Upper Extremity: * Shoulders: Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
* Elbows: Cubital tunnel release, Bursectomy, Arthroplasty
* Wrist: Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
* Hands: Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations
Lower Extremity:
* Hips: Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
* Pelvis: Fracture repairs
* Femur: ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
* Knees: Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
* Tibia/Fibula: Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain
WORK MODEL/SALARY
Days: Monday - Friday
Hours: 8hrs a day, 80hrs a pay period
100% Remote
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
JOB SUMMARY
* The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
* The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
* For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
* Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
* Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
* The Coder 2 will abstract and enter required data.
ESSENTIAL FUNCTIONS OF THE ROLE
* Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
* Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
* Communicates with providers for missing documentation elements and offers guidance and education when needed.
* Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
* Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
* Reviews and edits charges.
KEY SUCCESS FACTORS
* Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
* Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
* Sound knowledge of anatomy, physiology, and medical terminology.
* Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
* Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
* Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
* Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Must have one of the following Certifications:
* Registered Health Information Administrator (RHIA)
* Registered Health Information Technologist (RHIT)
* Certified Coding Specialist (CCS)
* Certified Coding Specialist Physician-based (CCS-P)
* Certified Professional Coder (CPC)
* Certified Outpatient Coder (COC)
* Certified Inpatient Coder (CIC)
* Certified Interventional Radiology Cardiovascular Coder (CIRCC)
BENEFITS
Our competitive benefits package includes the following:
* Immediate eligibility for health and welfare benefits
* 401(k) savings plan with dollar-for-dollar match up to 5%
* Tuition Reimbursement
* PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
MQUALIFICATIONS
* EDUCATION - H.S. Diploma/GED Equivalent
* EXPERIENCE - 2 Years of Experience
* CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
* Cert Coding Specialist (CCS)
* Cert Coding Specialist-Physician (CCS-P)
* Cert Inpatient Coder (CIC)
* Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
* Cert Professional Coder (CPC)
* Reg Health Info Administrator (RHIA)
* Reg Health Information Technician (RHIT).
$26.7 hourly 13d ago
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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
Data Science - Agentic AI, Document Understanding Co-op
13 Ancestry.com DNA
Remote job
About Ancestry:
When you join Ancestry, you join a human-centered company where every person's story is important. Ancestry , the global leader in family history, connects everyone with their past so they can discover, preserve, and share their unique family stories. With our unparalleled collection of more than 65 billion records, over 3.5 million subscribers, and over 27 million people in our growing DNA network, customers can discover their family story and gain a new level of understanding about their lives. Over the past 40 years, we've built trusted relationships with millions of people who have chosen us as the platform for discovering, preserving, and sharing the most important information about themselves and their families.
We are committed to our location flexible work approach, allowing you to choose to work in the nearest office, from your home, or a hybrid of both (subject to location restrictions and roles that are required to be in the office- see the full list of eligible US locations HERE). We will continue to hire and promote beyond the boundaries of our office locations, to enable broadened possibilities for employee diversity.
Together, we work every day to foster a work environment that's inclusive as well as diverse, and where our people can be themselves. Every idea and perspective is valued so that our products and services reflect the global and diverse clients we serve.
Ancestry encourages applications from minorities, women, the disabled, protected veterans and all other qualified applicants. Passionate about dedicating your work to enriching people's lives? Join the curious.
Ancestry is seeking an exceptional and highly motivated Agentic AI, Document Understanding Co-op to join our AI Applied Science Content team. You'll play a vital role in the design and implementation of AI Native agentic systems that extract and organize text and image information from billions of historical and genealogical records enabling customers to discover, share, and connect with their family history. The work will focus on building autonomous, multi-agent workflows capable of complex reasoning, tool use, analysis, and self-correction. You will also work closely with engineering teams to train, optimize, and deploy solutions that promote product development, customer success, and content creation across our Family History business. This is a part-time, work-study-based opportunity for students in active master's or PhD programs in 2026.
What you will do:
Innovate with State-of-the-Art AI: Implement cutting-edge AI solutions for key Document Understanding tasks such as OCR/HTR, transcription, Named Entity Recognition (NER), Relation Extraction (RE), Coreference Resolution, Summarization, and Knowledge Graphs working with diverse genealogical and historical collections spanning newspapers, city directories, family history books, and vital records (i.e., birth, marriage, & death records).
Analyze and Optimize Multi-Modal Models: Evaluate the performance of multi-modal models in zero-shot and few-shot learning scenarios for comprehensive document understanding.
Architect Agentic Systems: Design and implement multi-agent workflows using frameworks like LangChain, LangGraph, CrewAI, or AutoGen to automate complex multi-step reasoning tasks in historical document analysis.
Evaluation & Observability: Establish "LLM-as-a-Judge" frameworks and use tools like Arize Phoenix, DeepEval, or RAGAS to monitor for hallucination, drift, and bias.
Collaborate on Cloud Deployment: Partner closely with ML Ops and Data Science Engineers to seamlessly deploy datasets, models, and pipelines in cloud environments.
Communicate Insights Effectively: Clearly and confidently present your findings, deliverables, and proposed solutions to technical and non-technical audiences, including teams, stakeholders, and executives.
Who You Are:
Currently pursuing an advanced degree (Master's or PhD preferred) in Computer Science, Data Science, Statistics, Mathematics, Linguistics, Engineering or related quantitative field with a strong data focus.
Specialization in AI & LLMs including familiarity with foundational models such as GPT, Gemini, Qwen, Llama, Claude, etc.
Experience with inference optimization, vLLM, LoRA, QLoRA, quantization, etc.
Familiar with embeddings, vector databases, transformer models, with software development experience.
Strong proficiency in Python and relevant tools and libraries, including transformer models, multi-modal models, and general NLP (e.g., Hugging Face Transformers, agentic frameworks and workflows, LangChain, LangGraph, CrewAI, AgentCore).
Familiarity with cloud platforms and related AI/ML services such as Google Cloud Platform, GCP, Gemini API, Vertex AI, AWS EC2, S3, SageMaker, Model Registry, and Bedrock is a plus.
Additional Information:
Ancestry is an Equal Opportunity Employer that makes employment decisions without regard to race, color, religious creed, national origin, ancestry, sex, pregnancy, sexual orientation, gender, gender identity, gender expression, age, mental or physical disability, medical condition, military or veteran status, citizenship, marital status, genetic information, or any other characteristic protected by applicable law. In addition, Ancestry will provide reasonable accommodations for qualified individuals with disabilities.
All job offers are contingent on a background check screen that complies with applicable law. For candidates who live in San Francisco, CA, pursuant to the San Francisco Fair Chance Ordinance, Ancestry will consider for employment qualified applicants with arrest and conviction records.
Ancestry is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at Ancestry via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Ancestry. No fee will be paid in the event the candidate is hired by Ancestry as a result of the referral or through other means.
$29k-41k yearly est. Auto-Apply 7d 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
Coding Specialist 4
University of Washington 4.4
Remote job
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a **RADIOLOGY CODER** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHTLIGHTS** Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing.
Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities
+ Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely.
+ Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities.
+ Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services.
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years' coding experience or equivalent education/experience
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC)
**UW Medicine - Where your Impact Goes Further**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
$71.1k-101.7k yearly 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
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 - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment.
Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.
$24.7-37.1 hourly 60d+ 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
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
Medical Coding Specialist II - Inpatient
UW Health 4.5
Remote job
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
$60k-76k yearly est. Auto-Apply 21h ago
Inpatient Coder (REMOTE)
Franciscan Missionaries of Our Lady University 4.0
Remote job
The Medical Coder 3 (inpatient and ambulatory surgery) abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 - CM/PCS and CPT codes to patient records according to established procedures. Works with coding databases and confirms DRG assignments. Familiar with standard concepts, practices, and procedures within a particular field. Relies on instructions and pre-established guidelines to perform the functions of the job. This position relies on guidelines and some experience and judgment to complete job and works under general supervision.
Responsibilities
* Coding/Abstracting
* Assists the Business Office and external agencies in clarification of coding regarding reimbursement issues. Handles all requests in a timely fashion.
* Quality/Performance
* Corresponds with other areas of the HIM department to ensure the necessary components are available for accurate coding and the highest quality of the patient's medical record.
* Maintains an accuracy rate of not less than 93% based on internal and/or external review and a productivity standard per 8 hour day, engages in problem identification and solving, and assists in data gathering and chart auditing as necessary.
* Demonstrates competencies in the service to our patients/customers of all ages by obtaining information in terms of customer needs. Speaks in a positive, professional manner about co-workers, physicians, and the facility.
* Attends meetings as required and strives to improve the quality of meetings by taking an active role in meeting topics. Participates in educational programs, in-services, and training sessions in an effort to share his/her own expertise with others and further the quality of education and personal growth provided to new personnel, volunteers, and interning students.
* DRG Coding Confirm APC Assignment
* Determines the appropriate sequencing of diseases, diagnoses, and surgeries. The Coder accurately assigns appropriate codes to patient records using ICD-9-CM system and CPT-4 guidelines.
* Other Duties as Assigned
* Performs other duties as assigned or requested.
Qualifications
Experience - RHIT/RHIA plus 5 years of acute care coding experience, or RHIT/RHIA with ICD-10 curriculum plus 3 years of acute care coding experience, or 7 years acute care coding experience; CCS substitutes for 1 year of acute care coding experience
Education - High School or equivalent
$39k-48k yearly est. 4d 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 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
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 Certified Professional Coder (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
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
Coding Specialist II, Remote
Brigham and Women's Hospital 4.6
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 6d ago
Professional Billing (PB) Coder - Cardiothoracic / Special Surgical
Sage Clinical RCM, LLC
Remote job
Job DescriptionDescription:
The Professional Billing Coder - Cardiothoracic / Special Surgical is responsible for accurate and compliant coding of physician professional services for complex surgical procedures. This role supports timely claim submission, regulatory compliance, and revenue integrity within a hospital-based professional billing environment.
Requirements:
Key Responsibilities
• Assign accurate CPT, HCPCS, and ICD-10-CM codes for cardiothoracic and other special surgical services
• Review operative reports, clinic notes, and supporting documentation to ensure complete and compliant coding
• Apply appropriate modifiers, bundling rules, and NCCI edits
• Ensure compliance with CMS, AMA, and payer-specific billing guidelines
• Identify documentation gaps and communicate clarification needs as appropriate
• Meet established productivity and quality standards
• Participate in internal quality reviews and audits as required
Required Qualifications
• Minimum 2+ years of professional billing coding experience
• Demonstrated experience coding cardiothoracic and complex surgical services
• Strong working knowledge of CPT, ICD-10-CM, HCPCS, modifiers, and NCCI edits
• CPC or equivalent coding certification preferred
• Experience in hospital-based physician billing environments
• Ability to work independently with strong attention to detail
Work Environment
Remote position with standard business hours
Independent, detail-oriented work with collaboration across teams
Healthcare client-focused environment with established quality standards
Why Join Sage Clinical RCM
Support leading healthcare organizations nationwide
Collaborative and quality-driven culture
Opportunity to contribute to audit accuracy and coding excellence without unrealistic productivity expectations
$29k-36k yearly est. 1d ago
Pre-Bill Coder Specialist - Inpatient
Advocate Health and Hospitals Corporation 4.6
Remote job
Department:
10351 Enterprise Revenue Cycle - Coding Production Operations: Administrative
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Monday-Friday, Flexible hours
This is a REMOTE Opportunity
Pay Range
$28.55 - $42.85
Prioritizes and codes and abstracts high dollar charts, day after discharge, as well as interim charts, at regular intervals, with a high degree of accuracy.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals to assign diagnosis and procedure codes utilizing ICD CM/PCS, CPT, and HCPCS.
Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. Assigns codes for present on admission, research, Hospital acquired Conditions and Core Measure Indicators for all diagnoses both concurrently and post-discharge.
Collaborates with other departments to clarify pre-bill coding documentation issues such for inpatient and outpatient to insure reimbursement and clinical outcomes.
Works claim edits for all patient types and may codes consecutive/combined accounts to comply with the 72-hour rule and other account combine scenarios.
Completes informal peer-review on inpatient and outpatient coders.
Tracks and trends quality information from internal and external sources to partner with the educational team on opportunities.
Communicates with Medical Staff, CDI, Post -bill for documentation clarification.
Utilizes EMR communication tools to track missing documentation on inpatient queries that require follow-up to facilitate coding in a timely fashion. Partners with HIM, Patient Accounts, and Integrity, when needed, to help resolve issues affecting reimbursement and outcomes.
Maintains current knowledge of changes in Inpatient coding and reimbursement guidelines and regulations as well as new applications or settings for coding all types of patients.
Must be able to use critical decision-making skills to determine when to query to clarify documentation independently for outcomes, reimbursement and benchmarking.
License/Registration/Certification:
Must have a certification through American Health Information Management Association (AHIMA) or American Academy of professional Coders (AAPC)
Education:
Two Year associate degree or equivalent work experience
Experience:
Five to Seven years of inpatient coding experience in an acute care inpatient setting in an Academic Inpatient Care Tertiary Facility
Knowledge, Skills & Abilities Required:
Advanced proficiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
Excellent communication (oral and written) and interpersonal skills.
Excellent organization, prioritization, and reading comprehension skills.
Excellent analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.
Ability to meet deadlines while working in a fast-paced environment.
Ability to take initiative and work collaboratively with others.
Physical Requirements and Working Conditions:
Exposed to a normal office environment.
Must be able to sit for extended periods of time.
Must be able to continuously concentrate.
Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
Operates all equipment necessary to perform the job.
This indicates the general nature and level of work expected of the incumbent. It is not designed
to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
#LI-Remote
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
$29k-35k 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. 5d 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.