is an EOE/AA Employer
    $43k-62k yearly est. 60d+ ago
  • Risk Adjustment Medical Coder

    High Country Community Health 3.9company rating

    Boone, NC jobs

    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
    $38k-49k yearly est. 15d ago
  • RCM Coder

    Atlantic Medical Management 4.2company rating

    Jacksonville, NC jobs

    Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing problems from EOBs and work to correct the errors in a timely manner Maintain in depth knowledge of all payers. Coordinate with clinics to ensure all outstanding superbills are collected prior to month end close. Update patient demographic and insurance Transfer open balances to correct insurance Work with patients and guarantors to secure payment Resolves disputed claims by gathering, verifying, and providing additional information Identify problem accounts and escalate as appropriate. Write appeals and include supporting documentation Run appropriate reports and contact insurance companies to resolve unpaid claims Meet set department metrics and threshold set forth by manager. Assist with special projects and other job-related duties as needed. Minimum Qualifications High School Diploma. 2 years of Professional coding/billing experience AAPC certification preferred Experience Medicare, Medicaid and other commercial and private payers. Demonstrated well-developed interpersonal skills to interact in sensitive and/or complex situation with a variety of people. Excellent customer service and professionalism. Maintains patient confidentiality. Proficient computer skills. Organized and efficient. Self-motivated to meet objectives Benefits: 401(k) Health, Dental and Vision insurance Employee assistance program AFLAC Paid time off
    $55k-68k yearly est. 60d+ ago
  • Hospital Coding Spec II (Observation)

    WVU Medicine 4.1company rating

    North Carolina jobs

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. To ensure accurate and appropriate gathering of information into the coding classification systems to meet departmental, hospital and outside agency requirements. This includes ensuring appropriate reimbursement, compliance and charging with the various coding guidelines and regulatory agencies. Responsible for obtaining accurate and complete documentation in the medical record for accurate coding assignment. Responsible for the coding of moderately complex patient classes i.e. ED, observations, same day care, etc. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. High School Diploma or Equivalent. 2. Certification in one of the following: RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator), CCS (Certified Coding Specialist), COC-A (Certified Outpatient Coder-Apprentice), COC (Certified Outpatient Coder), Formerly CPC-H (Certified Professional Coder-Hospital), CPC (Certified Professional Coder) or CIC (Certified Inpatient Coder). EXPERIENCE: 1. One (1) year of hospital coding experience. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Graduate of Health Information Technology (HIT) or equivalent program OR Medical Coding Certification Program. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Reviews and accurately interprets medical record documentation from all hospital accounts in order to identify all diagnosis and procedures that affect the current outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified. Codes moderately complex patient classes. 2. Assigns hospital codes to a variety of patient classes (i.e. ED, OBS, SDC, etc.). 3. Assures that quality and timely coding, charging and abstraction of accounts are completed daily for assigned specialty areas. 4. Maintains and enhances current levels of coding knowledge through quality review, attendance and participation at clinical in-services and coding seminars, internal meetings, study of circulating reference materials, and inclusion of updates to coding manuals. 5. Assures the accuracy, quality, and timely review of data needed to obtain a clean bill. 6. Contacts physicians or any persons necessary to obtain information required for to accurately code assignments. Works and communicates with other offices in any manner necessary to facilitate the billing process. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for long periods of time. 2. Must have visual and hearing acuity within the normal range. 3. Must have manual dexterity needed to operate computer and office equipment. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Standard office environment. 2. Visual strain may be encountered in viewing computer screens, spreadsheets, and other written material. 3. May require travel. SKILLS AND ABILITIES: 1. Must be able to concentrate and maintain accuracy during constant interruptions. 2. Must possess independent decision-making ability. 3. Must possess the ability to prioritize job duties. 4. Must be able to handle high stress situations. 5. Must be able to adapt to changes in the workplace. 6. Must be able to organize and complete assigned tasks. 7. Must possess excellent written and verbal communication skills. 8. Must possess the knowledge of anatomy, physiology and medical terminology. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 548 SYSTEM HIM Coding Analysis
    $50k-64k yearly est. Auto-Apply 60d+ ago
  • Inpatient HIM Coder Analyst III-Remote within the state of Texas

    Cook Children's Medical Center 4.4company rating

    Fort Worth, TX jobs

    Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 The HIM Coder Analyst III requires superior knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-9-CM, ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for inpatient, observation and outpatient ambulatory procedures/treatment room records. Validates the coded data to one or more Diagnosis Related Groupers (DRG) validates the Present on Admission (POA) indicators for accuracy. Primarily codes more complex and difficult inpatient medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Performs extended length of stay coding for interim cycle billing. During inhouse interim coding, reviews for documentation opportunities and queries with CDIS to clarify confusing, incomplete or conflicting information and obtain any needed additional documentation in real time. Assists with coding outpatient surgery, observation outpatient ancillary clinic, specialty clinic and emergency room record visits as necessary. Minimum expected accuracy rate for all coding & DRG assignments is 95% or above. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists or Quality Auditors on patient cases regarding documentation needs and requirements, and coding and DRG assignment accuracy. Maintains current knowledge of coding, DRG and documentation changes, rules and guidelines. Education & Experience: RHIA, RHIT required, with CCS highly desired, or CCS with two (2) year minimum full-time current and continuous ICD-10-CM/PCS hospital inpatient medical record coding and prospective payment system, experience with DRG assignment. Outpatient observation and ambulatory surgery with CPT-4 coding and abstracting experience preferred. Pediatric coding experience highly desired. Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required. Experience using Microsoft Office Excel and Word highly desired. Ability to work well independently and productively with minimal guidance and without direct supervision. Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills. Ability to maintain confidentiality. Goal oriented, flexible and energetic. Demonstrates superior coding skills, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures. Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% accuracy prior to hire. Certification/Licensure: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records. About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
    $50k-61k yearly est. Auto-Apply 60d+ ago
  • CODER 2 MMG

    Methodist Health System 4.7company rating

    Dallas, TX jobs

    Your Job: Responsible for assignment of accurate CPT/HCPCS, ICD10, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues, and play a significant role in coding compliance activities. Your Job Requirements: • Bachelor Degree preferred -OR- Associate degree in Health Information Management preferred. • A minimum of 2 years recent experience in the outpatient (primary care & surgical) setting. • Surgical coding in Trauma, General Surgery, Orthopedics, and/or Neurosurgery preferred • Must hold Certified Professional Coder (CPC) or Certified Coding Specialist - Physician (CCS-P) with the appropriate level of experience Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 92 MMG ambulatory clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace: Newsweek's America's Most Admired Workplaces 2026 Glassdoor's Best-Led Companies 2025 Fortune's Best Workplaces in Health Care 2025 Great Place to Work Certified 2026-2026 Glassdoor's Best Places to Work 2025 TIME's Best Companies for Future Leaders 2025 Military Friendly - Gold Employer 2025 Newsweek's America's Greatest Workplaces for Mental Well-Being 2025 Becker's Healthcare Top Places to Work in Healthcare 2025 Newsweek's Greatest Workplaces 2025
    $49k-63k yearly est. Auto-Apply 1d ago
  • Professional Coding - General Surgery

    Texas Children's Medical Center 4.5company rating

    Houston, TX jobs

    We're looking for a Coding Quality Assurance Specialist III, someone who's ready to grow with our company. In this position you will assign and audit the accuracy of the ICD-10-CM and DRG Hospital Inpatient records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation and completes the auditing reporting tool and provides this feedback to the education team and/or provider. Incumbent may perform only certain of the following Responsibility depending on their work assignment. Think you've got what it takes? Job Duties & Responsibilities • Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records. • Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes. • Communicates with and provides feedback to the education team and/or providers. • Reviews patient charges to determine necessary coding to complete the account. • Identifies principle and secondary diagnoses and procedure codes from the electronic medical record. • Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures. • Sequences diagnosis and procedures to generate appropriate billing. • Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials). • Assists other coders in resolving coding problems. • Completes abstracts for records as appropriate. • Assists in correction of problem accounts. • Reviews charts for completeness. • Participates in education and maintains certification. • Assists in auditing records. • Maintains concurrent coding for inpatient records. Skills & Requirements • Required High School Diploma or equivalent • Requires one of the following Licenses/Certifications o CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC) o CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) o CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC) o CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) o RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) o RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA) • Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record
    $49k-59k yearly est. Auto-Apply 31d ago
  • Coder (Fulltime)

    Northern Louisiana Medical Center 3.0company rating

    Ruston, LA jobs

    The Coder/Abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10-CM and CPT 2005 edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the Health Information Management Association. All work is carried out in accordance with the Health Information Management department and CHS approved policies and procedures. Population served: Interact with physicians, patients and family members as needed. Current RHIT, RHIA or CCS.
    $48k-64k yearly est. 28d ago
  • Coder (Fulltime)

    Northern Louisiana Medical Center 3.0company rating

    Ruston, LA jobs

    Job Description The Coder/Abstracter is responsible for accurate code assignment of all inpatient, outpatient, and emergency service diagnoses, procedures and conditions as indicated in the patient medical record. Classification systems include ICD-10-CM and CPT 2005 edition, and all coding is in accordance with official coding guidelines from the American Medical Association, the American Hospital Association, and the Health Information Management Association. All work is carried out in accordance with the Health Information Management department and CHS approved policies and procedures. Population served: Interact with physicians, patients and family members as needed. Current RHIT, RHIA or CCS. Job Posted by ApplicantPro
    $48k-64k yearly est. 27d ago
  • Certified Medical Coder

    Salem Clinic p c 4.2company rating

    Keizer, OR jobs

    At Salem Clinic, our Medical Coders play an important role in supporting patient care by ensuring medical services are accurately and thoughtfully coded. This position focuses on reviewing patient encounters, assigning appropriate codes, and working closely with clinical and administrative teams to support clear documentation, timely billing, and quality initiatives. We're looking for someone who is detail-oriented and enjoys collaborative work within a fast-paced healthcare environment. Full time opening at: Salem Clinic Inland Shores | 5900 Inland Shores Way N, Keizer OR 97303 | Medical Coding Department Benefits offered for full-time and part-time (budgeted 22.5-40 hrs/wk): 401(k) retirement plan- 10% employer contribution 100% Clinic paid employee premiums for medical, dental, and vision plans. 50% Clinic paid premiums for part-time employees. Free Lab and Imaging services when performed at Salem Clinic for those covered with the Clinic's medical plan. Health Reimbursement Account Life & Long-term Disability Insurance Paid time off & Holiday pay Flexible Spending Account Athletic & Weight Management Club Credits Bilingual pay differential program (3% wage increase if qualified) Job Summary/Position Objective: To accurately assign a CPT code(s), HCPCS code(s), CPT-4 modifier(s) and all applicable ICD-10-CM codes to all assigned patient encounters and procedures in a timely manner. To carefully review all tasks in assigned billing queue and return appropriate coding to HPS in a timely manner. To provide feedback on documentation opportunities to Director of EHI and nursing administration as appropriate. To support quality efforts via coding for HCC/RAF, adding CPT-II code(s) and working to close HCC gaps on payer portals. Required Knowledge, Skills, Abilities: Completion of high school or equivalent. Completion of course in health information management (claims analyst/medical biller/medical coding). Must have working knowledge of CPT, CPT-II, CPT-4, HCPCS and ICD-10-CM codes Organizational skills. Ability to communicate clearly, professionally and courteously; effective listening, writing, spelling, and reading skills. Communication skills must support face-to-face, telephone and written communication methods. Ability to follow oral and written instruction. Must have knowledge of medical terminology. Must have knowledge of human anatomy and physiology. Basic computer skills; familiarity with keyboard, 10-key, mouse, word processing and basic Microsoft operating system functionality. Ability to work quickly and accurately. Ability to interact with coworkers and providers tactfully, to be a team player. Essential Functions: Assign ICD-10-CM, CPT, CPT-II, CPT-4 and HCPCS codes to patient encounters and procedures. Keep up-to-date on changes in coding guidelines and requirements. Receive denials from Health Plan Services, review documentation and supply new appropriate code or thorough explanation as to why the code cannot be changed. Recognize documentation requirements and assist director with feedback to providers. Meet deadlines set by the Clinic (e.g. close of month). Adherence to Mandatory Overtime protocol if activated. Maintain patient confidentiality. Ability to use Epic, EncoderPro.com, Outlook, Microsoft Excel, and Microsoft Word computer systems. Ability to navigate internet sites to research coding guidelines. Demonstrate telephone skills and good customer service techniques. Flexible response to changing needs and duties within department. Our mission at Salem Clinic is to improve the health of those we serve in a spirit of compassion and respect.
    $57k-68k yearly est. Auto-Apply 17d ago
  • Certified Medical Coder

    Salem Clinic P C 4.2company rating

    Keizer, OR jobs

    At Salem Clinic, our Medical Coders play an important role in supporting patient care by ensuring medical services are accurately and thoughtfully coded. This position focuses on reviewing patient encounters, assigning appropriate codes, and working closely with clinical and administrative teams to support clear documentation, timely billing, and quality initiatives. We're looking for someone who is detail-oriented and enjoys collaborative work within a fast-paced healthcare environment. Full time opening at: Salem Clinic Inland Shores | 5900 Inland Shores Way N, Keizer OR 97303 | Medical Coding Department Benefits offered for full-time and part-time (budgeted 22.5-40 hrs/wk): 401(k) retirement plan- 10% employer contribution 100% Clinic paid employee premiums for medical, dental, and vision plans. 50% Clinic paid premiums for part-time employees. Free Lab and Imaging services when performed at Salem Clinic for those covered with the Clinic's medical plan. Health Reimbursement Account Life & Long-term Disability Insurance Paid time off & Holiday pay Flexible Spending Account Athletic & Weight Management Club Credits Bilingual pay differential program (3% wage increase if qualified) Job Summary/Position Objective: To accurately assign a CPT code(s), HCPCS code(s), CPT-4 modifier(s) and all applicable ICD-10-CM codes to all assigned patient encounters and procedures in a timely manner. To carefully review all tasks in assigned billing queue and return appropriate coding to HPS in a timely manner. To provide feedback on documentation opportunities to Director of EHI and nursing administration as appropriate. To support quality efforts via coding for HCC/RAF, adding CPT-II code(s) and working to close HCC gaps on payer portals. Required Knowledge, Skills, Abilities: Completion of high school or equivalent. Completion of course in health information management (claims analyst/medical biller/medical coding). Must have working knowledge of CPT, CPT-II, CPT-4, HCPCS and ICD-10-CM codes Organizational skills. Ability to communicate clearly, professionally and courteously; effective listening, writing, spelling, and reading skills. Communication skills must support face-to-face, telephone and written communication methods. Ability to follow oral and written instruction. Must have knowledge of medical terminology. Must have knowledge of human anatomy and physiology. Basic computer skills; familiarity with keyboard, 10-key, mouse, word processing and basic Microsoft operating system functionality. Ability to work quickly and accurately. Ability to interact with coworkers and providers tactfully, to be a team player. Essential Functions: Assign ICD-10-CM, CPT, CPT-II, CPT-4 and HCPCS codes to patient encounters and procedures. Keep up-to-date on changes in coding guidelines and requirements. Receive denials from Health Plan Services, review documentation and supply new appropriate code or thorough explanation as to why the code cannot be changed. Recognize documentation requirements and assist director with feedback to providers. Meet deadlines set by the Clinic (e.g. close of month). Adherence to Mandatory Overtime protocol if activated. Maintain patient confidentiality. Ability to use Epic, EncoderPro.com, Outlook, Microsoft Excel, and Microsoft Word computer systems. Ability to navigate internet sites to research coding guidelines. Demonstrate telephone skills and good customer service techniques. Flexible response to changing needs and duties within department. Our mission at Salem Clinic is to improve the health of those we serve in a spirit of compassion and respect. M-F | 8-5 40 hours/week
    $57k-68k yearly est. Auto-Apply 16d ago
  • Coder-Inpatient

    White River Health System Inc. 4.2company rating

    Batesville, AR jobs

    Job Description Coder-Inpatient JOB RESPONSIBILITY Perform Inpatient Medical Record Coding. Identify significant diagnoses and procedures and determine the principal diagnosis and procedure for each hospitalization accu rately 95‑100% of the time to meet standard; 94% or less is below standard as documented by quality assurance activities. Assign correct classification codes for identified diagnoses and procedures accurately - 95‑100% of the time to meet standard; 94% or less is below standard, as documented by quality assurance activities. 3. Sequence all procedures performed according to the established AHIMA guidelines. 4. Code all inpatient medical records as documented on the daily worklists. Work task desktop maintain AR daily productivity. Standard: 1. Code all IP records with a minimum of 2 charts per hour. The goal is to code within 4 -7 days from discharge date. Employee shall maintain ongoing continuing education and training as available. This will include seminars, literature, and discussion of issues that relate to the coding specialty. Employee must follow all coding guidelines and AHIMA's Code of Ethics
    $34k-39k yearly est. 6d ago
  • Clinical Coder II - Acute Care - Medical Records

    Atrium Health 4.7company rating

    Charlotte, NC jobs

    00131697 Employment Type: Full Time Shift: Day Shift Details: Monday-Friday 8am-5pm Standard Hours: 40.00 Department Name: Medical Records Location Details: 9401 Arrowpoint Job Summary Remote role. Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of low to moderate complexity within the Primary Enterprise acute care facilities. Essential Functions Reviews low to moderate complexity medical records to identify the appropriate principal diagnosis and procedures codes, and all appropriate secondary diagnoses and procedure codes, Present on Admission, Hospital Acquired Conditions and Core Measures Indicators for all diagnosis codes. Measures Indicators for all diagnosis codes. Facilitates appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines. Reviews charges including Evaluation and Management levels. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Abstracts coded data and other pertinent fields in the hospital electronic health record. Ensures the accuracy of data input. Meets established quality and productivity standards. Stays abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast paced office environment and/or at home environment. Education, Experience and Certifications. High School Diploma or GED and courses in Medical Terminology, Anatomy & Physiology and Pharmacology. College degree preferred. One to two years coding experience in acute care setting preferred. Current RHIT, RHIA, CCS, CPC-H, CPC-A, CIC or CCS-P preferred or obtained within one year plus a passing score on the Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Atrium Health is an EOE/AA Employer
    $43k-62k yearly est. 60d+ ago
  • Medical Auditor

    Methodist Health System 4.7company rating

    Dallas, TX jobs

    Remote or On-Site (Dallas, TX) Employment/Education History Requirements: Certifications : High school education or equivalent; some college credit; Bachelor's degree preferred. Certified Professional Coder (CPC) certification from AAPC or Certified Coding Specialist - Physician-based (CCS-P) certification from AHIMA with the appropriate level of experience for auditing and abstracting. Preferred : Certified Professional Medical Auditor (CPMA) certification from AAPC Experience/Knowledge : 2+ years of multispecialty auditing medical documentation experience for appropriate E&M level and CPT assignment or 4-5 years of multispecialty coding experience. Thorough knowledge of anatomy/medical terminology. Proficient with Microsoft Word and Excel. Experience with Epic preferred. Ability to communicate effectively via written and verbal communication. Ability to research payer and federal regulatory sites. Excellent knowledge of guidelines for ICD-10-CM, CPT , HCPCS, and regulatory guidance. Knowledge of CMS split/shared, teaching physician, incident-to, and scribe documentation guidelines. Critical thinking skills to assess and comprehend documentation in various forms within the medical record. Your Job Responsibilities: Duty 1 : Audit coder I & II assigned E&M levels and surgical/procedural codes against provider documentation for quarterly compliance program auditing requirements. Duty 2: Audit coder III denial actions and resolutions. Duty 3 : At the direction of the Director/Audit Manager, perform random risk audits for areas of concern to assure documentation standards are being met for billing/coding purposes. Duty 4 : Assist in training and education of coders and staff on compliance billing and coding principles for government and commercial payers. Duty 5 : Assists in research and responding to coder questions via e-mail. Duty 6 : Assists in production coding in order to maintain volume in work queues for end of month. Duty 7 : Assists in all other areas within the coding/auditing department as directed by Director/Audit Manager. Duty 8 : Adhere to patient and office confidentiality guidelines as outlined by the policies and procedures of MMG and MHS as well as HIPAA, red flag regulations, and any other polices that relate to compliance to federal program guidelines. Duty 9 : Supports the mission, vision, values and strategic goals of the Methodist Health System and the Methodist Medical Group. Other duties as assigned. Methodist Medical Group is the North Texas physician organization affiliated with Methodist Health System. Our fast-growing network of providers includes more than 60 healthcare clinics, an urgent care clinic, and a virtual care service known as MethodistNOW. Our employees enjoy not only competitive salaries but also the outstanding benefits package of Methodist Health System, which includes medical, dental, and vision insurance; a matched retirement plan; an employee wellness program; and more. The opportunities for career growth are equally generous. Our affiliation means being part of an award-winning workplace: 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023 Top 10 Military Friendly Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly Employer, 2023
    $63k-81k yearly est. Auto-Apply 60d+ ago
  • Medical Records Coder 2

    Methodist Health System 4.7company rating

    Dallas, TX jobs

    Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: TIME magazine Best Companies for Future Leaders, 2025 Great Place to Work Certified™, 2025 Glassdoor Best Places to Work, 2025 PressGaney HX Pinnacle of Excellence Award, 2024 PressGaney HX Guardian of Excellence Award, 2024 PressGaney HX Health System of the Year, 2024
    $64k-83k yearly est. Auto-Apply 14d ago
  • Medical Records Coder 2

    Methodist Health System 4.7company rating

    Dallas, TX jobs

    Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: * High school graduate or its equivalent * Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder * Proficient in detailed work * Maintain a professional image in handling confidential patient information * Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff * Team oriented Your Job Responsibilities: * Communicate clearly and openly * Build relationships to promote a collaborative environment * Be accountable for your performance * Always look for ways to improve the patient experience * Take initiative for your professional growth * Be engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: * TIME magazine Best Companies for Future Leaders, 2025 * Great Place to Work Certified, 2025 * Glassdoor Best Places to Work, 2025 * PressGaney HX Pinnacle of Excellence Award, 2024 * PressGaney HX Guardian of Excellence Award, 2024 * PressGaney HX Health System of the Year, 2024
    $64k-83k yearly est. 60d+ ago
  • R1354H - Medical & Death Record Review Auditor

    Lifegift 3.7company rating

    Houston, TX jobs

    Where You Can Grow as a Medical & Death Record Review Auditor? Kick-start the career of a lifetime where you can be a part of our mission of hope, working with an incredible team saving lives while modeling our values of Passion, Compassion, and Professionalism to the LifeGift community. LifeGift is currently looking for a Medical & Death Record Review Auditor an outstanding candidate with an auditing healthcare background. The ideal candidate will responsible for timely, systematic review of retrospective medical record data obtained from hospitals and used for determining donor potential and assessing hospital performance. The auditor provides the data to support LifeGift strategic plans to maximize donation potential and improve donation processes in each hospital. Do you possess the attributes to be a successful Medical & Death Record Review Auditor and perform the following essential functions? Works with director to create a schedule designed to complete medical record reviews and death record reviews in a timely manner Works with hospital staff to acquire access to hospital death lists and other appropriate records, utilizing remote electronic access when available Audits medical records thoroughly and accurately for assigned hospitals to ensure compliance with CMS standards for death record reviews Performs an analysis of appropriate referrals for timeliness and eligibility for organ donation Investigates discrepancies in reporting; resolving inaccuracies in data and reporting deviations that require further review or follow-up Ensures accuracy in data collection, data entry, and data analysis related to medical record review and donor potential Analyzes results of reports and identifies patterns and trends in data sets Documents all pertinent information in LifeGift's EMR and quality control systems Reports findings of medical record reviews on a regular basis with appropriate internal partners Completes data for hospital dashboards in a manner that allows for timely reporting Acts as a resource for the medical record review process, data collection, and data interpretation, providing ongoing communication and training as needed with key staff Assists in defining new data collection and development of reporting resources Do you have the education and experience to be a Medical & Death Review Auditor? . Associate's degree or equivalent from two-year college or technical school 3 years related experience and/or training in a clinical or quality assurance role preferred. Medical terminology and medical records & procedures experience required. Organ and tissue procurement and/or transplantation experience preferred. The Heart of Our Culture Established in 1987, LifeGift offers hope to the thousands of people in Texas and beyond who need lifesaving organ and tissue transplants. Our organization is diverse by nature, and inclusive by choice. LifeGift strives to reflect the communities where we live and work, and our multi-cultural and diverse team contributes an abundance of talent, abilities, and innovation that have continued to elevate our success. Rewards and Benefits for Your Career and Well-Being LifeGift values its team members and offers a variety of highly competitive benefits. Full-time team members have the opportunity to enroll in the following insurance plans: medical, dental, and vision, as well as life insurance, LTD and STD, and FSAs and HSAs that are pre-tax and to which LifeGift contributes. LifeGift also offers an exceptional retirement package that includes 403(b) and 401(a) retirement plans with the opportunity for a generous match. Additionally, LifeGift offers a tuition reimbursement program to encourage team members to expand their knowledge and further their education. LifeGift recognizes the importance of a work-life balance and encourages team members to take advantage of a generous vacation and sick leave plan. LifeGift is an equal opportunity employer! If you are qualified and want to be considered for a career that is life-changing, has purpose, and where you can be a part of an organization that cares about its employees, we encourage you to apply by completing the application at *************************
    $49k-71k yearly est. 10d ago
  • Behavioral Health Coder

    Bestcare Treatment Services Inc. 3.5company rating

    Redmond, OR jobs

    Job DescriptionDescription: JOB SUMMARY: The Behavioral Health Coder serves as an important member of the Billing Team. Primarily responsible for the coding and abstracting of client services. Standardized coding and classification systems, minimum data sets, data definitions and terminology will be utilized to ensure data is uniformly defined, collected, and verified. Ensure all coding and billing guidelines are adhered to for compliance with BestCare policies and practices, and ICD-10-CM and Medicare guidelines. ESSENTIAL FUNCTIONS: Serves as a coding subject-matter expert for the Billing staff to identify and help resolve issues to support quick and accurate billing, Is available as a resource for all BestCare sites on coding requirements and best practices; Maintains coding credentials as required by credentialing agency; Takes initiative to establish priorities, coordinates work activities and performs multiple and complex tasks while working independently and with minimal supervision in a remote setting; Completes special projects as assigned; Other related duties as assigned. ORGANIZATIONAL RESPONSIBILITIES: Performs work in alignment with BestCare's mission, vision, values; Supports the organization's commitment to fostering a culture of inclusivity, open-mindedness, equity, cultural awareness, compassion, and respect for all individuals; Strives to meet annual Program/Department goals and supports the organization's strategic goals; Adheres to the organization's Code of Conduct, Business Ethics, Employee Handbook, and all other policies, procedures, and relevant compliance standards; Understands and maintains professionalism and confidentiality per HIPAA, 42 CFR, and Oregon Statutes; Attends and participates in required program/staff meetings (remotely with some in-person), and completes assigned training timely and satisfactorily; Ensures that any required certifications and/or licenses are kept current and renewed timely; Works independently as well as participates as a positive, collaborative team member; Performs other organizational duties as needed. REQUIRED COMPETENCIES: Must have demonstrated competency or ability to attain competency for each of the following within a reasonable period: Proficient in ICD-10 CM codes on patient medical records for medical coding purposes; Proficient with CMS billing rules and associated coding and billing requirements; Understanding of and proficiency in using Epic Software Systems; High proficiency in MS Office 365 (Word, Excel, Outlook), databases, virtual meeting platforms, internet, and ability to learn new or updated software; Demonstrated knowledge and understanding of the full Revenue Cycle, demonstrated understanding of billing private insurance carriers (e.g. Pacific Source, Medicaid, etc.), Strong interpersonal and customer service skills; Strong communication skills (oral and written); Strong organizational skills, scheduling, and attention to detail, accuracy, and follow-through; Excellent time management skills with a proven ability to meet deadlines; Critical thinking skills Understand of and ability to maintain strict confidence as required by HIPAA, 42 CFR, and Oregon Statutes; Ability to build and maintain positive relationships; Ability to function well and use good judgment in a high-paced and at times stressful environment; Ability to manage conflict resolution and anger/fear/hostility/violence of others appropriately and effectively; Ability to work effectively and respectfully in a diverse, multi-cultural environment; Ability to work independently as well as participate as a positive, collaborative team member. Requirements: QUALIFICATIONS: EDUCATION AND/OR EXPERIENCE: Associate's degree in related field or combined equivalent in related education and experience Minimum 6 years of experience with Epic software systems Minimum 6 years of experience with revenue cycle billing Minimum 8 years of coding experience preferably Behavioral Health LICENSES AND CERTIFICATIONS: CPC, CRC, CCS Coding certification through AHIMA or AAPC required, or a more advanced certification (RHIT: Registered Health Information Technician, RHIA: Registered Health Information Associate) is required upon start Must maintain a valid Oregon Driver License or ability to obtain one upon hire, and be insurable under the organization's auto liability coverage policy (minimum 21 years of age and with no Type A violations in the past 3 years, or three (3) or more Type B violations) Must be currently certified through AAPC or AHIMA PREFERRED: Bilingual in English/Spanish a plus COC Coding certification
    $47k-54k yearly est. 12d ago

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