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Health Information Technician jobs at LifePoint Health

- 20 jobs
  • Remote Inpatient Coding Specialist ($5k Sign On Bonus)

    Lifepoint Hospitals 4.1company rating

    Health information technician job at LifePoint Health

    Inpatient Coding Specialist Join Our Team and Earn a $5,000 Sign-On Bonus! Schedule: Flexible Shifts! You provide your manager with the days and start/end time you are available to complete your 40hrs per week. All United States time zones are welcome. Job Location Type: Remote Your experience matters At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier . How you'll contribute As an Inpatient Coding Specialist, you will be responsible for Assigning diagnosis and procedure codes using the appropriate coding classification system on all episodes of care inpatient encounters according to coding conventions, guidelines, and hospital policy, analyzing questionable documentation to ensure the accuracy of the information and resolve identified issues. Ensure the accurate selection of the principal diagnosis, principal procedure, and all applicable diagnoses and procedures. Ensure compliance with official guidelines (ICD-10-CM, ICD-10-PCS, and/or AHA Coding Clinic), AHIMA Standards of Ethical Coding, and LifePoint Health Support Center (HSC) policies and procedures. A Inpatient Coding Specialist who excels in this role: * Assign appropriate diagnosis and procedure codes utilizing ICD 10-CM/PCS codes according to the Centers for Medicare & Medicaid Services (CMS) requirements for hospital billing. * Achieve and maintain 95% accuracy on quality reviews and assigned productivity standards. * Maintain knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. * Follow coding workflows for service type to include addressing compliance reviews. * Submit physician queries when clarification of documentation is needed. * Facilitate a positive working relationship with physicians, nurses, medical staff, and hospital employees to ensure that all work-related encounters are productive. * May assist in training and reviewing the work of other coders for accuracy and efficiency. * Make recommendations to the supervisor, and implement and monitor results as appropriate in support of the overall goals of the department. * Seek advice and guidance as needed to ensure proper understanding. * Assist others with responsibilities and adjusts work schedule to meet department needs. * Use independent discretion/decision-making while effectively working remotely. * Attend required educational webinars, conference calls, and other coding seminars, and participate in all formal and informal coding discussions. * Maintain coding education hours and renew annual coding credentials as applicable. * Complete all assigned compliance courses within the designated period. * Conform to AHIMA's Code of Ethics and Standards of Ethical Coding, LifePoint Attendance Policy, and ensure patient/employee privacy and dignity by maintaining confidentiality with no infractions. * Other related job tasks or responsibilities as assigned. Why join us We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers: * Comprehensive Benefits: Multiple levels of medical, dental and vision coverage- tailored benefit options for part-time and PRN employees, and more. * Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. * Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. * Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). * Professional Development: Ongoing learning and career advancement opportunities. What we're looking for * Education: Associate degree in health-related field preferred. * Experience: One year of inpatient coding experience in an acute care hospital is preferred. * Certifications: Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) preferred. EEOC Statement "Lifepoint Health an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment." Employment Sponsorship Statement "You must be work authorized in the United States without the need for employer sponsorship"
    $49k-61k yearly est. 20d ago
  • HIM Coder 3, PRN

    Community Health System 4.5company rating

    Fresno, CA jobs

    Opportunities for you! Consecutively recognized as a top employer by Forbes Vacation time starts building on Day 1, and builds with your seniority 403(b) retirement plan with up to 7% matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here. Responsibilities This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role! Review charts thoroughly to ascertain all diagnosis and procedures. Code all diagnoses and procedures in accordance to ICD-10-CM/PCS and CPT-4 coding practices, rules and guidelines for all inpatient services, observation and ambulatory accounts. Maintains 99% rate of information correctly abstracted. Completes abstract competency annually. Maintain the knowledge base necessary for current coding practices and remain up to date with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety. Whether working independently or alongside teammates, you'll contribute to a standard of excellence that defines the Community experience from day one! Qualifications Education & Experience High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate Completion of courses in Medical Terminology, Anatomy and Physiology 5 years of recent inpatient coding experience in an acute care setting Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment Licenses and Certifications CCS - Certified Coding Specialist Fully Remote Disclaimers • Pay ranges listed are an estimate and subject to change. • If any bonuses are noted, they are only applicable to external hires meeting criteria.
    $57k-78k yearly est. Auto-Apply 60d+ ago
  • HIM Coder 3, PRN

    Community Health System 4.5company rating

    Fresno, CA jobs

    Job Description Opportunities for you! Consecutively recognized as a top employer by Forbes Vacation time starts building on Day 1, and builds with your seniority 403(b) retirement plan with up to 7% matching contributions Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community. We know that our ability to provide the highest level of care is through taking care of our incredible teams. Want to learn more? Click here. Responsibilities This role serves the entire Community Health System as part of a team of over 30 people made up of coders, clerical support and educators. This team works together to meet and exceed common goals. In this remote position, you will assign ICD-10-CM/PCS and CPT-4 codes for statistical and reimbursement requirements to inpatient and/or outpatient accounts. We use the most current and up-to-date technology and software, meaning you will have the constant opportunity to grow and learn in your role! Review charts thoroughly to ascertain all diagnosis and procedures. Code all diagnoses and procedures in accordance to ICD-10-CM/PCS and CPT-4 coding practices, rules and guidelines for all inpatient services, observation and ambulatory accounts. Maintains 99% rate of information correctly abstracted. Completes abstract competency annually. Maintain the knowledge base necessary for current coding practices and remain up to date with the following manuals: Administration, Health Information Management Services, Emergency Management and Safety. Whether working independently or alongside teammates, you'll contribute to a standard of excellence that defines the Community experience from day one! Qualifications Education & Experience High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required Completion of courses in Medical Terminology, Anatomy and Physiology required 5 years of recent inpatient coding experience in an acute care setting required Proficient in ICD-10-CM/PCS and CPT-4 coding, DRG and APRDRG assignment required Licenses and Certifications CCS - Certified Coding Specialist required Fully Remote
    $57k-78k yearly est. 22d ago
  • Inpatient Coder - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). * Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility. * Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines * Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls. * DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures * Proficient at writing AHIMA compliant physician queries * Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager * Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines. * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency * Works collaboratively with CDI, Quality and other facility leadership * Functional knowledge of facility EMR, encoder, CDI tool and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * One to three years experience performing inpatient coding in acute care setting required * High school graduate or equivalent is required * Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA RHIT or RHIA or AAPC CCS approved credential PHYSICAL DEMANDS 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. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate WORK 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. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $27.3-41 hourly 12d ago
  • Inpatient Coder - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for assigning diagnostic and procedural codes to inpatient charts using ICD-10-CM and ICD-10-PCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Coding: Reviews medical records for the determination of accurate code assignment of all documented diagnoses and procedures in accordance with Official Coding Guidelines. Adheres to Standards of Ethical Coding (AHIMA). * Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates consistency in achieving or exceeding 95.5% coding accuracy in the selection of principal and secondary diagnoses ((including DRG, MCC & CC, SOI/ROM)) and procedures. Demonstrates accuracy and consistency in abstracting elements defined by per facility. * Coder Productivity: Meets and/or exceeds Conifer's inpatient coding productivity guidelines * Physician Queries: Demonstrates strong skills in creating appropriate and compliant physician retrospective coding queries. * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and ICD-10-PCS coding. Completes mandatory coding education as assigned. Quarterly review of AHA Coding Clinic. Attends all required coding operations conference calls. * DNFB: Reviews held accounts daily for resolution in support of coding DNFB performance. Communicates barriers to leaders ( physician queries, missing documentation, second level review, DRG reconciliation, etc.) for appropriate follow-up and resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Strong knowledge of MS-DRG and APR DRG classification and reimbursement structures * Proficient at writing AHIMA compliant physician queries * Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager * Proficient in researching and responding to Business Office questions related to coding and/or payer-specific coding guidelines. * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency * Works collaboratively with CDI, Quality and other facility leadership * Functional knowledge of facility EMR, encoder, CDI tool and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * One to three years experience performing inpatient coding in acute care setting required * High school graduate or equivalent is required * Associate or Bachelor's Degree in Health Information, Nursing, or other related field preferred. Years of coding experience would be considered in lieu of educational requirements. CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA RHIT or RHIA or AAPC CCS approved credential PHYSICAL DEMANDS 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. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments if appropriate WORK 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. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $27.30-$40.95 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $27.3-41 hourly 34d ago
  • Edit Senior Coder - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    This position will be functioning under minimal supervision while utilizing independent decision making. This position will assist the manager and supervisor in training new team members, coordinate inquiries from ancillary departments regarding DNFB and edit tasks. The Sr. Edit Coder will investigate and solve edit issues and communicate root cause data to management in order mitigate potential upstream and downstream impacts. Responsible for modifying and completing moderate to high complexity reviewing and resolving coding and charge edits using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. Working in billing editor systems as required. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Performs claim edit reviews on outpatient encounters to validate appropriateness of the CPT codes, HCPCS Level II codes, and modifier assignments, APC group appropriateness, review for missed secondary diagnoses and/or procedures, and ensure compliance with all APC mandates and outpatient reporting requirements. Monitors medical visit code selection by departments against facility specific criteria for appropriateness. Assists in the development of such criteria as needed. Addresses CCI and LCD edits within the various billing editors while abiding by the Standards of Ethical Coding as set forth by the American Health Information Management Association. Meets and/or exceeds Conifer's Edit Coder productivity standards. * Runs and submits coding operational reports to leadership as requested, reviews data and identifies opportunities or trends. Demonstrates working knowledge of DNFB and uses data to drive performance excellence. Ability to analyze, display, and communicate data in meaningful manner. Ability to maneuver thru various electronic systems effectively. * Ability to deal with customer/partner issues and resolve conflict. Ability to multi-task and meet deadlines. Will act as a resource for Edit Coders. * Reviews claim denials and utilizes the medical record in determining accurate code assignment of all documented diagnoses and procedures adhering to the standards of ethical coding. * Monitors DNFB report for outstanding and/or uncoded encounters to ensure timeliness of coding completion. Brings identified issues to department managers for resolution. KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Three years minimum hospital outpatient coding/edit experience * Advanced personal computing skills including MS Outlook, MS Word, MS Excel * Advanced technical skills required to learn and navigate a variety of software systems, trouble-shoot computer problems, and work efficiently in a virtual environment * Strong written and verbal communication skills * Ability to think/work independently, yet interact positively with team * Advanced problem-solving skills and ability to quickly analyze a situation. * Comprehensive knowledge of ICD-10 and CPT coding systems. * Strong knowledge base of changes in LCDs and NCDs. * Strong knowledge base of current NCCI and OCE guidelines * Attention to detail is critical to this position * Other functions as deemed necessary to complete and final bill claims accurately Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience required to perform the job. * Previous auditing experience or strong training background in coding and reimbursement * Outstanding interpersonal communication skills as well as excellent oral and written communication skills * Comprehensive knowledge of the APC structure and regulatory requirements. * Knowledge of medical terminology, anatomy and physiology, disease process, and surgical procedures CERTIFICATES, LICENSES, REGISTRATIONS Required: AHIMA RHIT or RHIA or AAPC CCS, CPC approved credential PHYSICAL DEMANDS 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. * Ability to lift 15-20lbs * Ability to sit and work at a computer for a prolonged period of time * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK 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. * Office/Hospital Work Environment * Works in a private office space in the coder's home per Conifer Telecommuter Policy as defined in the Telecommuting Program Guide OTHER Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities, and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost, and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $24.82 - $37.23 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $24.8-37.2 hourly 5d ago
  • PRN Inpatient Corporate Coder - Remote based in the US

    Tenet Healthcare Corporation 4.5company rating

    Dallas, TX jobs

    Who We Are We are a community built on care. Our caregivers and supporting staff extend compassion to those in need, helping to improve the health and well-being of those we serve, and provide comfort and healing. Your community is our community. Our Story We started out as a small operation in California. In May 1969, we acquired four hospitals, some additional care facilities and real estate for the future development of hospitals. Over the years, we've grown tremendously in size, scope and capability, building a home in new markets over time, and curating those homes to provide a compassionate environment for those entrusting us with their care. We have a rich history at Tenet. There are so many stories of compassionate care; so many 'firsts' in terms of medical innovation; so many examples of enhancing healthcare delivery and shaping a business that is truly centered around patients and community need. Tenet and our predecessors have enabled us to touch many different elements of healthcare and make a difference in the lives of others. Our Impact Today Today, we are leading health system and services platform that continues to evolve in lockstep with community need. Tenet's operations include three businesses - our hospitals and physicians, USPI and Conifer Health Solutions. Our impact spreads far and deep with 65 hospitals and approximately 510 outpatient centers and additional sites of care. We are differentiated by our top notch medical specialists and service lines that are tailored within each community we serve. The work Conifer is doing will help provide the foundation for better health for clients across the country, through the delivery of healthcare-focused revenue cycle management and value-based care solutions. Together as an enterprise, we work to save lives and can accept nothing less than excellence from ourselves in service of our patients and their families, every day. Tenet Healthcare has immediate needs for remote, home-based Inpatient Corporate Coders to support the hospital business. Corporate Coders can be based anywhere in the country with home internet access. The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. * Accurately and productively code/abstract patient health documentation for Tenet facilities. * Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. * Assisting in coding quality reviews/audits and second level reviews as needed. * Attends Tenet coding educations and maintains coding credentials. Required: * Associates or higher-level degree in a Health Information Management discipline. * 1-3 years inpatient coding experience. * Skilled and working knowledge of MS Office suite. * Strong technical background and electronic medical record experience. * Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). Preferred: * Bachelor's or higher-level degree in a Health Information Management discipline. * 3+ years of inpatient coding experience. * Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, AD&D, and life insurance * Paid time off (vacation & sick leave) * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $26.4-39 hourly 14d ago
  • Inpatient Corporate Coder - Remote based in the US

    Tenet Healthcare Corporation 4.5company rating

    Dallas, TX jobs

    * Accurately and productively code/abstract patient health documentation for Tenet facilities. * Utilize coding abilities to review flagged cases, in CARDS and RevInt for coding accuracy. * Assisting in coding quality reviews/audits and second level reviews as needed. * Attends Tenet coding educations and maintains coding credentials. #LI-MJ1 The Corporate Coder ("CC") functions under the direction of the Health Information Corporate Coding Manager. The CC is responsible for accurate coding and abstracting of clinical information from the medical record. The CC is responsible for maintaining standards for coding data quality and integrity, as well as productivity within established guidelines. The CC is responsible for coding of Tenet facilities as assigned, assisting with productive coding to maintain DNFC, assisting with quality chart reviews, assisting with the training of new CC's and/or other projects where indicated. Required: * Associates or higher-level degree in a Health Information Management discipline. * Successful completion of at least one AHIMA (American Health Information Management Association) certified program with achievement of the correlating professional credential preferred (RHIA, RHIT, and / or CCS, etc.). * 1-3 years inpatient coding experience. * Skilled and working knowledge of MS Office suite. * Strong technical background and electronic medical record experience. Preferred: * Bachelor's or higher-level degree in a Health Information Management discipline. * 3+ years of inpatient coding experience. * Coding experience in a large, complex health system. A pre-employment coding proficiency assessment will be administered. Compensation * Pay: $26.40 to $39.00 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. Benefits The following benefits are available, subject to employment status: * Medical, dental, vision, disability, life, AD&D and business travel insurance * Paid time off (vacation & sick leave) * Discretionary 401k match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance. * For Colorado employees, paid leave in accordance with Colorado's Healthy Families and Workplaces Act is available. #LI-CM7 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $26.4-39 hourly 14d ago
  • Outpatient Coder II - Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    Responsible for assigning diagnostic and procedural codes to patient charts of moderate to high complexity using ICD-10-CM, CPT and HCPCS or any other designated coding classification system in accordance with coding rules and regulations. Abides by the Standards of Ethical Coding as set forth by AHIMA. Abstracting required clinical information from the medical record. ESSENTIAL DUTIES AND RESPONSIBILITIES Include the following. Others may be assigned. * Coding: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). * Abstracting: Reviews medical records to determine accurate required abstracting elements (facility/client specific elements) including appropriate discharge disposition. * Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by per facility. * Goal: Average coding quality standard of =>95% accuracy per monitoring period. * Does not meet = * Meets => 95% accuracy * Exceeds =>95.01% accuracy * Coding Labor Productivity: Meets and/or exceeds Conifer's coding productivity guidelines. * Professional Development: Stays current with AHA Official Coding and Reporting Guidelines, CMS and other agency directives for ICD-10-CM and CPT coding. Attends mandatory coding seminars on annual basis (IPPS and OPPS, ICD-10-CM and CPT updates) for inpatient and outpatient coding. Quarterly review of AHA Coding Clinic. Attends Quarterly Coding Updates and all coding conference calls * Communicates and resolves coding issues (lacking documentation, physician queries, etc.) for appropriate follow-up and resolution KNOWLEDGE, SKILLS, ABILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Proficient in outpatient diagnosis coding guidelines * Proficient in CPT/HCPCS code assignment including Evaluation & Management facility coding guidelines * Ability to establish and maintain effective working relationships as required by the duties of the position * Adept at comparing documentation, code assignment and charge in the financial system for accuracy and completeness and elevating concerns to the appropriate manager * Ability to establish and maintain effective working relationships as required by the duties of the position * Ability to concentrate and accomplish tasks with explicit accuracy * Ability to use office equipment and automated systems/applications/software at an acceptable level of proficiency * Functional knowledge of facility EMR, encoder and other support software Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE Include minimum education, technical training, and/or experience preferred to perform the job. * One year of experience performing medical record coding in acute care setting preferred * High school graduate or equivalent is required * Completion of basic coding course (academic, seminar, workshop or facility-based), including medical terminology and basic anatomy and physiology, or an equivalent combination of education and experience also required CERTIFICATES, LICENSES, REGISTRATIONS * Required: AHIMA or AAPC approved credential PHYSICAL DEMANDS 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. * Must be able to work in sitting position, use computer and answer telephone * Ability to travel * Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments WORK 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. * Office Work Environment * Hospital Work Environment OTHER * Must be able to travel nationally as needed, not to exceed 10% As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! Compensation and Benefit Information Compensation * Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 34d ago
  • Physician Services Coding Specialist II - Remote Production Denials

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES * Assign ICD-10, CPT, HCPCS and modifiers codes from documentation * Review and appropriately resolve pre-bill edits * Review and appropriately resolve coding denials * Meet or exceed productivity standards * Meet or exceed accuracy rate of 95.5% in monthly internal audits * Effectively present coding issues to internal team members, internal clients, or external clients * Deliver information in a one-on-one or small group format to peers * Meet deadlines and complete assignments before monthly closing dates * Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines * Other duties as assigned Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE * Vocational or technical education beyond high school * Minimum of 3-5 years coding experience * CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding * Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations * Must possess knowledge of third-party reimbursement regulations and billing practices * Ability to examine documents for accuracy and completeness * Detail oriented with the ability to identify and resolve problems * Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations * Detail oriented with the ability to identify and resolve problems * Ability to communicate clearly and work effectively with co-workers * Ability to work as a team member in all activities * Conduct self in an ethical, honest, and professional manner * Demonstrate continued willingness to learn and grow * Proficient in Microsoft Word, Excel POSITION COMPETENCIES: * Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members. * Communicates Effectively - Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker's message without interruption. Tailors writing to audience using correct grammar and spelling. * Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines. * Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development. * Displays Adaptability - Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles. * Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations. * Focus on the Customer/Client - Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients. * Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner. * Shows Reliability - Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully. Compensation and Benefit Information Compensation Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 20h ago
  • Physician Services Coding Specialist II - Production Denials Remote

    Tenet Healthcare Corporation 4.5company rating

    Frisco, TX jobs

    The primary purpose of the SPEC, PHYS SVC CODING II is to code physician charges by assigning ICD-10, CPT, HCPCS codes and modifiers from medical record documentation. Must have the ability to utilize multiple resources to support code assignment. Must possess knowledge on how to resolve coding denials and pre-bill coding edits. Productivity and accuracy are measured via internal audits and must be maintained. Level II roles include but are not limited to evaluation and management coding, radiology, and emergency department coding. ESSENTIAL DUTIES AND RESPONSIBILITIES * Assign ICD-10, CPT, HCPCS and modifiers codes from documentation * Review and appropriately resolve pre-bill edits * Review and appropriately resolve coding denials * Meet or exceed productivity standards * Meet or exceed accuracy rate of 95.5% in monthly internal audits * Effectively present coding issues to internal team members, internal clients, or external clients * Deliver information in a one-on-one or small group format to peers * Meet deadlines and complete assignments before monthly closing dates * Locate and apply CCI, LCD, NCD and other applicable coding rules and client specific guidelines * Other duties as assigned Conifer requires its candidates, as applicable and as permitted by law, to obtain and provide confirmation of all required vaccinations and screenings prior to the start of employment. This may include, but is not limited to, the COVID-19 vaccination, influenza vaccination, and/or any future required vaccines and screenings. EDUCATION / EXPERIENCE * Vocational or technical education beyond high school * Minimum of 3-5 years coding experience * CPC or CCS-P or equivalent certification Multi-specialty Evaluation and Management coding * Demonstrate working knowledge of medical terminology, human anatomy, and coding rules and regulations * Must possess knowledge of third-party reimbursement regulations and billing practices * Ability to examine documents for accuracy and completeness * Detail oriented with the ability to identify and resolve problems * Must possess knowledge of CCI, LCD, NCD and other applicable coding rules and regulations * Detail oriented with the ability to identify and resolve problems * Ability to communicate clearly and work effectively with co-workers * Ability to work as a team member in all activities * Conduct self in an ethical, honest, and professional manner * Demonstrate continued willingness to learn and grow * Proficient in Microsoft Word, Excel POSITION COMPETENCIES: * Builds Team Relationships - Invites others to share opinions. Partners with employees in other departments. Actively seeks ways to help team members. * Communicates Effectively - Expresses ideas clearly and succinctly with small or large audiences. Listens attentively to speaker's message without interruption. Tailors writing to audience using correct grammar and spelling. * Compliance with Laws, Policies and Procedures - Adheres to company handbook and policies. Demonstrates behavior consistent with Code of Conduct. Adheres to compliance program and guidelines. * Develops Self - Seeks opportunities for continuous learning. Modifies behavior in response to feedback. Knows personal strengths and weaknesses and demonstrates ownership for personal development. * Displays Adaptability - Performs well in high pressure or stressful situations. Works effectively when direction is unclear or rapidly changing. Demonstrates persistence in the face of obstacles. * Drives for Results - Delivers high quality work and attains results. Demonstrates personal drive and pushes self and others for results and quality work. Response appropriately to urgent situations. * Focus on the Customer/Client - Ensures that clients have a positive experience. Responds to clients in a timely manner. Demonstrates tact and empathy when responding to clients. * Respects Others - Displays sensitivity to the needs and concerns of others. Interacts with others in an open, non-threatening manner. * Shows Reliability - Takes personal responsibility for actions and decisions. Consistently works assigned schedule. Acts responsibly and can be counted on to accomplish goals successfully. Compensation and Benefit Information Compensation Pay: $20.51 - $30.77 per hour. Compensation depends on location, qualifications, and experience. * Position may be eligible for a signing bonus for qualified new hires, subject to employment status. * Conifer observed holidays receive time and a half. Benefits Conifer offers the following benefits, subject to employment status: * Medical, dental, vision, disability, and life insurance * Paid time off (vacation & sick leave) - min of 12 days per year, accrue at a rate of approximately 1.84 hours per 40 hours worked. * 401k with up to 6% employer match * 10 paid holidays per year * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, AD&D, auto & home insurance. * For Colorado employees, Conifer offers paid leave in accordance with Colorado's Healthy Families and Workplaces Act. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
    $20.5-30.8 hourly 13d ago
  • Remote Physician Pro Fee Coding Specialist-Orthopedics

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Multi-Specialty Physician Coder is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 60d+ ago
  • Remote Physician Pro Fee Coding Specialist-Cardiology

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Remote Physician Pro Fee Coding Specialist-Cardiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 60d+ ago
  • Remote Physician Pro Fee Coding Specialist - Radiation Oncology

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Remote Physician Pro Fee Coding Specialist-Radiation Oncology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 48d ago
  • Remote Physician Pro Fee Coding Specialist-Orthopedics

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Remote Physician Pro Fee Coding Specialist-Orthopedics is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 41d ago
  • Remote Physician Pro Fee Coding Specialist-Urology

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Remote Physician Pro Fee Coding Specialist-Cardiology is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 60d+ ago
  • Remote Physician Pro Fee Coding Specialist-Hospital Medicine

    Community Health Systems 4.5company rating

    Franklin, TN jobs

    The Remote Physician Pro Fee Coding Specialist-Hospital Medicine is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. + Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). + Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. + Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. + Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. + Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. + Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. + Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. + Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. + Performs other duties as assigned. + Maintains regular and reliable attendance. + Complies with all policies and standards. **Qualifications** + H.S. Diploma or GED required + Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred + 2-4 years of experience in physician coding, professional fee coding, or medical billing required + Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred **Knowledge, Skills and Abilities** + Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. + Understanding of modifier usage, place-of-service coding, and payer billing guidelines. + Experience with electronic health records (EHR), coding software, and claim processing systems. + Ability to identify documentation deficiencies and escalate for provider education. + Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. + Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. + Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. **Licenses and Certifications** + Certified Coder-AHIMA or AAPC (CPC) required or + CCS-Certified Coding Specialist (CCS-P) required + Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred Equal Employment Opportunity This organization does not discriminate in any way to deprive any person of employment opportunities or otherwise adversely affect the status of any employee because of race, color, religion, sex, sexual orientation, genetic information, gender identity, national origin, age, disability, citizenship, veteran status, or military or uniformed services, in accordance with all applicable governmental laws and regulations. In addition, the facility complies with all applicable federal, state and local laws governing nondiscrimination in employment. This applies to all terms and conditions of employment including, but not limited to: hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. If you are an applicant with a mental or physical disability who needs a reasonable accommodation for any part of the application or hiring process, contact the director of Human Resources at the facility to which you are seeking employment; Simply go to ************************************************* to obtain the main telephone number of the facility and ask for Human Resources.
    $37k-56k yearly est. 14d ago
  • Remote Coder III-IP Coder

    Community Health Systems 4.5company rating

    Remote

    We know it's not just about finding a job. It's about finding a place where you are respected, valued, and where your work is purposeful and fulfilling. At CHS, our coding team recognizes your individual talents, encourages professional development, and provides opportunity for career advancement. Community Health Systems is one of the nation's leading healthcare providers. Developing and operating healthcare delivery systems in 40 distinct markets across 14 states, CHS is committed to helping people get well and live healthier. CHS operates 70 acute-care hospitals and more than 1,000 other sites of care, including physician practices, urgent care centers, freestanding emergency departments, occupational medicine clinics, imaging centers, cancer centers and ambulatory surgery centers. Job Summary As a member of the 100% US Based HIM Central Services coding team, the Coder IP provides inpatient coding assistance for a set of HIM Central Services-supported CHS hospitals. The coder IP reviews patient records and assigns accurate codes for each diagnosis and procedure, applying knowledge of medical terminology, disease processes, and pharmacology while demonstrating strong data quality and integrity skills. Independent decision-making is required for accurate ICD-10-CM and PCS code assignments, which play a key role in determining CHS's reimbursement potential while ensuring adherence to compliant coding standards and corporate policies for accurate billing. Essential Functions Performs remote coding for CHS hospitals for all inpatient types via review of electronic medical records. Primarily codes inpatient records and may have experience in outpatient coding. Submits queries to providers for documentation clarification to include diagnosis clarification based on clinical indicators and coding specificity requirements. Consults the Manager, Corporate Coding or other available resources and works out difficult codes and/or coding problems. Attends coding education as scheduled. Maintains productivity levels set forth by Community Health Systems while maintaining a 95% coding accuracy rate. Collaborates with facility CDI to ensure complete and accurate final coding based on available documentation. Performs other duties as assigned. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Health Information Management or related field preferred or 1 year coding certification in Health Information Management or related field preferred 1-3 years acute care hospital inpatient coding experience including coding complex cardiac and neuroscience procedures required 1-3 years Experience with virtual desktop image, electronic medical record systems, encoding systems as well as word processing and spreadsheet software required Knowledge, Skills and Abilities Knowledge of related prospective payment systems, anatomy, physiology, and medical terminology. Broad knowledge of pharmacology indications for drug usage and related adverse reactions. Ability to maintain confidentiality of patient information in accordance with HIPAA guidelines. Ability to work effectively with co-workers, management and physicians. Ability to read and understand oral and written instructions and follow written protocols. Licenses and Certifications Certified Coder-AHIMA or AAPC Certified Inpatient Coder (CIC) required or Certified Coder-AHIMA or AAPC Certified Coding Specialist (CCS) required or RHIT - Registered Health Information Technician AHIMA RHIT required or RHIA - Registered Health Information Administrator AHIMA RHIA required or
    $41k-63k yearly est. Auto-Apply 60d+ ago
  • Remote Physician Pro Fee Coding Specialist-Hospital Medicine

    Community Health Systems 4.5company rating

    Remote

    The Remote Physician Pro Fee Coding Specialist-Hospital Medicine is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. Essential Functions Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications H.S. Diploma or GED required Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred 2-4 years of experience in physician coding, professional fee coding, or medical billing required Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred Knowledge, Skills and Abilities Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. Understanding of modifier usage, place-of-service coding, and payer billing guidelines. Experience with electronic health records (EHR), coding software, and claim processing systems. Ability to identify documentation deficiencies and escalate for provider education. Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. Licenses and Certifications Certified Coder-AHIMA or AAPC (CPC) required or CCS-Certified Coding Specialist (CCS-P) required Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
    $41k-63k yearly est. Auto-Apply 15d ago
  • Remote Physician Pro Fee Coding Specialist-Hospital Medicine

    Community Health System 4.5company rating

    Remote

    The Remote Physician Pro Fee Coding Specialist-Hospital Medicine is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for professional fee services documented in the medical record. This role ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate standards. The Physician Coder plays a key role in revenue cycle accuracy by identifying documentation gaps, ensuring coding integrity, and working collaboratively with internal teams to support physician coding compliance and reimbursement. Essential Functions * Assigns accurate CPT, HCPCS, and ICD-10 codes for professional services, procedures, diagnoses, and treatments based on provider documentation. * Ensures compliance with governmental regulations, third-party payer policies, and corporate coding protocols, following National Correct Coding Initiative (NCCI) edits, Local Coverage Determinations (LCDs), and National Coverage Determinations (NCDs). * Performs coding audits and quality reviews, verifying accuracy of documentation and identifying areas for provider education. * Works coding-related claim edits, holds, and scrubs in the electronic billing system (e.g., Athena Collector), ensuring timely claim resolution and reimbursement. * Collaborates with physicians, revenue cycle teams, and coding education staff, requesting clarification when necessary to ensure optimal documentation and compliance. * Performs edit checks on coded data before transmittal, identifying and correcting errors as needed. * Maintains strict confidentiality of patient records, provider information, and financial data, adhering to HIPAA and corporate compliance policies. * Escalates documentation or coding issues to the coding education team for provider training and improved documentation practices. * Assists in coding-related special projects, ensuring accurate reporting and analysis of coding data for operational improvement. * Performs other duties as assigned. * Maintains regular and reliable attendance. * Complies with all policies and standards. Qualifications * H.S. Diploma or GED required * Associate Degree in Health Information Management, Healthcare Administration, or a related field preferred * 2-4 years of experience in physician coding, professional fee coding, or medical billing required * Experience with multiple specialties, surgical coding, or high-volume professional fee coding preferred Knowledge, Skills and Abilities * Strong knowledge of ICD-10, CPT, and HCPCS coding systems for physician/professional fee services. * Understanding of modifier usage, place-of-service coding, and payer billing guidelines. * Experience with electronic health records (EHR), coding software, and claim processing systems. * Ability to identify documentation deficiencies and escalate for provider education. * Familiarity with NCCI edits, LCD/NCD guidelines, and medical necessity requirements. * Strong analytical and problem-solving skills, ensuring accurate coding and optimal reimbursement. * Effective communication and collaboration skills, working with providers, revenue cycle teams, and compliance staff. Licenses and Certifications * Certified Coder-AHIMA or AAPC (CPC) required or * CCS-Certified Coding Specialist (CCS-P) required * Additional certifications such as Certified Evaluation and Management Coder (CEMC) or Registered Health Information Technician (RHIT) preferred
    $41k-63k yearly est. 14d ago

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