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Medical coder jobs in Colorado

- 148 jobs
  • Senior Medical Coder

    Cytel 4.5company rating

    Medical coder job in Denver, CO

    The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. **Medical Coding** + Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. + Review and validate coding performed by other coders to ensure consistency and accuracy. + Identify ambiguous or unclear terms and query clinical sites or data management for clarification. + Maintain coding conventions and ensure alignment with study-specific and sponsor requirements. **Data Quality & Review** + Conduct ongoing coding checks during data cleaning cycles and prior to database lock. + Lead the resolution of coding discrepancies, queries, and coding-related data issues. + Review safety data for coding accuracy in collaboration with medical monitors and pharmacovigilance teams. + Assist in the preparation of coding-related metrics, reports, and quality documentation. **Process Leadership & Subject Matter Expertise** + Serve as the primary point of contact for coding questions across studies or therapeutic areas. + Provide guidance and training to junior medical coders, data management staff, and clinical teams. + Develop and maintain standard operating procedures (SOPs), work instructions, and coding guidelines. + Participate in vendor oversight activities when coding tasks are outsourced. + Stay current with updates to MedDRA and WHODrug dictionaries and communicate relevant changes to project teams. **Cross-Functional Collaboration** + Work closely with clinical data management to ensure proper term collection and standardization. + Partner with safety teams to support expedited reporting, signal detection, and regulatory submissions. + Support biostatistics and medical writing with queries related to coded terms for analyses and study reports. **Education & Experience** + Bachelor's degree in life sciences, nursing, pharmacy, public health, or equivalent healthcare background; advanced degree preferred. + **5-8+ years of medical coding experience in clinical research** , ideally within CRO, pharmaceutical, or biotech environments. + Strong working knowledge of **MedDRA and WHODrug** dictionaries, including version control and update management. + Experience supporting multiple therapeutic areas; oncology, rare disease, or immunology experience preferred but not required. **Technical & Professional Skills** + Proficient in clinical data management systems (e.g., Medidata Rave, Oracle Inform, Veeva, or similar). + Excellent understanding of ICH-GCP, FDA, EMA, and other global regulatory guidelines. + Strong attention to detail, analytical problem-solving, and ability to manage multiple projects simultaneously. + Effective communication skills and experience collaborating in matrixed research environments. Cytel Inc. is an Equal Employment / Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, gender identity or expression, or any other characteristics protected by law.
    $64k-77k yearly est. 8d ago
  • Inpatient Coder II

    Commonspirit Health

    Medical coder job in Centennial, CO

    **Job Summary and Responsibilities** You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska- New Mexico - North Carolina- Ohio- Oklahoma- South Carolina - South Dakota- Tennessee- Texas- Utah - Virginia- West Virginia- Wyoming **Job Requirements** In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: + High School Diploma/GED Required + Associates Degree Preferred + Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire. + A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organizations internal coding program. + Must demonstrate competency of inpatient coding guidelines and DRG assignment. + Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems Experience successfully working in a remote environment, preferred + Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers + Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e.3M) Physical Requirements Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly **Where You'll Work** We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. CommonSpirit Mountain Region's Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics and people - including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day. **Pay Range** $27.86 - $42.43 /hour We are an equal opportunity employer.
    $27.9-42.4 hourly 38d ago
  • Senior Inpatient HIM Coder

    Oracle 4.6company rating

    Medical coder job in Denver, CO

    **About the Role:** We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. **Requirements and Qualifications:** + A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. + Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. + In-depth understanding of supporting evidence requirements for accurate coding. + Practical experience using grouper software for MS-DRG and APR-DRG assignment. + Strong communication skills to interact effectively with the billing department regarding coding-related issues. + Stay abreast of the latest ICD-10-CM, ICD-10-PCS, HCPCS/CPT coding guidelines and updates. + Familiarity with 3M 360 or Optum HIM encoder software is preferred. + AHIMA Certified RHIA or RHIT certification is mandatory. + Associate's or Bachelor's degree in Health Information Management (HIM) is required. **Responsibilities** **Job Responsibilities:** + Collaborate closely with product management and engineering teams to contribute to the creation and improvement of AI models for medical coding. + Utilize your extensive knowledge in acute HIM inpatient medical coding to train and validate AI systems in extracting ICD-10-CM, ICD-10-PCS, and HCPCS/CPT codes, along with relevant modifiers from diverse clinical documentation. + Assist in the development of AI algorithms to generate precise MS-DRGs for accurate reimbursement. + Perform data collection, entry, verification, and analysis tasks to monitor and evaluate the performance of AI models against defined business goals. + Serve as a subject matter expert, ensuring the quality and integrity of medical coding data used in product development. Disclaimer: **Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.** **Range and benefit information provided in this posting are specific to the stated locations only** US: Hiring Range in USD from: $75,000 to $178,100 per annum. May be eligible for bonus and equity. Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business. Candidates are typically placed into the range based on the preceding factors as well as internal peer equity. Oracle US offers a comprehensive benefits package which includes the following: 1. Medical, dental, and vision insurance, including expert medical opinion 2. Short term disability and long term disability 3. Life insurance and AD&D 4. Supplemental life insurance (Employee/Spouse/Child) 5. Health care and dependent care Flexible Spending Accounts 6. Pre-tax commuter and parking benefits 7. 401(k) Savings and Investment Plan with company match 8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation. 9. 11 paid holidays 10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours. 11. Paid parental leave 12. Adoption assistance 13. Employee Stock Purchase Plan 14. Financial planning and group legal 15. Voluntary benefits including auto, homeowner and pet insurance The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted. Career Level - IC4 **About Us** As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity. We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all. Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing accommodation-request_************* or by calling *************** in the United States. Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
    $75k-178.1k yearly 4d ago
  • Inpatient and Outpatient Coder

    Pioneers Medical Center 4.2company rating

    Medical coder job in Meeker, CO

    Reports To: Revenue Cycle Director FLSA Classification: Full-Time, Non-exempt, Hourly $24.68-30.00 The working environment is a hospital setting with exposure to patients, residents, and families; sharps, infectious diseases, biological and chemical hazards; machinery and equipment; and potentially extreme temperatures and noise levels. Employees are required to follow all safety practices and protocols at all times. Essential Functions: Abstract pertinent information from patient records; assign ICD-10-CM, ICD-10-PCS, CPT, or HCPCS codes. * Perform coding for all Rural Health Clinic, Outpatient Specialty Clinic, inpatient/observation procedures and stays, emergency room visits, and ambulatory surgeries. Drop both professional and facility fees for all cases, orthopedics, general surgery, outpatient IV infusions, laboratory, radiology, physical therapy, and behavioral health. Other department specialties added as they come on. * Follow up with physicians when code assignments are not straightforward or documentation in the record is insufficient, ambiguous, or unclear for coding purposes. * Participate in coding training, ongoing audits, and associated work plans. * Keep current knowledge of coding guidelines and reimbursement reporting requirements; bring identified concerns to supervisor as necessary. * Expand job related skills and knowledge to improve performance and adjust to change. * Ensure compliance with the Standards of Ethical Coding by the American Health Information Management Association (AHIMA) and adhere to official coding guidelines. * Work to obtain and maintain an above 95% coding accuracy rate as per national standards. * Other duties as assigned. Education and Experience: * Certified Medical Coding Certificate from an accredited university or technical school required. * Understanding of ICD-10-CM, ICD-10-PCS, and CPT diagnosis and procedure coding principles required. * Knowledge of medical terminology and common procedures required. Skills and Expectations: * Kind and professional demeanor. * Professional and well-groomed appearance at all times. * Communicate positively and effectively, both written and verbally, with patients, family, and staff. * Demonstrate effective organizational skills in an evolving environment. * Work with honesty, compassion and integrity at all times. * Understand and adhere to the scope of service for the department and this position. * Understand and adhere to all of PMC's policies and procedures. * Understand and adhere to PMC's Code of Conduct. * Adhere to the strictest confidentiality and HIPAA regulations. * Demonstrate a commitment to building and sustaining a diverse, inclusive, and equitable working environment. * Ability to remain calm and efficient in emergency situations. * Demonstrate strong problem-solving skills. * Demonstrate strong emotional intelligence Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing this job, the employee: * Must be able to remain in a stationary position 50% of the time. * Must be able to move and traverse about the facility 50% of the time. * Frequently transport objects weighing up to 50lbs * Occasionally position objects weighing up to 100lbs. * Must be able to communicate and exchange information in a way others will understand. * Must be able to recognize details such as color and depth within a few feet of the observer. * Frequently operates computers, machinery, and other healthcare equipment. * Constantly positions self to complete essential functions. * May be required to wear N95s or PAPRs throughout the shift.
    $24.7-30 hourly 22d ago
  • Coding Specialist

    Davita Inc. 4.6company rating

    Medical coder job in Denver, CO

    Posting Date 12/11/2025 2000 16th St, Denver, Colorado, 80202-5117, United States of America In response to incredible growth opportunities, our team is expanding! We have a great opportunity for a Coding Specialist, Risk Adjustment supporting the Integrated Kidney Care team. IKC, which is at the heart of our evolution from a fee-for-service to value-based world. DaVita Integrated Kidney Care is the renal population health management division of DaVita serving approximately 25,000 end stage renal disease (ESRD) and late-stage chronic kidney disease (CKD) patients across the U.S You will join a team of highly motivated individuals that engage with their head, heart, and hands to better serve the people of their community The ideal candidate for the will be responsible for the timely review of documentation from Providers to ensure support of conditions, ICD-10 and HCC, and when applicable, CPT and HCPCS codes to ensure to ensure proper coding, billing and effective claim submission to the health plan. * Review Provider documentation in Medical Records * Perform medical chart reviews to identify documentation supporting HCC codes according to HCC coding requirements * Future training to code and submit coded encounters for claims submission by Practice Management company * Other duties as assigned QUALIFICATIONS * 2+ years experience of medical coding experience * Knowledge of Risk Adjustment Coding in a health plan is required * Coding Certification firmly required; AAPC CPC, CRC or AHIMA CCSP * Demonstrated proficiency in ICD-10-HCC (ESRD and Commercial) model of coding guidelines * Required knowledge and understanding of Medicare Advantage guidelines * Proficient in the areas of Medical Terminology, Anatomy and Physiology, Pharmacology and Electronic Health Record ("EHR") Systems * Proficiency in MS Excel, Access and Word required * Strong analytical and problem-solving skills along * Proven ability to meet deadlines * Solid organizational skills and attention to detail * Ability to maintain confidentiality of patient information * Ability to work quickly, accurately and independently as a Risk Adjustment / HCC Medical Coding Documentation reviewer * Must reside in the United States #LI-CM2 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $22.50 - $30.50 per hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $64,350.00/year, Nassau, Suffolk, and Westchester counties: $64,350.00/year, Remainder of New York state: $60,405.80/year New York Non-exempt: New York City and Long Island: $16.50/hour, Nassau, Suffolk, and Westchester counties: $16.50/hour, Remainder of New York state: $15.50/hour Washington Exempt: $77,968.80/year Washington Non-exempt: Bellingham: $17.66/hour, Burien: $21.16/hour, Unincorporated King County: $20.29/hour, Renton: $20.90/hour, Seattle: $20.76/hour, Tukwila: $21.10/hour, Remainder of Washington state: $16.66/hour For location-specific minimum wage details, see the following link: DaVita.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at *********************************** Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.
    $22.5-30.5 hourly Auto-Apply 2d ago
  • Patient Accounts Coder

    Peak Vista Community Health Centers 4.3company rating

    Medical coder job in Colorado Springs, CO

    Peak Vista Community Health Centers is a nonprofit health care organization whose mission is to provide exceptional health care to people facing access barriers through clinical programs and education. We provide integrated health care services including medical, dental, and behavioral health through our 20 outpatient health centers. We deliver care with our strong "Hospitality" culture. Our organization has over 800 employees and serves more than 74,300 patients annually in the Pikes Peak and East Central regions of Colorado. Our service area covers 14 counties, from the front range to the Kansas border, with locations throughout Colorado Springs, Fountain, Divide, Limon, and Strasburg. Peak Vista is accredited by the Accreditation Association for Ambulatory Health Care, Inc. (AAAHC). Compensation (Pay): $19.00 to $27.55 /hourly based on experience. Summary of Benefits: Medical, Dental, Vision, Life, STD, LTD 403(b) Retirement with Company Match Paid Time Off Tuition Assistance Perks Rewards Employee Assistance Program **************************************************** Summary: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules. Essential Duties and Responsibilities include the following. Understands various payer types and how coding is impacted. Develops and maintains a thorough grasp of FQHC Guidelines and nuances that affect code reporting. Has foundational understanding of code sets and relevant use based on payors including Medicare, Medicaid, Commercial, Sliding Scale and Full Fee Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately. Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported. Provides expertise to Accounts Receivable Staff in addressing appeals for denials due to potential coding errors. Support clinic staff with coding knowledge and resources Reviews charge line codes for accuracy to support the charge posting process. Execute daily workload within full compliance of state and federal coding regulations. Review, analyze, code and process charges. The position will require review of ICD-9-CM, ICD-10-CM, CPT and HCPCS coding of provider documentation. Summarizes and reports the trends of provider documentation to appropriate leadership Supports Coding and Clinic Leadership in duty assignment and production report reviews. Maintains required continuing education and certifications that are essential to the position. Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy. Collaborates with Coding team and Clinic Staff on coding training, reviews, and shares knowledge as it is gained. Utilizes appropriate resources to accurately abstract data and code provider and nurse visits. Stay abreast of code changes and documentation requirements as they occur. Perform other duties as assigned. Supervision Exercised: None Qualifications: 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. Education/Experience: Education: High school diploma or equivalent education required. Work Experience: Relevant healthcare experience preferred. Certificates and Licenses: CPC, CPC-A, CPC-P, CCS-P, RHIA or RHIT certification preferred. Computer Skills: Intermediate - ability to access the intra/internet to manage timecard, review policies and procedures, and read company communications; use e-mail to communicate with co-workers, leadership, and other departments; use and create a variety of templates, complex tables, merges; manage table data, sort and filter merges, and also perform basic work with existing Macros; customize toolbars, import and insert graphs, embed Excel data, and elaborate reports; work with multiple worksheets, filter data, use integrate functions, and manipulate databases; customize templates and the PowerPoint environment, and to make a presentation interactive by using hyperlinks and action buttons 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. OSHA risk level/work environmental hazards: This position has been categorized as OSHA Level Three. See Exposure Control Plan for details. The noise level in the work environment is usually quiet. 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. The employee must occasionally lift and/or move up to 20 pounds. While performing the duties of this job, the employee is frequently required to sit. The employee is occasionally required to stand and walk. *Successful candidates will complete pre-employment screening; which includes but is not limited to, a Criminal Background check. Peak Vista Community Health Centers is a drug and alcohol-free workplace and an Equal Opportunity Employer. **PVCHC participates in the Electronic Employment Verification Program. E-Verify is an Internet-based system that compares information from an employee's I-9 to data from the U.S. Department of Homeland Security and Social Security Administration Records. To learn more, visit: everify.com
    $19-27.6 hourly 60d ago
  • Risk Adjustment Coder

    Carina Health Network

    Medical coder job in Denver, CO

    Full-time Description *Hybrid Role, must be located in State of Colorado* Join Carina Health Network and help us make Colorado communities healthier! Are you passionate about population health and interested in improving patient experience and outcomes? If so, we support several community health organizations (CHO), and this company is for you! At Carina Health Network, we are transforming community health by delivering proactive, data-informed, and whole-person care that drives measurable impact. Our work helps people stay healthier longer, by supporting community health organizations who have patients with chronic conditions like diabetes and high blood pressure, ensuring regular check-ups for older adults, and identifying mental health needs early. We help community health organizations prevent costly ER visits by connecting people with the right care at the right time. Through our value-based care programs, we empower frontline care teams to improve outcomes while earning fair, sustainable reimbursement. By saving money and reinvesting in community services, we strengthen the systems that care for the most vulnerable, making a real difference in the lives of patients and providers alike. Join us in reimagining the future of health care, where your work truly matters. What You'll Do The Value Based Coding Advisor will interact with operational and clinical leadership to assist in the identification of Risk Adjustment/HCC coding opportunities, and will provide targeted education to CHC providers, billers, coders, and support staff to support value-based contract initiatives. Risk Adjustment/HCC Coding Support and Education Educates providers and staff on coding regulations and changes as they pertain to risk adjustment and quality reporting to ensure compliance with federal and state regulations. Assist the department, direct supervisor and Carina in the development of education tools related to risk adjustment/HCC coding and gap closure. Supports the creation of education that will train CHC providers, billers, coders, and support staff, as well as Carina staff, for risk adjustment/HCC coding opportunities. Maintains a database with the results of all medical chart reviews performed, with ability to report on progress and statistics on coding initiatives. Pre-Visit Planning (PVP) Performs weekly Pre-Visit Planning reviews for assigned CHC's and will query providers or other identified team member to further Value-based contract initiatives including coding recommendations based on internal and external medical records, review of payer portals and suspected conditions, and review of care gap and clinical documentation. CHC Support Holds monthly meetings with identified coding champions, provide education and training to CHC providers, billers, coders, and support staff in proper coding guidelines; and documentation education based on PVP observations and monthly topics. Provides monthly chart reviews of randomly selected patients and providers participating in Pre-Visit Planning (PVP) program to give feedback on missed opportunities and errors. Gap Closure Success Reviews patient charts to identify areas for quality gap closures and provide compliant documentation to appropriate payers resulting in gap closures for assigned CHC's. Ensures that providers understand CPT II coding for the purposes of quality gap closure and reporting. What We're Looking For High School diploma or equivalent. Minimum 2 years coding experience The American Academy of Professional Coders (AAPC) Certified Risk Adjustment Coder (CRC) or AHIMA certification is required; Certified Professional Coder (CPC) Certification will be considered with Risk Adjustment/HCC Coding experience and willingness to obtain CRC within 1 year of employment Risk Adjustment experience required. FQHC billing experience is highly preferred Experience with clinic billing and coding required Knowledge of several EHR systems preferred (ECW, Athena, Greenway Intergy, Epic). Clinical background preferred Strong knowledge of CMS coding and quality guidelines. Strong knowledge of PowerPoint, excel and Microsoft word with the ability to manipulate basic information and data required for preparing reports and delivering training. Exceptional interpersonal, public speaking, and presentation skills to deliver training and education is preferred. Ability to facilitate group discussions that challenge participants and promote discussion of new approaches and solutions based on data and value-based care initiatives. Ability to travel to and within the state of Colorado- 25% travel within the state of Colorado with an unrestricted driver's license and an insured vehicle. Working Environment Work from home with 25% travel responsibilities within the state of Colorado Prolonged periods of sitting at a desk and working on a computer Why You'll Love Working Here Insured group health, dental, & vison plans (Employer covers 100% cost for dental and vision) Medical and dependent care flexible spending account options *$900 Employer Contributions towards your choice of a Health Reimbursement Employer (HRA) or Health Savings Account (HSA) 401k retirement plan with up to a 4% employer contribution match 100% Employer-Paid Life, AD&D, Short-Term and Long-term disability plans paid for employees Free 24/7 access to confidential resources through an Employee Assistance Program (EAP) Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, and hospital indemnity coverage 17 days of paid vacation within 1 year of service 12 paid sick days accrued by 1 year of service 14 paid holidays (which includes 2 floating holidays) 1 Paid Volunteer Day Employer-paid programs/courses for staff's growth and development Cell phone and internet reimbursement Competitive salary and full benefits Annual, all expenses paid Staff Retreat Flexible work (remote or hybrid) Supportive, mission-driven team Opportunities to learn and grow Carina Health Network is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. Salary Description $53,000 - $70,000/year
    $53k-70k yearly 60d+ ago
  • Coder II (Clinic & E/M Coding)

    Baylor Scott & White Health 4.5company rating

    Medical coder job in Denver, CO

    **About Us** Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: + We serve faithfully by doing what's right with a joyful heart. + We never settle by constantly striving for better. + We are in it together by supporting one another and those we serve. + We make an impact by taking initiative and delivering exceptional experience. **Benefits** Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: + Eligibility on day 1 for all benefits + Dollar-for-dollar 401(k) match, up to 5% + Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more + Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level **Job Summary** The Coder 2 is skilled in three or more types of outpatient, Profee, or low acuity inpatient coding. The Coder 2 may code low acuity inpatients, one-time ancillary/series, emergency department, observation, day surgery, and/or professional fee, including evaluation and management (E/M) coding or profee surgery. For professional fee coding, team members in this job code are proficient for inpatient and outpatient, for multi-specialties. Coder 2 uses the International Classification of Disease (ICD-10-CM, ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS), including Current Procedural Terminology (CPT), and other coding references. These references ensure accurate coding and grouping of classification assignments (e.g., MS-DRG, APR-DRG, APC, etc.). The Coder 2 will abstract and enter required data. The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (more experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Essential Functions of the Role** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **Key Success Factors** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. **Belonging Statement** We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve. **QUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + Must have ONE of the following coding certifications: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
    $26.7 hourly 7d ago
  • Inpatient Coder II

    Common Spirit

    Medical coder job in Centennial, CO

    Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: * Alabama- Arizona- Arkansas- Colorado * Florida- Georgia- Idaho- Indiana * Iowa- Kansas - Kentucky- Louisiana * Missouri- Mississippi- Nebraska- New Mexico * North Carolina- Ohio- Oklahoma- South Carolina * South Dakota- Tennessee- Texas- Utah * Virginia- West Virginia- Wyoming Job Requirements In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: * High School Diploma/ GED Required * Associate Degree Preferred * A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organizations internal coding program. * Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire. * Must demonstrate competency of inpatient coding guidelines and DRG assignment. * Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems. * Experience successfully working in a remote environment, preferred * Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers * Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e.3M) Where You'll Work We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness.
    $41k-56k yearly est. 38d ago
  • Inpatient Coder II

    Dignity Health 4.6company rating

    Medical coder job in Centennial, CO

    Where You'll Work We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. CommonSpirit Mountain Region's Corporate Service Center is headquartered in Centennial, CO where our corporate leaders and centralized teams support our hospitals, clinics and people - including marketing, human resources, employee benefits, finance, billing, talent acquisition/development, payor relations, IT, project management, community benefit and more. Many of our centralized teams offer a remote work option which supports a healthy work-life balance while still providing a culture of collaboration and community where incredible people are doing incredible things every day. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills - but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. This is an advanced level coding position that codes and abstracts Inpatient records for data retrieval, analysis, reimbursement and research. Codes and enters diagnostic and procedure codes into a designated coding and abstracting system utilizing the 3M encoder, as appropriate. Meets quality and productivity coding standards and demonstrates the ability to navigate an EMR. Ability to code across all facilities. Along with CO, KS and NM, this position is open to remote/out of state candidates residing in only these states: - Alabama- Arizona- Arkansas- Colorado - Florida- Georgia- Idaho- Indiana - Iowa- Kansas - Kentucky- Louisiana - Missouri- Mississippi- Nebraska- New Mexico - North Carolina- Ohio- Oklahoma- South Carolina - South Dakota- Tennessee- Texas- Utah - Virginia- West Virginia- Wyoming Job Requirements In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: High School Diploma/GED Required Associates Degree Preferred Current AHIMA credentials (i.e. RHIA, RHIT, CCS, CCS-P) or AAPC credentials (COC, CIC, CPC-H, CPC), required or must be certified within One Year of hire. A minimum of 4 years coding experience preferably in an inpatient acute care setting or a minimum of 2 years' experience and successful completion of the organizations internal coding program. Must demonstrate competency of inpatient coding guidelines and DRG assignment. Basic knowledge of Microsoft Office applications and emails and troubleshooting computer problems Experience successfully working in a remote environment, preferred Demonstrate intermediate to advanced technical coding competency in ICD-10 CM, CPT-4, HCPCS and Coding Modifiers Knowledge of disease management, anatomy and physiology, medical terminology, pharmacology and coding systems (i.e.3M) Physical Requirements Medium Work - exert/lift up to 50 lbs. force occasionally, and/or up to 20 lbs. frequently, and/or up to 10 lbs. constantly Not ready to apply, or can't find a relevant opportunity? Join one of our Talent Communities to learn more about a career at CommonSpirit Health and experience #humankindness.
    $62k-75k yearly est. Auto-Apply 40d ago
  • Coder II

    Denver Health and Hospital Authority 4.7company rating

    Medical coder job in Denver, CO

    We are recruiting for a motivated Coder II to join our team! We are here for life's journey. Where is your life journey taking you? Being the heartbeat of Denver means our heart reflects something bigger than ourselves, something that connects us all: Humanity in action, Triumph in hardship, Transformation in health. Department HB & PB Coding ServicesJob Summary The Coder II is a key member of the Coding/Compliance team and has shared accountability for the success of the department. The Coder II, under general supervision, reviews medical record documentation to abstract and assign diagnoses, procedures, and modifiers for statistical classification and reimbursement purposes. Performs various coding assignments under the direction of Coding Management. Provides feedback regarding documentation and coding issues. Utilizes software applications and coding references, including electronic, to perform coding related tasks. Assists with training. Essential Functions: Meets or exceeds the minimum coding productivity standard for the type of coding performed. (20%) Meets or exceeds the minimum coding accuracy rate of 95%. (20%) Meets or exceeds the Key Performance Standards of timeliness. (15%) Ensures confidentiality of patient information. (15%) Assist with the training of coders. (5%) Completes required coding training or other assigned coding instruction. (5%) Maintains coding credential(s) (5%) Participates in departmental coding and educational meetings, instruction and roundtables. (5%) Review coding guidelines. (5%) Develops and maintains Desk Procedures for assigned areas. (5%) Education: High School Diploma or GED Required Work Experience: 1-3 years 2 years medical coding by abstracting and assigning diagnosis, procedures and modifiers in a multi-specialty facility. Required or Specialty certification required. Required Licenses: CPC - Certified Professional Coder - AAPC - American Academy of Procedural Coders Required or CCS - Certified Coding Specialist - AHIMA - American Health Information Management Association Knowledge, Skills and Abilities: Applies knowledge of coding, coding guidelines. Critical Thinking - Using logic and reasoning to identify correct coding. Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times. Judgment and Decision Making - Must be capable of interpreting and applying coding guidelines. Service Orientation - Ability to handle fast paced environment. Communication - Good oral and written skills Research - Ability to leverage resources to acquire needed information. Organizational - Relies on experience and judgment to plan and accomplish goals and meet deadlines. Pass a coding proficiency pre-hire test with 75% or higher accuracy score. Shift Days (United States of America) Work Type Regular Salary $24.77 - $37.16 / hr Benefits Outstanding benefits including up to 27 paid days off per year, immediate retirement plan employer contribution up to 9.5%, and generous medical plans Free RTD EcoPass (public transportation) On-site employee fitness center and wellness classes Childcare discount programs & exclusive perks on large brands, travel, and more Tuition reimbursement & assistance Education & development opportunities including career pathways and coaching Professional clinical advancement program & shared governance Public Service Loan Forgiveness (PSLF) eligible employer+ free student loan coaching and assistance navigating the PSLF program National Health Service Corps (NHCS) and Colorado Health Service Corps (CHSC) eligible employer Our Values Respect Belonging Accountability Transparency All job applicants for safety-sensitive positions must pass a pre-employment drug test, once a conditional offer of employment has been made. Denver Health is an integrated, high-quality academic health care system considered a model for the nation that includes a Level I Trauma Center, a 555-bed acute care medical center, Denver's 911 emergency medical response system, 10 family health centers, 19 school-based health centers, Rocky Mountain Poison & Drug Safety, a Public Health Institute, an HMO and The Denver Health Foundation. As Colorado's primary, and essential, safety-net institution, Denver Health is a mission-driven organization that has provided billions in uncompensated care for the uninsured. Denver Health is viewed as an Anchor Institution for the community, focusing on hiring and purchasing locally as applicable, serving as a pillar for community needs, and caring for more than 185,000 individuals and 67,000 children a year. Located near downtown Denver, Denver Health is just minutes away from many of the cultural and recreational activities Denver has to offer. Denver Health is an equal opportunity employer (EOE). We value the unique ideas, talents and contributions reflective of the needs of our community. Applicants will be considered until the position is filled.
    $24.8-37.2 hourly Auto-Apply 60d+ ago
  • Certified Coder I

    Family Health West 4.5company rating

    Medical coder job in Fruita, CO

    You belong here! At Family Health West, you're more than an employee, you're family. When you enter our facility, you know it's Family Health West because, well, the color speaks for itself. You'll be part of a team that strives to bring color to care in a vibrant environment by creating fun, effective treatment programs helping to empower and inspire our patients while providing the tools and care they need to achieve their wellness goals. When we say you'll do what you love, we mean it! Welcomed by open arms and warm smiles, you'll join a team that encourages professional growth. We are sure to put on our listening ears when you share new ideas and approaches to care because that's what got us to the top! You'll wear your badge proudly, knowing that you contribute each day, to providing care that is unmatched, in western Colorado. So, what are you waiting for?! Fill out the application now, and when you hit send do a little happy dance knowing that you just made our day. If it still sounds too good to be true, come see for yourself. Call us to schedule a tour and meet your new best friends! About Family Health West Our roots go deep -- founded by the community in 1946, it's no wonder our hospital feels like coming home. We were built from the ground up with the hands of our own community, a labor of dedication and hope by our people, for our people, for the future. At Family Health West we go beyond what corporate hospitals deliver, we've created a culture of prosperity where warmth, passion, and care flourishes. As we focus on continually improving outcomes for patients, our network of healthcare providers includes a 25-bed critical access hospital, one of the largest rehab providers in western Colorado, outpatient surgical services, specialty clinics, emergency services, skilled nursing, and assisted living facilities. Nestled at the base of the Colorado National Monument, Family Health West has an outdoor paradise at your back door. The community culture is fitting for outdoor lovers, bikers, hikers, or those just simply soaking in the panoramic views. Essential Functions: * Reliable and punctual attendance is essential; expected to be at job as scheduled each scheduled day. * Communicate necessary information to others as appropriate. * Basic understanding of coding guidelines and conventions, processes and techniques. * Understanding of medical data flow from pre-authorization to adjudicated claim; knowledge of billing and claims regulations. * Receive and review patient chart and orders for accuracy and completeness for the purpose of procedural and diagnostic coding. * Utilize software and electronic coding references to perform coding related tasks. * Assign codes to diagnoses and procedures, using ICD-10 CM (International Classification of Diseases), CPT (Current Procedural Terminology codes HCPCS level II and ICD 10 PCS. * Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations, maintaining 95% accuracy rate. * Identify problems - report and support resolution of coding workflow/process. * Execute timely and effective coding/documentation queries. * Perform monitoring and statistical reporting as needed. Education: Education High School Diploma or equivalent required. Licenses Must have at least AAPC, CPC-A or AHIMA CCS Certification. Certifications Certified Professional Coder. Experience One year of facility and/or professional-based coding experience preferred. Wage Starts at $20.93 per hour and goes up with experience Full-time 40 hours per week Immunizations required for employment, including Flu. Benefits FHW offers a full benefits package including: FOR ALL EMPLOYEES: Employee Assistance Program 403 (B) with 4% match from FHW and zero day vesting schedule FOR FULL TIME EMPLOYEES WORKING AT LEAST 30 HOURS A WEEK Medical Plan Options: I. PPO plan with copay/coinsurance and lower deductible II. High Deductible Health Plan with the option for a Health Savings Account. III. Telemedicine includes in both plan options. Dental Vision Life Insurance/ Accidental Death and Dismemberment Insurance Disability Insurance with a Short and Long Term Option. Critical Illness and Accident Plans Cafeteria Options: Health Reimbursement/ Flex Savings / Dependent Childcare A host of other options to include: Pet Insurance, Identity Protection, Travel protection,
    $20.9 hourly 43d ago
  • Medical Imaging Analyst

    Medpace 4.5company rating

    Medical coder job in Denver, CO

    Our imaging services are growing rapidly, and we are currently seeking a full-time, office-based Medical Imaging Analyst to join our team. If you want an exciting career where you use your previous expertise and can develop and grow your career even further, then this is the opportunity for you. Responsibilities * Perform quality assurance checks on medical imaging data collected during medical and device clinical trials to ensure protocol specific requirements are met; * Perform established image processing techniques (converting imaging formats, contouring, performing preliminary measurements of lesions and volumes) across multiple modalities (including but not limited to MRI, CT, US, ECHO, DXA, etc.) using proprietary software as well as other third party software; * Assist in developing imaging protocols to obtain required study metrics based on clinical trial protocols; * Write (in English) technical documents related to the study required imaging procedure * Compile and maintain project-specific status reports and project timelines associated with imaging studies; and * Perform project specific tasks in compliance with Good Clinical Practices (GCP), regulatory requirements (21CFR Part 11), applicable departmental and companywide SOPs, and project specific protocols Qualifications * Bachelor's Degree in biomedical engineering, biomedical sciences (or similar field), with knowledge of medical imaging from experience performing, reviewing, and/or analyzing medical images in either a research or clinical setting. * 1-3 years of experience in clinical research or imaging related field, with at least 2 years of experience in an imaging center * Experience working with clinical trials or within the pharmaceutical environment is preferred TRAVEL: Minimal Compensation A target salary range of $60,000 - $120,000. Your compensation will be based on your skills and experience. Medpace offers the following benefits for eligible positions: medical, dental, vision, 401(k), vacation policy, sick days, paid holidays, work from home flexibility, short-term disability, long-term disability, health savings and flexible savings accounts, life and AD&D insurance, and pet insurance. For more details, please discuss with your recruiter. Medpace Overview Medpace is a full-service clinical contract research organization (CRO). We provide Phase I-IV clinical development services to the biotechnology, pharmaceutical and medical device industries. Our mission is to accelerate the global development of safe and effective medical therapeutics through its scientific and disciplined approach. We leverage local regulatory and therapeutic expertise across all major areas including oncology, cardiology, metabolic disease, endocrinology, central nervous system, anti-viral and anti-infective. Headquartered in Cincinnati, Ohio, employing more than 5,000 people across 40+ countries. Why Medpace? People. Purpose. Passion. Make a Difference Tomorrow. Join Us Today. The work we've done over the past 30+ years has positively impacted the lives of countless patients and families who face hundreds of diseases across all key therapeutic areas. The work we do today will improve the lives of people living with illness and disease in the future. Denver Perks * Denver Office Overview * Flexible work environment * Competitive PTO packages, starting at 20+ days * Competitive compensation and benefits package * Company-sponsored employee appreciation events * Employee health and wellness initiatives * Community involvement with local nonprofit organizations * Structured career paths with opportunities for professional growth * Discounts on local sports games, fitness gyms and attractions * Modern, ecofriendly campus with an on-site fitness center * RTD Eco Pass * Secure bike storage room Awards * Named a Top Workplace in 2024 by The Cincinnati Enquirer * Recognized by Forbes as one of America's Most Successful Midsize Companies in 2021, 2022, 2023 and 2024 * Continually recognized with CRO Leadership Awards from Life Science Leader magazine based on expertise, quality, capabilities, reliability, and compatibility What to Expect Next A Medpace team member will review your qualifications and, if interested, you will be contacted with details for next steps.
    $60k-120k yearly Auto-Apply 60d+ ago
  • Medical Coder

    Coloradophysicianpartners

    Medical coder job in Colorado Springs, CO

    Join Our Team as a Medical Coder at Colorado Physician Partners! Are you detail-oriented and passionate about ensuring accurate medical documentation and billing? Colorado Physician Partners is seeking a dedicated Medical Coder to play a key role in our healthcare team. In this position, you'll collaborate closely with our clinical and administrative staff to ensure precise coding of medical procedures and diagnoses, supporting optimal patient care and efficient revenue cycle management. Your expertise will help maintain compliance with industry standards and contribute to a professional, trustworthy environment for both patients and providers. General summary of duties: Responsible for understanding clinical documentation and how it relates to medical coding, coding guidelines and payer rules. Responsible for transcribes a patient's medical history into a database using standardized codes. This includes diagnosis and treatment and is typically later used for insurance and medical billing purposes. Essential Responsibilities and Examples of Duties: (This list may not include all of the duties assigned.) Understands various payer types and how coding is impacted. Utilize and navigate the EHR and Practice Management software appropriately to review documentation and process charges efficiently and accurately. Analyzes provider documentation to ensure the appropriate CPT, HCPCS, ICD-10-CM codes and modifiers are fully supported and accurately reported. Provides expertise to Billing Staff in addressing appeals for denials due to potential coding errors. Reviews charge line codes for accuracy to support the charge posting process. Execute daily workload within full compliance of state and federal coding regulations. Meets or exceeds any set coding goals. Review, analyze, code and process charges. Review of ICD-10-CM, CPT and HCPCS coding of provider documentation. Summarizes and reports the trends of provider documentation to appropriate leadership. Maintains required continuing education and certifications that are essential to the position. Perform self-audits and reviews/corrects Coding Supervisor audit reports to maintain a 95% coding accuracy. Collaborates with Coding team, Coding Leadership and Provider Staff on coding training, reviews, and shares knowledge as it is gained. Utilizes appropriate resources to accurately abstract data and code provider and nurse visits. Stay abreast of code changes and documentation requirements as they occur. Communicates with providers and support staff as needed to resolve any coding issues. Performs other related duties as required and assigned. Assist with other duties within the revenue cycle. Peer review. Attend weekly huddles. Attend mandatory trainings and in person meetings. Typical physical demands: Work may require sitting for long periods of time, stooping, bending, and stretching for files and supplies, and occasionally lifting files or paper weighing up to 30 pounds. Ability to sufficiently operate a keyboard, calculator, telephone, copier, and such other office equipment as necessary. Must be able to record, prepare, and communicate appropriate reports in a verbal and written format. It is necessary to view and type on computer screens for long periods and to work in an environment which can be very stressful. Typical working conditions: Work is done in a typical physician business office department or at home if on hybrid schedule. Interaction with others can be constant and activities can be frequently interrupted. It is necessary to view and type on computer screens for frequent periods and to work in an environment which can be a very collaborative practice. Other Related Job Requirements: 3+ years coding primary care experience. HCC Certification preferred Extensive knowledge of medical terminology, anatomy, and physiology Personable and professional demeanor. Maintain neat and clean appearance. Maintain sense of responsibility Ability to read, write and speak English clearly and concisely. Ability to read, understand, and follows complex oral and written instructions. Ability to maintain quality control standards. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt, and apply guidelines and procedures. Prioritizes work and completes in a timely manner to satisfy deadlines. Communicates questions or concerns for prompt resolution. Participates in problem-solving discussions. Actively seeks to acquire and maintain skills and continuing education appropriate to this position. Initiates and attends meetings as needed if applicable. Performs related work as required. Job Qualifications: 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. Knowledge, skills, and abilities: High school diploma or equivalent education required. CPC (AAPC) or CCS (AHIMA) certification required. 3+ years coding primary care experience. Salary Range: $17.45 - $23.27
    $17.5-23.3 hourly Auto-Apply 44d ago
  • Health Clerk

    Garfield School District Re-2 (Co

    Medical coder job in Rifle, CO

    At Wamsley Elementary, "We Encourage Success" - in our students, in our teachers, in our staff, and in our families. Our school is focused on creating the best culture and climate for our staff, our students and our families. We emphasize inclusion because if our students feel loved, if our teachers feel supported, and our families feel welcomed, students feel free to learn and explore, teachers are creative and families support the development of their child. Wamsley Elementary and staff set high expectations focused on perseverance, growth mindset, positive energy and a sense of urgency. Learn more about Wamsley Elementary Position Summary: The job of Health Clerk was established for the purpose/s of providing support to the school site operations with specific responsibilities for administering basic first aid and dispensing prescribed medications under the direction of a registered nurse; coordinating with other personnel in supporting students with special needs and assisting them with medical procedures; documenting activities in accordance with established guidelines and/or regulatory requirements; and conducting prescribed health screenings and services. Duties may vary according to job assignment. Please click HERE to see the full job description. Status: (Full Time or Part Time and Hours Worked) Title: Location: Wamsley Elementary School, Rifle CO Salary Range: * Classified no in district experience salary range: $17.41-$18.84 * Classified in district experience salary range: $17.41-$38.44 Salary Schedules Benefits: Garfield Re-2 School District offers benefits including medical, dental, and vision coverage, prescription drug coverage, medical and dependent care flexible spending accounts, aflac products, employee assistance programs, surgery plus opportunities, paid time off, sick leave, vacation leave, holiday pay, PERA retirement plan with 21.4% contribution, identity theft protection, local discounts, Verizon Wireless discount, and more. Benefit Guide Visit Rifle- ***********************
    $17.4-18.8 hourly 22d ago
  • Medical Records Clerk

    Vail Health 4.6company rating

    Medical coder job in Edwards, CO

    Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here. About the opportunity: The Health Information Management (HIM) Technician ensures a quality patient and provider experience by accurately processing Shaw Cancer Center patient medical records as needed for patient care, such as requesting medical records from other healthcare providers, collecting medical records, scanning patient records, coordinating release of information documentation, and identifies documentation deficiencies for physicians and providers all in accordance with Federal, State, Hospital, and Accrediting Body requirements. Routinely interacts with the public and physicians and providers. What you will do: Works with providers and clinical staff to obtain complete medical records, primarily for established patients, using the medical records work list / work queue in the EHR. Thoroughly documents progress within the EHR of all tasks, including retrieval of pertinent patient materials. On a daily basis, reviews and rectifies those HIM work assignment queues, uses standard processes and protocols to monitor and follow up with patients, hospitals, medical practices, and other parties on patient records statuses. Facilitates the use of the EHR by capturing paper documentation, properly preparing the paper for scanning, scanning, and indexing documents within 1 hour of receipt. Is able to distinguish document types, operate the scanning unit effectively, and scan all documents to the appropriate patient records and to the appropriate documentation type location with 100% accuracy. Performs QA on scanning done by others, identifies errors by clinical staff, and addresses errors with the clinical staff. Trains staff on proper scanning and indexing of documents. Interacts with providers, clinical staff, and the public (patients, insurers, attorneys, State and Federal agencies, etc.) to accommodate requests for copies of patient information. Understands the release of information policies and associated Federal, State, and Hospital policies. Assists with release of information periodically or when on weekend rotation. Obtains appropriate release request document and verifies patient identity prior to release. Accurately logs releases in hospital logging system. Efficiently prepares copies of requested in paper, CD, PDF, Fax and other approved electronic formats. Accommodates patient and physician requests within same day. Ensures only the minimum necessary is disclosed in accordance with HIPAA requirements. Assists in processing paperwork and completing administrative tasks associated with clinical care including managing records requests, orders, scanning, and uploading records. Resolves problems independently, ensures continuous communication with clinical and non-clinical team members, and appropriately escalates issues to leadership. Recognizes emergencies and appropriately responds using standard operating procedures and critical thinking skills. As an integral member of the business office team and to encourage growth of team members' skills and knowledge, the HIM Tech I is cross-trained and can cover the roles, as needed, of Patient Access Representative I. Responsible for coordinating with other business office team members when out of the office to ensure HIM activity continues seamlessly. Role models the principles of Just Culture and Organizational Values Performs other duties as assigned. Must be HIPAA compliant. This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job. What you will need: Experience: One year of medical office or clinical experience required. Working knowledge of medical terminology preferred. Prior experience with medical records; collecting, scanning, and requesting preferred. License(s): N/A Certification(s): N/A Computer / Typing: Use of a computer, keyboard, and mouse, and experience with basic Microsoft Office applications required. Typing skills of no less than 20 WPM required. Ability to search resources and/or Internet to locate physician and healthcare facility information to make appropriate decisions. Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc. Must have working knowledge of the English language, including reading, writing, and speaking English. Education: Bachelor's degree in related field preferred PRN (POOL) benefits include: Wellbeing reimbursement funds and 403(b) contribution eligibility. Pay is based upon relevant education and experience per hour. Hourly Pay:$21.32-$25.40 USD
    $21.3-25.4 hourly Auto-Apply 26d ago
  • Certified Addiction Specialist

    Centennial Mental Health Center Inc. 3.8company rating

    Medical coder job in Sterling, CO

    Job DescriptionDescription: Provides addiction treatment services independently to clients requiring assistance with substance use disorders in a complete range of duties associated with addiction treatment CORE RESPONSIBILITIES Interviews, reviews records, and confers with other professionals to evaluate condition of clients Formulates programs for treatment and rehabilitation of clients Counsels clients individually and in group sessions to assist clients in overcoming alcohol and drug dependency Counsels family members to assist family in dealing with and providing support for the client Refers client to other support services as needed such as medical evaluation and treatment, social services and employment services Monitors condition of client to evaluate success of therapy; adapts treatment as needed Maintains accurate and timely clinical records consistent with Center standards Prepares documents for presentation in court and presents testimony in court Participates in meetings and in-services Participates in a minimum of 2 hours clinical supervision per month Performs other job duties as assigned Requirements: EDUCATION Bachelor's Degree in related health sciences CERTIFICATES, LICENSES, REGISTRATIONS Certified in the State of Colorado as a Certified Addictions Counselor Level 3 SKILLS, KNOWLEDGE, AND ABILITIES Ability to work well with special populations along with maintaining appropriate boundaries Knowledge of methods of substance use disorder treatment and intervention Knowledge of community resources Skills to serve culturally diverse populations that may have a bearing on service provision Effective written and verbal communication skills Demonstrates effective time management and the ability to multi-task Knowledge of basic computer literacy such as e-mail communication and word processing Ability to work flexible and on-call hours, which may be required Ability to travel within the Center's service area or to other locations as needed
    $57k-73k yearly est. 8d ago
  • CAC - Certified Ambulance Coder

    Zoll Medical

    Medical coder job in Broomfield, CO

    Acute Care Technology At ZOLL, we're passionate about improving patient outcomes and helping save lives. We provide innovative technologies that make a meaningful difference in people's lives. Our medical devices, software and related services are used worldwide to diagnose and treat patients suffering from serious cardiopulmonary and respiratory conditions. The Acute Care Technology division of ZOLL Medical Corporation develops and delivers innovative lifesaving products and software solutions to EMS, hospital, public safety, and military customers globally. Products include AEDs, trauma kits, ventilators, temperature management solutions, and more. Our dedicated employees take pride in their commitment to improving patient outcomes while delivering world-class customer service. Job Summary: This position is geared toward verification of transport and patient data as well as compliant coding and billing with appropriate payer claims specifications and accompanying documentation. This position performs demographic and medical coverage verification, identifies transport call, response and mission type disparities and reviews for appropriate vehicle type, pickup, drop off locations, mileage, and transport dates, and assigns the appropriate Level of Service and Diagnosis Codes to all ambulance claims. The position is responsible for document retrieval and professional communication with Customers, Call Centers and facility Patient Financial Services Staff. Applicant must have 2-5 years of experience with medical billing and claim submission. This position requires a candidate that is highly detail oriented, able work in a fast-paced environment with high volume, accurate data entry. Essential Functions: 1) Verify accurate data completion by Communication/Dispatch Specialists and Medical Clinicians, in accordance with established processes. Details to include patient locations, loaded mileage and patient demographics. 2) Thoroughly and appropriately document all activities in patient account notes in accordance with established processes. 3) Retrieve, retain and interpret Federal and Industry Standard Signature Documents, ensuring uniformed and compliant billing practices and clean claim submission. 4) Perform data entry of patient demographic information and charges, within billing software, as appropriate for claims submission and financial reporting. 5) Perform in-depth sponsor review investigations to identify, collect, and confirm third party liability and coordination of benefits insurance coverage. 6) Interact on an as needed basis, with leadership, customers, crew members, law enforcement agencies, insurance companies, patients and hospital patient information systems to collect additional patient and payer demographic information. 7) Performs ‘Medicare as a Secondary Payor (MSP)' review, coordination of benefits and generate invoices to patients as needed. 8) Apply the appropriate level of service for the transport provided using the Customer Scope of Practice. 9) Assign the most accurate diagnosis codes from the crew documentation ensuring highest level of specificity and considering payor guidelines or local coverage determination requirements. 10) Assign modifiers appropriate to the locations for the transport as well as any payor required modifiers. 11) Initiate insurance billing transactions; transmit electronically and/or prepare claims packets for payers in accordance with payer specific claim requirements. 12) Screens for clean claims submission pursuant to payer specific guidelines, and billing form requirements. 13) May assist with billing/collection tasks as assigned. 14) Required to act as back-up support in the performance of client financial liaison duties 15) Other responsibilities as assigned. DIMENSIONS: 1. Ability to work independently and demonstrate consistent customer focus 2. Ability to analyze and make good billing/collections decisions keeping in mind the goals and objectives of the department 3. Recognize the entire scope of an issue and participate objectively towards resolution with other team members. 4. Maintains professional personal appearance. 5. Ability to verbally communicate details and understand parameters of job responsibilities to perform in a Hospital Systems setting. 6. Initiative required learning company organization and procedures. 7. Is a team player and interfaces well with employees. 8. Display competency, business professionalism, patient advocacy in all communications both (verbal and written) and interpersonal relations. 9. Ability to provide written communication using best business practices when composing letters, memorandums, and e-mails regardless if the communication is inside the Company or with customers, clients, or providers. 10. Must maintain the highest professional and ethical standards in conducting day-to-day business. Adheres to all Company HIPAA compliance regulations, business and professional ethics, and confidentiality and privacy regulations as outlined in the Corporate Code of Conduct, the Employee Handbook, and the PFS Department policies and procedures. 11. Requires an in depth understand of compliance, regulatory oversight bodies and payer requirements. 12. Represents the company in a positive, customer friendly attitude to other employees, clients, agencies, entities and patients. 13. No supervisory or budget responsibilities. 14. Focus on continuous improvement, learning, accountability, and teamwork ZOLL is a fast-growing company that operates in more than 140 countries around the world. Our employees are inspired by a commitment to make a difference in patients' lives, and our culture values innovation, self-motivation and an entrepreneurial spirit. Join us in our efforts to improve outcomes for underserved patients suffering from critical cardiopulmonary conditions and help save more lives. The hourly rate for this position can range from $18 to $22. The actual compensation may vary outside of this range depending on geographic location, work experience, education, and skill level. Details on ZOLL's comprehensive benefits plans can be found at ********************* All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $18-22 hourly Auto-Apply 60d+ ago
  • Inpatient Coder IV

    Intermountain Health 3.9company rating

    Medical coder job in Broomfield, CO

    The HIM Hospital Inpatient & Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology. The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices. **Essential Functions** + Reviews and analyzes inpatient medical records for completeness, accuracy, and compliance for Same Day Surgery, Observation and Inpatient acute services at Intermountain Health. + Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer specific requirements, charts with extended stay length, multiple surgeries, and numerous consultations + Following regulatory guidelines, assigns appropriate diagnosis and procedure codes using ICD-10-CM/PCS, CPT and other coding systems + Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care + Queries physicians and other clinical staff for clarification or documentation when needed + Validates DRG and APR-DRG and ambulatory assignments and reimbursement calculations + Abides by the AHIMA Code of Ethics and Standards of Ethical Coding + Follows coding policies and procedures and reports any issues or discrepancies + Performs coding audits and provides feedback and education to coders and clinical staff + Participates in coding quality improvement initiatives and projects **Skills** + ICD-10-CM & PCS + Electronic Health Record + Anatomy, physiology & pathophysiology + Accuracy + Detail oriented + Coding software + Interpersonal skills + Computer literacy + Coding regulations + Analytical Skills **Required Qualifications** + High School Diploma or GED required. + Coding Certification from AHIMA or AAPC. + Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements. + Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems. + Ability to complete and pass internal coding exam. + Demonstrated proficiency in using coding software, electronic health records, and other health information systems. + Demonstrated excellent communication, interpersonal, and analytical skills + Ability to work independently and collaboratively in a fast-paced environment **Preferred Qualifications** + Associate degree or higher in health information management, health informatics, or related field. Degree must be obtained through an accredited institution. Education is verified. + Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding with multidisciplinary service lines. + Experience with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools. **Physical Requirements** + Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc. + May have the same physical requirements as those of clinical or patient care jobs when the leader takes clinical shifts. + For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles. **Physical Requirements:** **Location:** Peaks Regional Office **Work City:** Broomfield **Work State:** Colorado **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $30.55 - $48.12 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $40k-46k yearly est. 9d ago
  • Certified Addiction Specialist JBBS

    Corrhealth

    Medical coder job in Brighton, CO

    JBBS Certified Addiction SpecialistLocation: BrightonSchedule: Full-time / M-F, 8a-4p As part of a multi-disciplinary team, the Certified Addiction Specialist will provide direct support to individuals experiencing mental health, substance abuse challenges, and withdrawal management needs. Essential Duties ✓ Provides substance use disorder treatment services to inmates under the supervision of licensed addiction professionals and in compliance with guidelines ✓ Interviews clients to obtain health history and/or complete intake evaluation, which may include necessary paperwork ✓ Refers to licensed clinicians for follow up as needed; under general supervision, performs counseling, care plan development, case management ✓ Provides services to individuals requiring assistance in dealing with substance abuse problems, including alcohol and/or drug abuse ✓ Acts as patient advocate; listens to inmate concerns and provides counseling and direction ✓ Facilitates individual counselor and group treatment sessions, guiding group behavior ✓ Utilizes a variety of crisis intervention techniques to respond to aggressive behavior ✓ Maintains appropriate clinical documentation, both handwritten and electronically, in an accurate and timely manner to maintain inmate mental health records Minimum Education/Experience Requirements ✓ Bachelor's degree or higher in Substance Use Disorders/Addiction and/or related counseling subjects (social work, mental health counseling, marriage & family, psychology) from a regionally accredited institution of higher learning ✓ Active Certified Addiction Specialist (CAS) credential required ✓ One (1) plus years of work experience in a similar position and/or healthcare environment Additional Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Competencies ✓ Clear and effective verbal and written communication with all coworkers, supervisors, jail administration, and patients ✓ Excellent verbal and written comprehension ✓ Excellent deductive reasoning and problem-solving abilities ✓ Excellent organizational skills; independent worker and self-starter ✓ Ability to use a computer and use/learn a variety of software, including site-specific computer programs ✓ Must demonstrate ability to appropriately and safely use standard medical equipment ✓ Ability to respect the dignity and confidentiality of inmates ✓ Demonstrated proficiency in excellent customer service Employment Requirements ✓ Must maintain all certifications, educational requirements, licensing, etc. for this position ✓ Must have current CPR/BLS certification ✓ Must have current TB test (taken within one year) ✓ Must adhere to all facility policies and procedures as well as the policies and procedures listed in the Employee Handbook ✓ Willing to assist coworkers in the job duties and work overtime if required; may act as a resource to other coworkers ✓ Maintains confidentiality, dignity, and security of health records and protected health information in compliance with HIPAA requirements Security Requirements ✓ Must undergo security training and orientation on facility safety policies and procedures Physical/Mental Requirements This position routinely requires (but is not limited to) the following: ✓ Ability to both remain stationary and move/traverse throughout the facility, including up and down flights of stairs ✓ Ability to position oneself in different spaces ✓ Ability to convey and discern information in a conversation, frequently communicate with patients; must be able to exchange accurate information. ✓ Ability to identify and detect objects and assess situations from a variety of distances ✓ Ability to stay calm in stressful and demanding situations ✓ Frequently transports objects up to 50 pounds Work Environment Work is performed inside a correctional facility. Employees are exposed to some level of risk and/or harm by inmates including exposure to blood borne pathogens. Employee is expected to work in accordance with all security rules and regulations to minimize the risk of danger and/or harm to themselves or other employees.Correctional Nurse / Correctional Healthcare / Correctional Nursing / Corrections / County Corrections / Corrections Nurse / Corrections Healthcare / Correctional Medicine / Forensic Nursing / Jail Nursing Other Employee must comply with all current and future State, Federal, and Local laws and regulations, court orders, Administrative Directives and standards and policies and procedures of the site where assigned, including those of professional organizations such as ACA, NCCHC, etc. Employee must treat every other member of the CorrHealth team, all correctional personnel, all inmates and third parties in the facility with the proper dignity and respect. Actions or communications that are inappropriate or degrading will not be tolerated. Must be able to pass a background check and pre-employment drug test (as applicable).
    $48k-69k yearly est. 21d ago

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