Medical Coder jobs at Methodist Hospital Of Henderson, Kentucky - 741 jobs

This position is responsible for accurately assigning ICD-9-CM/ICD-10-CM diagnosis and procedure codes and CPT-4 procedure codes to inpatient and outpatient medical records using the 3M encoding software. The role includes assigning HCFA-DRG and APR-DRG groupers for inpatient records and abstracting clinical, financial, trauma, and quality management data into the organization's health information system. Additionally, this position monitors accounts receivable, abstract and claims rejections, and other related billing reports. Inpatient hospital coding constitutes 70% or more of the total coding workload. Experience Requirements Minimum of one (1) year of experience using ICD-10-CM/PCS and CPT-4 coding classification systems Working knowledge of encoder software, MS-DRG and APR-DRG groupers, and AHA Coding Guidelines Demonstrated proficiency in data entry and the ability to perform mathematical calculations accurately Education, Licensure, and Certification High school diploma or GED accredited by the U.S. Department of Education required Successful completion of a formal training program in ICD-10-CM/PCS and CPT coding, anatomy and physiology, and medical terminology required Certified Coding Specialist (CCS) credential required Position Details This is a part time (20 hours per week) hybrid position, combining remote work with regular on-site responsibilities and presence required based on departmental needs and organizational priorities. About Valley Children's Healthcare Valley Children's Healthcare is an award-winning pediatric healthcare system located in Madera, California, in the heart of the affordable Central Valley. The organization operates one of the nation's largest pediatric healthcare networks, including a 358-bed children's hospital and multiple outpatient clinics. Valley Children's offers access to three national parks and is within driving distance of California's world-renowned coastline, providing an exceptional balance of professional opportunity and quality of life.

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

The Hospital Inpatient Coder Senior will be expected to apply extensive knowledge in assigning ICD-10- CM diagnosis and ICD-10-PCS procedure codes and Medicare Severity-Diagnosis Related Groupers (MS-DRG) for complex hospital inpatient services. Applies clinical knowledge of disease processes, physiology, pharmacology, and surgical techniques by reviewing and interpreting all clinical documentation included in an inpatient record. Abstracts data in compliance with national and regional policies. Clarifies physician documentation by utilizing a facility-established query process. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the ICD-10-CM/ICD-10-PCS Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines, and other resources as applicable. The Hospital Inpatient Coder Senior is expected to function as a subject matter expert on the team and assist less experience team members on following operational policies. It is responsible for training and onboarding new team members and participating in special projects assigned by the Mid Revenue Cycle leadership. Responsibilities: Coding Encounter Key Performance Indicator Requirements Constraints of systems Query Knowledge Team Support Special Projects Perform other duties as assigned Credentials and Experience: High School Diploma/GED Five (5) years in hospital inpatient coding experience with ICD-10 diagnosis, procedure codes and MSDRG. Any (one) of the following certifications is required: CCS) Certified Coding Specialist (CPC) Certified Professional Coder (COC) Certified Outpatient Coding (CCS-P) Certified Coding Specialist - Physician (RHIT) Registered Health Information Technician (RHIA) Registered Health Information Administrator (CIC) Certified Inpatient Coder *Any certification not listed above, but issued from a Governing Body listed below, will be considered by the business AHIMA ************* or AAPC ************ Minimum Skills/Specialized Training Required Thorough understanding of the effect of data quality on prospective payment, utilization, and reimbursement for multiple medical specialties. Experience in coding hospital inpatient electronic medical records. Excellent communication and interpersonal skills. Experience with automated patient care and coding systems. Competence with MS Office software Extensive knowledge of American Healthcare Association ("AHA") coding clinic guidelines, ICD-10-CM and ICD-10-PCS coding guidelines, Medicare Severity Diagnosis Related Groupers ("MSDRG"), All Patient Refined Diagnosis Related Groupers ("APRDRG"), Center for Medicare & Medicaid Services ("CMS") guidelines, National Center for Healthcare Statistics ("NCHS"). Preferred Experience Preferred qualifications include: • Experience with coding oncology-related services.

Details Lakeland Regional Health is a leading medical center located in Central Florida. With a legacy spanning over a century, we have been dedicated to serving our community with excellence in healthcare. As the only Level 2 Trauma center for Polk, Highlands, and Hardee counties, and the second busiest Emergency Department in the US, we are committed to providing high-quality care to our diverse patient population. Our facility is licensed for 892 beds and handles over 200,000 emergency room visits annually, along with 49,000 inpatient admissions, 21,000 surgical cases, 4,000 births, and 101,000 outpatient visits. Lakeland Regional Health is currently seeking motivated individuals to join our team in various entry-level positions. Whether you're starting your career in healthcare or seeking new opportunities to make a difference, we have roles available across our primary and specialty clinics, urgent care centers, and upcoming standalone Emergency Department. With over 7,000 employees, Lakeland Regional Health offers a supportive work environment where you can thrive and grow professionally. Active - Benefit Eligible and Accrues Time Off Work Hours per Biweekly Pay Period: 80.00 Shift: Flexible Hours and/or Flexible Schedule Location: 210 South Florida Avenue Lakeland, FL Pay Rate: Min $19.37 Mid $24.22 Position Summary Under the direction of the Coding and Clinical Documentation Improvement Manager, reviews clinical documentation and diagnostic results, as appropriate, to extract data and apply appropriate ICD-10-CM, CPT, and/or HCPCS codes and modifiers to outpatient encounters for reimbursement and statistical purposes. Communicates with physicians, Physician Advisor or other hospital team members as needed to obtain optimal documentation to meet coding and compliance standards. Abstracts clinical and demographic information in ICD-10 CM, CPT, and HCPCS codes and modifiers into the computerized patient abstract. Participates in ongoing continued education to assure knowledge and compliance with annual changes. Position Responsibilities People At The Heart Of All That We Do Fosters an inclusive and engaged environment through teamwork and collaboration. Ensures patients and families have the best possible experiences across the continuum of care. Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created. Safety And Performance Improvement Behaves in a mindful manner focused on self, patient, visitor, and team safety. Demonstrates accountability and commitment to quality work. Participates actively in process improvement and adoption of standard work. Stewardship Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities. Knows and adheres to organizational and department policies and procedures. Standard Work Duties: Coder II - Outpatient Assigns and sequences diagnostic and procedural codes using appropriate classification systems utilizing official coding guidelines. Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding Abstracts and enters coded data as well as correct surgeon, anesthesiologist and procedure date. Assures appropriate information such as pathology and operative reports are present in the medical record prior to final coding for coding accuracy and appropriate APC assignment. Maintains appropriate level of coding and abstracting productivity and quality for outpatient diagnostic, Emergency Department, Family Health Center, ambulatory surgeries, observations, and other recurring services as per established minimum per hour requirement. Demonstrates competence in coding and abstracting requirements by maintaining less than 5% error rate for all ICD-10-CM and/or PCS, CPT, and HCPCS codes and modifiers. Continuously reviews changes in coding rules and regulations including in Coding Clinic, CPT Assistant, CMS, and other payer guidelines. Prioritizes coding functions as directed by the Manager, and organizes job functions and work assignments to efficiently complete tasks within the established time frames. Demonstrates knowledge of all equipment and systems/technology necessary to complete duties and responsibilities. Works collaboratively with the Discharge Not Final Billed (DNFB) clerks to prioritize workload daily. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Reviews appropriate outpatient work queues daily to address coding reviews, edits and corrections. Competencies & Skills Essential: Computer Experience, especially with computerized encoder products and computer-assisted coding applications. Requires critical thinking skills, organizational skills, written and verbal communication skills, decisive judgment, and the ability to work with minimal supervision. Knowledge of anatomy and physiology, pharmacology, and medical terminology. Qualifications & Experience Essential: High School or Equivalent Nonessential: Associate Degree Essential: High School diploma with Associate Degree from accredited HIM program or certificate in coding from an accredited college. Other information: Certifications Essential: CCS Certifications Preferred: Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Experience Essential: 2-5 years acute care hospital outpatient coding experience within the past five years, or 5-7 year's experience in a multi-disciplinary clinic including surgeries and/or Emergency Department coding.

Inspire health. Serve with compassion. Be the difference. Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation. Adheres to all coding and compliance guidelines. Utilizes appropriate coding software and coding resources in order to determine correct codes. Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable. Follows departmental policies for charge corrections. Participates in coding educational opportunities (webinars, in house training, etc.). Provides feedback to providers in order to clarify and resolve coding concerns. Resolves assigned pre-billing edits. Assists in identifying areas that require additional training. Mentors and assists in training other coders and new team members Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - High School diploma or equivalent or post-high school diploma / highest degree earned. Associate degree preferred Experience - Five (5) years professional fee coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Certified Professional Coder (CPC) Specialty Certification from AAPC that correlates with assigned specialty Knowledge, Skills and Abilities Maintain knowledge of governmental and commercial payer guidelines. Knowledge of office equipment (fax/copier) Proficient computer skills including word processing, spreadsheets, database Data entry skills Mathematical skills Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70019178 Medical Group Coding & Education Services Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Inspire health. Serve with compassion. Be the difference. Codes medical information into the organization billing/abstracting systems for multiple facilities. Performs moderate to complex Outpatient Surgery, Gastrointestinal (GI) Procedure and Observation coding by assigning International Classification of Diseases (ICD), Current Procedural Terminology (CPT) codes, and HCC codes. Performs Emergency Department, ambulatory clinic, diagnostic, and ancillary coding. Adheres to Prisma Health Coding and Compliance policies and procedures for assignment of complete, accurate, timely and consistent codes. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.Serve with compassion. Be the difference. Codes moderate to complex Outpatient Surgery, and Observation records from clinical documentation as well as Emergency department, ancillary and ambulatory clinic records; assigns modifiers as appropriate. Adheres to department standards for productivity and accuracy. Operates under the general supervision of HIM Coding leadership. Reviews work queues daily to identify charts that need to be coded and prioritizes as per department-specific guidelines and within designated timelines. Follows up on on-hold accounts daily for final coding. Responds to and follows up on priority accounts daily and any accounts assigned by Patient Financial services or Coding leader(s) for final coding.Communicates with leader when trending requests volumes impact productivity. Queries physician or clinical area following established guidelines when existing documentation is unclear or ambiguous following American Health Information Management Association (AHIMA) guidelines and established policy. Applies ICD and CPT codes to the Emergency department, outpatient ambulatory clinic records and ancillary service records based on review of clinical documentation and according to Official coding guidelines; assigns modifiers. Performs other duties as assigned. Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Requirements Education - Certification Program, Associate degree or coding certificate through approved American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) or other approved coding certification program. Experience - Two (2) years of coding experience in an acute care or ambulatory setting. Outpatient coding experience In Lieu Of NA Required Certifications, Registrations, Licenses Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician (CCS-P), Certified Professional Coder (CPC), Certified Professional Coder-Hospital (CCP-H), or Certified Outpatient Coder (COC). Knowledge, Skills and Abilities Demonstrates proficiency in utilizing official coding books as well as the electronic medical record and computer assisted coding/encoding software to facilitate code assignment. Demonstrates continuous learning as evidenced by personally developed reference materials, online publications etc., to stay abreast of new and revised guidelines, practices and terminology, for reference and application. Participates in on site, remote and/or external training workshops and training. Ability to pass internal coding test. Knowledge of electronic medical records and 3M or other Encoder System. Ability to concentrate for extended periods of time; ability to solve problems with close attention to detail and to work and make decisions independently. Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. Demonstrated competence in coding and correct extrapolation of official coding and select billing guidelines to specific coding situations. Basic computer skills Work Shift Day (United States of America) Location Blount Memorial Hospital Facility 7001 Corporate Department 70017512 HIM-Coding Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Health Information Management Data Specialist Responsible for case identification, accessioning, and data abstraction for multiple clinical registries, including the California Perinatal Quality Care Collaborative (CPQCC), ImproveCareNow (ICN), and the Pediatric Cardiac Critical Care Consortium (PC4). Accurately abstracts required data elements from the medical record and enters, validates, and maintains data within Valley Children's Healthcare comparative database systems and registries. Supports both internal and external administrative, clinical, and statistical reporting needs. Experience Minimum of one (1) year of related experience required Education / Licenses / Certifications Associate degree (2-year) in Health Information Technology required Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) required Active California Registered Nurse (RN) license preferred About Valley Children's Healthcare The award winning Valley Children's Healthcare, is located in the heart of the affordable, Central Valley of California in Madera, just a short drive to 3 national parks and your choice of California coastline beaches. The hospital is one of the largest pediatric healthcare networks in the Country with a 358-bed hospital and several outpatient clinics.

Scripps Health Administrative Services supports our five hospital campuses, 31 outpatient centers, clinics, emergency rooms, urgent care sites, along with our 17,000 employees, more than 3,000 affiliated physicians and 2,000 volunteers. This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines. Required Education/Experience/Specialized Skills: * One (1) year of hospital/professional coding experience. * Good critical thinking and analytical skills. * Excellent written and verbal communication skills. Required Certification/Registration: * Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: * 1 year of acute inpatient hospital coding experience. * Associates or Bachelors Degree in Health Information Technology. * Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. * Registered Health Information Administrator (RHIA) At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $38.54-$55.88/hour

This is a full-time, benefit eligible position that is partial remote. Must be local in San Diego or willing to relocate and willing to work weekends. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of our employees have been with Scripps Health for over 10 years. Scripps is a Great Place to Work Certified company for 2025. Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. The Coder II is responsible for ensuring accurate and timely coding of diagnoses and procedures for inpatient, outpatient and professional visits using appropriate systems. Conducts concurrent and/or retrospective claims data reviews for physician services, coding and abstracting all services, procedures, diagnoses, and conditions from medical records. Assists Revenue Integrity with coding issues and supports the team with appeals and projects. Interacts with physicians and other staff to clarify documentation and may hold educational meetings with providers. May provide instructions and training to other coders as needed, ensuring compliance with all applicable regulations and guidelines. Required Education/Experience/Specialized Skills: One (1) year of hospital/professional coding experience. Good critical thinking and analytical skills. Excellent written and verbal communication skills. Required Certification/Registration: Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) from American Health Information Management Association (AHIMA). Preferred Education/Experience/Specialized Skills/Certification: 1 year of acute inpatient hospital coding experience. Associates or Bachelors Degree in Health Information Technology. Proficiency in Epic, 3M 360, Optum Encoder Pro, Excel, and PowerPoint. Registered Health Information Administrator (RHIA)

Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)

JOB SUMMARY: Under the direction of the Director of Health Information Management, Identifies and codes Newborns, Obstetrics, ER's and outpatient records for the purpose of reimbursement, research, and compliance with Federal Regulations using the ICD-10-CM/CPT coding classification systems. EDUCATION, EXPERIENCE, TRAINING Current coding certification-RHIA, RHIT, or CCS 1-2 years of coding experience in acute hospital setting Knowledge and application of ICD10 classifications, CPT-4 and HCPCS with an accuracy level of 95% Must be able to work in a very challenging environment. Exceptional written and verbal communication skills Excellent computer skills, including Microsoft Office, EHRs, Encoders Analytical/critical thinking and problem solving Knowledge of information privacy laws and high ethical standards

Job DescriptionCypress Healthcare Partners is now hiring remote candidates for the Medical Coder position. This position is responsible for abstracting provider services accurately into billable codes from the medical documentation in accordance to the coding ethics of American Academy of Professional Coders (AAPC), American Health Information Management Association (AHIMA) and/or National Alliance of Medical Auditing Specialists (NAMAS) and payer coverage guidelines. Furthermore, responsible for posting and reconciling charges and communicating with provider/staff of medical necessity of services, unspecified, truncated, and lack of supporting diagnoses along with incomplete or missing documentation. KEY RESPONSIBILITIES & DUTIES: Responsible for abstracting provider services into billable codes (CPT, HCPCS, & ICD-10) from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS and payer coverage guidelines in an accurate and timely manner. Post and reconcile hospital setting (IP/OP/OBS) charges daily. Communicate inefficiencies to the coding supervisor such as the medical necessity of services; unspecified truncated and lack of supporting diagnoses; incomplete or missing documentation along with any inappropriate coding and documentation trends. Reference coding and payer resources to accurately code and bill the provider documented services. When needed, assist the AR Specialist with a complicated coding denial. Furthermore, the coder assists with creating an appeal letter regarding the coding denial along with any supporting documentation. Coder will forward the appeal documentation(s) to the AR Specialist to handle. Continue education with coding and billing via Encoder Pro, coding subscriptions and resources provided by CHP. Other duties as assigned. KNOWLEDGE, SKILLS, AND ABILITIES Have experience properly coding (CPT, HCPCS, & ICD-10) services from the medical documentation in accordance with the coding ethics of AAPC, AHIMA, and NAMAS. Must be able to communicate effectively in English, verbally, and written. Additional languages are desirable. Excellent customer service and phone etiquette skills. Must be able to maintain a high degree of confidentiality and work well under productivity standards. Able to prioritize and balance the workload on short and long-term company needs. Must be able to work independently and be able to solve problems efficiently and accurately. Able to create channels of communication to obtain information necessary to perform job tasks. Strong organizational skills with the ability to prioritize a high-volume workload. Helpful attitude, positive teamwork spirit with a willingness to help. CREDENTIALS/EDUCATION/EXPERIENCE High School Diploma or Equivalent required. Minimum of 2 years of experience in medical billing and/or coding. Certifications in Medical Billing and Coding highly desirable

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

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: Minimum: CSS. Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: Minimum: 1 year. Preferred: 3 years.

Santa Barbara Cottage Health seeks a HIM Coder II for their Health Information Management department responsible for coding and abstracting diseases and procedures for accurate administrative and clinic data and optimal hospital reimbursement, utilizing coding guidelines as set forth in Coding Clinic for ICD-9-CM and CPT Assistant for CPT/HCPCS. Major accountabilities include: * Codes diseases and procedures abstracted from the medical record according to ICD-9-CM and CPT classification systems, utilizing only recognized coding guidelines. * Abstracts data for coding utilizing the entire medical record in accordance with approved coding guidelines. QUALIFICATIONS: All job qualifications listed indicate the minimum level necessary to perform this job proficiently. Education: * Minimum: Formalized education that provides knowledge and experience in the following areas: 1) Assigning ICD-9-CM and CPT coding classifications in an acute care setting; 2) UHDDS reporting requirements; 3) Medical terminology, anatomy, chemistry, pharmacology, physiology, and disease process. * Preferred: Associates Degree Health Information Management. Certifications, Licenses, Registrations: * Minimum: CSS. * Preferred: CCS and RHIT or RHIA. Years of Related Work Experience: * Minimum: 1 year. * Preferred: 3 years.

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

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

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

Department Health Information Management Responsible for the day to day tasks related to the processing of health information to include but not limited to the following: chart pick-up, general HIM reception and transcription, release of information, indexing and quality assurance of medical records, analysis, amendments, audits, and birth certificate processing, emergency assistance program processing, and chart completion. Required Qualifications * Require a minimum of two (2) years of previous experience in Health Information Management. Preferred Qualifications * Prefer the ability to work independently, shift priorities, and demonstrate decision making ability. * Prefer the ability to cross train on all processes involved in scanning paper records and training staff on these processes. * Prefer advanced knowledge of word processing and spreadsheet applications. * Prefer knowledge of Joint Commission and CMS Conditions of Participation. * Prefer demonstrated strong interpersonal, communication and organization skills. * Prefer the ability to perform clerical duties, repetitive and detailed tasks. * Prefer the ability to interact with ancillary departments. Mandatory Education HS EQ: High School Diploma, GED or Certificate Preferred Education Required License and Certs Preferred License and Certs Tuesday through Saturday 10:00AM-6:30PM Employment Screening Requirements As part of Sarasota Memorial Health Care System's commitment to keeping people safe, all individuals providing care to vulnerable populations are required to undergo background screening through The Florida Care Provider Background Screening Clearinghouse. *********************************