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Medical Coder jobs at Piedmont Healthcare - 943 jobs

  • Inpatient Coder, Hospital

    Piedmont Healthcare 4.1company rating

    Medical coder job at Piedmont Healthcare

    Responsibilities RESPONSIBLE FOR: Reviews, analyzes, and codes documentation for hospital inpatient medical records to select and sequence the appropriate ICD-9-CM diagnosis, ICD-9-CM procedure codes, ICD-10-CM and ICD-10-PCS as applicable to the transition to ICD-10. Primary coding responsibility is Inpatient Coding. REMOTE/WORK FROM HOME SCHEDULE: MONDAY-FRIDAY, FLEXIBLE HOURS Qualifications MINIMUM EDUCATION REQUIRED: High school diploma or equivalent required. MINIMUM EXPERIENCE REQUIRED: One (1) year of coding experience required. MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW: None. ADDITIONAL QUALIFICATIONS: One or more certifications required - RHIA, RHIT, CCS, CCA, CCS-P, CPC, CPC-A, CPC-H. Coding Certificate program (AHIMA accredited) preferred. Experience in coding at a multi-facility organization and remote coding experience is a plus. LI-POST #GD Business Unit : Company Name Piedmont Healthcare Corporate
    $46k-56k yearly est. Auto-Apply 7d ago
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  • Coder, Revenue Integrity/Coding Physician Services, Days, Fully Remote

    Norton Healthcare 4.7company rating

    Louisville, KY jobs

    Responsibilities The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice and the billing office as well as the accounting department of Norton Healthcare. In performing job functions, utilizes age appropriate principles of growth and development for patients of all ages according to the practice specialty. **This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, South Carolina** Qualifications Required: One year medical coding in a specialty office One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Inpatient Coder ICD-10 OR Certified Outpatient Coding OR Certified Professional Coder OR Registered Health Information Administrator OR Registered Health Information Technician
    $39k-48k yearly est. 1d ago
  • Remote Senior Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    **Our promise to you:** Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that **together** we are even better. **All the benefits and perks you need for you and your family:** + Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance + Paid Time Off from Day One + 403-B Retirement Plan + 4 Weeks 100% Paid Parental Leave + Career Development + Whole Person Well-being Resources + Mental Health Resources and Support + Pet Benefits **Schedule:** Full time **Shift:** Day (United States of America) **Address:** 601 E ROLLINS ST **City:** ORLANDO **State:** Florida **Postal Code:** 32803 **Job Description:** **Schedule:** Full Time Reviews, analyzes, and interprets clinical documentation applying applicable codes in accordance with prescribed rules, coding policy, payer specifications, and official guidelines. Evaluates and optimizes various diagnostic options in accordance with standard rules, official coding guidelines, regulatory agencies, and approved policies. Verifies assigned codes and ensures diagnostic and procedure codes are supported by the physician's clinical documentation. Communicates effectively with physicians and allied health personnel to ensure comprehensive, accurate, and timely clinical documentation. Discusses optimization and documentation issues with physicians and clinical personnel, querying for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions. **The expertise and experiences you'll need to succeed:** **QUALIFICATION REQUIREMENTS:** Bachelor's, High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Radiologic Technologist (R.T.-CERT) - EV Accredited Issuing Body, Infection Control Certification (CIC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body, Registered Nurse (RN) - EV Accredited Issuing Body **Pay Range:** $23.91 - $44.46 _This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances._ **Category:** Health Information Management **Organization:** AdventHealth Orlando Support **Schedule:** Full time **Shift:** Day **Req ID:** 150659276
    $23.9-44.5 hourly 1d ago
  • Remote Inpatient Coding Specialist

    Adventhealth 4.7company rating

    Orlando, FL jobs

    Our promise to you: Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better. All the benefits and perks you need for you and your family: * Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance * Paid Time Off from Day One * 403-B Retirement Plan * 4 Weeks 100% Paid Parental Leave * Career Development * Whole Person Well-being Resources * Mental Health Resources and Support * Pet Benefits Schedule: Full time Shift: Day (United States of America) Address: 601 E ROLLINS ST City: ORLANDO State: Florida Postal Code: 32803 Job Description: Schedule: Full Time Shift: Days Queries physicians for clarification of discrepancies, additional diagnoses, complications, or co-morbid conditions as needed. Applies ICD-10-CM/PCS codes, MS-DRG codes, Present on Admission codes, and patient status codes, understanding their impact on mortality rates, clinical quality, reimbursement, internal scorecards, and key performance indicators. Utilizes a thorough understanding of the Official Coding Guidelines, Coding Clinic guidance, medical necessity, and coverage determinations. Uses critical thinking and sound judgment in decision-making, balancing reimbursement considerations with regulatory compliance. Reviews encounters for proper admission source, discharge disposition, and assigns the operative physician and date of procedure to the chart coding screen. The expertise and experiences you'll need to succeed: QUALIFICATION REQUIREMENTS: High School Grad or Equiv (Required) Certified Coding Specialist (CCS) - EV Accredited Issuing Body, Certified Professional Coder (CPC) - EV Accredited Issuing Body, Registered Health Information Administrator (RHIA) - EV Accredited Issuing Body, Registered Health Information Technician (RHIT) - EV Accredited Issuing Body Pay Range: $21.73 - $40.42 This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
    $21.7-40.4 hourly 1d ago
  • EMR Informatics Specialist, Health Information Management, Days Hybrid

    Norton Healthcare 4.7company rating

    Louisville, KY jobs

    Responsibilities Design and develop electronic medical record keeping and documentation systems. Implement structures and algorithms to optimize the use, storage, and retrieval of medical information. Key Responsibilities: Assists with evaluation, design, testing, implementation, upgrades, support, and maintenance of the HIM system(s). Trains, supports and provides assistance to users; and, provides ongoing education and training when needed. Provides technical consultation to health information management, other departments, vendors, and information technology on HIM system(s) and processes. Manages tools such as procedure and information flowcharts, policies and procedures, instructional manuals, and forms in order to promote effective use of applications. Provides documentation and training for users when there is a system change or update. Special projects as directed. **This position has the opportunity to work from home. You may be asked to complete training at a Norton Healthcare facility or be able to come to a Norton Healthcare facility for business purposes. Employees in this role must reside in Kentucky or Indiana** Qualifications Required: With an Associates Degree: Three years in Health Information Management or Health Information Technology With a Bachelor's Degree: One year Health Information Management or Health Information Technology One of: RHIA or RHIT Desired: Bachelor Degree Registered Health Information Administrator Registered Health Information Technician Project Management Professional EPIC Certification OnBase Certification
    $26k-32k yearly est. 1d ago
  • Specialty Coder Senior - Neurosurgery

    Christus Health 4.6company rating

    San Antonio, TX jobs

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

    St. Luke's Hospital 4.6company rating

    Chesterfield, MO jobs

    Job Posting We are dedicated to providing exceptional care to every patient, every time. St. Luke's Hospital is a value-driven award-winning health system that has been nationally recognized for its unmatched service and quality of patient care. Using talents and resources responsibly, we provide high quality, safe care with compassion, professional excellence, and respect for each other and those we serve. Committed to values of human dignity, compassion, justice, excellence, and stewardship St. Luke's Hospital for over a decade has been recognized for “Outstanding Patient Experience” by HealthGrades. Position Summary: Performs data quality reviews on patient records to validate coding appropriateness, missed secondary diagnoses and procedures, and ensures compliance with all coding related regulatory mandates and reporting requirements. Monitors Medicare and other payer bulletins and manuals and reviews the current OIG Work Plans for coding risk areas. Responsible for promoting teamwork with all members of the healthcare team. Performs all duties in a manner consistent with St. Luke's mission and values. This position is 40hrs/week and 100% remote. Education, Experience, & Licensing Requirements: Education: Associate degree in Health Services Experience: 5 years of production coding experience or 5 years coding auditing experience. ICD-10-CM (including coding conventions and guidelines), CPT-4 (including coding conventions and guidelines), HCPCS, NCCI edits, and APC experience. Cerner and 3M/Solventum experience. Licensure: RHIA, RHIT, or CCS certification Benefits for a Better You: Day one benefits package Pension Plan & 401K Competitive compensation FSA & HSA options PTO programs available Education Assistance Why You Belong Here: You matter. We could not achieve our mission daily without the hands of our team. Our culture and compassion for our patients and team is a distinct reflection of our dynamic workforce. Each team member is focused on being part of something much bigger than themselves. Join our St. Luke's family to be a part of making life better for our patients, their families, and one another.
    $44k-65k yearly est. 2d ago
  • Hospital Outpatient Coder II, FT, Days, - Remote

    Prisma Health 4.6company rating

    Maryville, TN jobs

    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.
    $31k-39k yearly est. 4d ago
  • Reimbursement Specialist - Hospice

    Medical Services of America 3.7company rating

    Lexington, SC jobs

    Hospice Reimbursement Group, a division of Medical Services of America Inc., is currently seeking experienced Full-Time Hospice Reimbursement Specialist for our corporate office in Lexington, SC. MSA offers competitive pay and excellent benefits 40 hours paid time off during the first year of employment Medical, Vision & Dental Insurance Company paid life insurance 401(k) retirement with a generous company match Opportunities for advancement Other great benefits This person will be responsible for submitting and re-billing claims Submits claims for all pay sources and locations as assigned. Tracks reasons for unpaid claims and re-bills claims as necessary. Files electronic and/or written appeal requests in a timely manner. Works with locations to resolve any issues that may affect billing. Job Requirements High School Diploma or General Education Degree (GED) required. Previous hospice reimbursement experience preferred. Previous medical office billing/collection experience preferred. MSA is an Equal Opportunity Employer
    $32k-44k yearly est. 4d ago
  • Remote - Clinic/Outpatient Coder III

    Mosaic Life Care 4.3company rating

    Remote

    Remote - Clinic/Outpatient Coder III Outpatient Coding PRN Status Variable Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. Expected to be proficient in assigning ICD-10-CM and/or CPT codes for following types of services: Outpatient: Complex Surgeries, Observations (non-obstetric), Interventional radiology, radiation oncology and/or non-complex inpatient coding encounters. Clinic coder: Either proficient in coding for all non-surgery specialty areas, primary care, or complex surgeries. This position works under the guidance and supervision of the HIM Outpatient APC and Clinic Coding Manager and is employed by Mosaic Health System. Codes procedures and diagnoses using the ICD-10-CM, CPT classification systems, in accordance with Official Coding Guidelines, CMS guidelines, and Mosaic compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Communicates with providers, querying providers to ensure the highest level of specificity is provided in documentation. May assist in training of newly hired coders. Caregiver may work in conjunction with Patient Financial Services to verify and modify charges and coding to ensure accuracy of supporting documentation, payer rules and correct coding. Working reports for clean-up, auditing services, edits, and denials. Ensures data accuracy of State HIDI data by responding to edits received. Performs other duties as assigned. Must have coding education, HS Diploma and Medical Terminology and Anatomy and Physiology Required to obtain CCS - Certified Coding Specialist or RHIA - Registered Health Information Administrator or RHIT - Registered Health Information Technician or CPC and/or CCSP - Certified Professional Coder within 180 days of employment. Must also obtain COC - Certified Outpatient Coding within 180 days of employment. Five years experience in a Health Information Services department performing a job that requires detail, and familiarity with patient medical record preferred.
    $24.7-37.1 hourly 60d+ ago
  • Remote - Inpatient Coder II

    Mosaic Life Care 4.3company rating

    Remote

    Remote - Inpatient Coder II Inpatient Coding PRN Status Day Shift Pay: $24.74 - $37.11 / hour Candidates residing in the following states will be considered for remote employment: Colorado, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Minnesota, Missouri, Mississippi, Nebraska, North Carolina, Oklahoma, Texas, Utah, and Virginia. Remote work will not be permitted from any other state at this time. This position is responsible for assigning ICD-10-CM and ICD-10-PCS codes for inpatient and LTACH services. This assignment is based on evaluation of the documentation in the medical record and utilization of coding guidelines, Coding Clinic, anatomy and physiology. This position works under the supervision of the Manager and is employed by Mosaic Health System. Codes complex diseases, procedures and diagnoses using the ICD-10-CM/PCS classification systems, in accordance with Official Coding Guidelines, CMS guidelines, PPS guidelines and organizational compliance standards. Assumes responsibility for professional development by participating in workshops, conferences and/or in-services and maintains appropriate records of participation. Completes complex coding assignments for reimbursement, research and compliance with Federal and State regulations. Researches coding guidelines. Reviews and appeals coding denials. Educates/Communicates with providers, querying providers to ensure that optimal clinical documentation is provided to demonstrate the severity and details of the patient's illness in the medical record. Coordinates/Communicates with departments including clinical departments, Quality Improvement, Care Management, Patient Financial Services to ensure accuracy and timeliness of coding. Ensures data accuracy by responding to coding edits received. Cross-trained and able to complete one type of outpatient facility coding in addition to inpatient coding. Example: Emergency Department, Observation, Referral. Mentors and assists with training coders. Completes analysis by utilizing reports, record reviews, etc. Other duties as assigned. Must have coding education. Associate's Degree or higher in Health Information Management / Medical Records required. CCS - Certified Coding Specialist, RHIA - Registered Health Information Administrator, or RHIT - Registered Health Information Technician required. Three years experience in coding in an acute care setting required.
    $24.7-37.1 hourly 60d+ ago
  • Cardiology Coding Specialist (Remote)

    Cardiology 4.7company rating

    California City, CA jobs

    Summary Description: Under general direction, this position will be responsible for improving charge capture accuracy through workflow assessments coding reviews process improvement collaboration and reporting. The Cardiology Coding Specialist works collaboratively with leadership to assist in development project management and implementation of process enhancements or corporation initiatives to enhance charge capture accuracy. In addition, this role monitors and analyzes coding performance at the section and business unit levels. The primary role of this position is to support education, documentation principals, clean claims, and denial prevention. Essential Duties and Responsibilities: Review charts and capture all reportable services. Coordinate with other coding staff to ensure all reportable services are captured and assigned to appropriate physician or ARNP. Assign all appropriate ICD codes, CPT codes, and modifiers per ICD, CPT, and Medicare or commercial carrier published guidelines. Enter charges, review WQs to address edits/denials. Review work queues in EMR and resolve coding issues for professional services for both hospital and clinic places of service. Reconcile charges monthly to ensure capture of all reportable services. Work with business office to resolve hospital billing questions/coding denials or concerns. Assist employees and physicians in providing coding guidance. Ability to communicate effectively both orally and in writing. Pull audit reports and back up documentation for internal audits. Comply with all legal requirements regarding coding procedures and practices Conduct audits and coding reviews to ensure all documentation is precise and accurate Assign and/or review the sequence of all CPT and ICD 10 codes for services rendered Collaborate with AR teams to ensure all claims are completed and processed in a timely manner Support the team with applying expertise and knowledge as it relates to claim denials Aid in submitting appeals with various payers about coding errors and disputes Submit statistical data for analysis and research by other departments Ability to identify PSI triggers or have working knowledge of PSI triggers which includes identifying and assigning co-morbidities and complications. Ability to assign the appropriate DRG, discharge disposition code and principal DX codes Serves as the liaison between revenue cycle operations and clients as it relates to charge capture documentation and reconciliation Possesses a clear understanding of the physician revenue cycle Oversees understands and communicates coding and charging processes for each client account based on their existing EHR system as it relates to office and hospital-based services which includes charge captures charge linkages to the CDM and charging processes. Analyzes and communicates denial trends to Clients and operational leaders. CPC or CCS coding credentials required. Cardiology experience preferred. EMR, eCW, Centricity, Epic, Encoder Pro or 3M experience highly desired. Microsoft Office Skills: Excel - Must have the ability to create and manage simple spreadsheets. Word - Must be able to compose business correspondence. License: CPC, CCC or CCS (Required)
    $57k-72k yearly est. 60d+ ago
  • Physician Coder II Behavioral Health

    Advocate Health and Hospitals Corporation 4.6company rating

    Virginia jobs

    Department: 13495 Enterprise Revenue Cycle - Coding Production Operations: Professional Coding Operations Surgical and Complex Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Remote Position. This position will perform coding for NC/GA Division. Pay Range $26.55 - $39.85 Major Responsibilities: Reviews medical documentation at a proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations an EMR and/or Computer Assisted Coding software. Adheres to the organization and departmental guidelines, policies and protocols. Reviews all clinician documentation to support assigned codes in the health information record so that all significant diagnoses and procedures may be captured for reimbursement and data purposes. Conduct independent research to promote knowledge of coding guidelines, regulatory policies and trends. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement. Maintains the confidentiality of patient records. Reports any perceived non-compliant practices to the coding leader or compliance officer. Meets then exceeds departmental quality and productivity standards. Recommend modifications to current policies and procedures as needed to coincide with government regulations. Responsible for processing Coding Claim Denials and Coding Claim Rejections, when applicable Licensure, Registration, and/or Certification Required: Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA) Education Required: Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge) Experience Required: Typically requires 3 years of experience in professional coding that includes experiences in either hospital or professional revenue cycle processes and health information workflows. Knowledge, Skills & Abilities Required: Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Intermediate computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications. Advanced communication (oral and written) and interpersonal skills. Advanced organization, prioritization, and reading comprehension skills. Advanced analytical skills, with a high attention to detail. Ability to work independently and exercise independent judgment and decision making. Ability to meet deadlines while working in a fast-paced environment. Ability to take initiative and work collaboratively with others. Physical Requirements and Working Conditions: Exposed to a normal office environment. Must be able to sit for extended periods of time. Must be able to continuously concentrate. Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. #Remote #Li-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
    $26.6-39.9 hourly Auto-Apply 31d ago
  • HIM Coder

    Troy Regional Medical Center 3.6company rating

    Troy, AL jobs

    Troy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims, knowledge of HIPAA regulations, and release of information required. Must be proficient in Excel and other documents.
    $53k-66k yearly est. Auto-Apply 60d+ ago
  • HIM Coder

    Troy Regional Medical Center 3.6company rating

    Troy, AL jobs

    Job DescriptionTroy Regional Medical Center has an opening for a Coder. Our family environment offers support in a collaborative team atmosphere. Come and check out what TRMC can do for your career! As a Coder at TRMC, your primary responsibility will be to accurately code diagnoses and procedures across all specialties, particularly in the Emergency services. This role is crucial in generating indices and statistics, ensuring proper billing and reimbursement, and, most importantly, supporting our mission to deliver the highest quality of patient care economically and efficiently. Education: A high school diploma or equivalent is required. Must have completed an accredited coding education program. Experience: At least two years of coding experience in an acute hospital environment is required. Must be proficient in ICD-10 and DRG optimization if required for assigned specialty. Must have a working knowledge of medical terminology, anatomy, and physiology. Experience with APC Claims, knowledge of HIPAA regulations, and release of information required. Must be proficient in Excel and other documents. Powered by JazzHR whyh Ai5gk6
    $53k-66k yearly est. 25d ago
  • Coding Specialist

    Hopehealth Inc. 3.9company rating

    Florence, SC jobs

    Job Description Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
    $36k-44k yearly est. 8d ago
  • Coding Specialist

    Hopehealth, Inc. 3.9company rating

    Florence, SC jobs

    Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
    $36k-44k yearly est. Auto-Apply 38d ago
  • Coding Specialist

    Hopehealth Inc. 3.9company rating

    Florence, SC jobs

    Under the direction of the Coding Manager, performs various duties to accurately interpret and code for physician services. Education and Experience: • High School Diploma or GED required. Associate degree preferred. • Must hold CPC or CRC credentials thru AAPC with a preferred minimum of two years' experience with CPT/ICD10/HCPCS coding of physician services. • Knowledge of insurance industry and medical terminology/anatomy required. Required Skills / Abilities: • Good oral and written skills. • Detailed oriented with strong organizational skills. • Ability to be flexible with changing priorities, work volume, procedures, and variety of tasks. • Demonstrates the ability to work in a high pressure environment • Strong active listening skills, attention to detail, and decision-making skills are required • Pleasant, friendly attitude with the ability to adapt to change is essential • Superior problem- solving abilities is required • Ability to collaborate with all departments • Possess the ability to work with patients, clinical, non-clinical staff and providers from a variety of backgrounds and lifestyles while maintaining a non-judgmental attitude. • Possess excellent customer service skills and be well organized. • Ability to communicate effectively utilizing both oral and written means. Ability to handle various tasks simultaneously while working efficiently, effectively, and independently • Must be comfortable taking direction from Leadership Supervisory Responsibilities: • None Essential Job Functions: These essential job functions are required of the Certified Coding Specialist based upon departmental and organizational guidelines, processes, and/or policies. It is the Certified Coding Specialist's responsibility while working to ensure excellence in service for the internal and external customers. • Review assigned charts for correct ICD10 and CPT coding. • Interprets progress note and diagnostic reports to determine services provided and accurately assign CPT and ICD10 coding to those services. • Work with team members to educate Revenue Cycle staff on proper coding. Work in coordination with the Revenue Cycle Department for coding issues relating to claim processing. • Must maintain coding credentials thru AAPC. • Ability to research coding questions in order to remain compliant with third party and regulatory guidelines. • Perform other assigned duties. Position Category: Certified Coding Specialist I • Candidate has no previous medical billing or insurance industry experience • Candidate has no previous coding experience Certified Coding Specialist II • Candidate has less than 5 years of medical billing or insurance industry experience and/or • Candidate has less than 5 years of medical coding experience Certified Coding Specialist III • Candidate has more than 5 years of medical billing or insurance industry experience and/or • Candidate has more than 5 years of medical coding experience Physical Requirements: Must be able to lift 30 pounds. Vision and hearing corrected to within normal limits is required. Must have manual dexterity to key in data; utilize computer, grab, grip, hold, tear, cut, sort, and reach.
    $36k-44k yearly est. Auto-Apply 36d ago
  • Health Information Management (HIM) Coder - Outpatient - PER DIEM

    Rome Health 4.4company rating

    Rome, NY jobs

    Job Description Rome Health is looking for a per diem OP coder to join the Health Information Management team. This team member will assist with backlogs and coverage during staff PTO. •Current coding certification required •Three years of experience coding Observation and/or Ambulatory Surgery preferred •Experience with Clintegrity, Paragon, One Content helpful •Fully remote after training Extensive knowledge of medical terminology. Experience in researching and applying coding rules and guidelines required. Must have experience with data entry of codes into a database. Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems. Excellent oral and written communication skills. Must have a positive, respectful attitude. About Rome Health Rome Health is a non-profit health care system based in Rome, N.Y., providing services to patients throughout Central New York. From primary and specialty care to long-term care, Rome Health delivers quality, compassionate medical care for every stage of life. We are a comprehensive health care system that connects you to the best clinicians and the latest technologies so they are easily accessible to you and your family. Rome Health is an affiliate of St. Joseph's Health and an affiliated clinical site of New York Medical College. The best care out there. Here.
    $40k-52k yearly est. 8d ago
  • Digital Health Systems Co-op Student

    Uc Health 4.6company rating

    Cincinnati, OH jobs

    UC Health is hiring a Full Time Digital Health Systems Co-Op Student Co-Op students participate in an organized co-op program sponsored by a university. The Co-op student will provide a variety of support tasks while participating in a mentoring and learning environment. The student may work in different functional areas within IS&T. About UC Health UC Health is an integrated academic health system serving Greater Cincinnati and Northern Kentucky. In partnership with the University of Cincinnati, UC Health combines clinical expertise and compassion with research and teaching-a combination that provides patients with options for even the most complex situations. Members of UC Health include: UC Medical Center, West Chester Hospital, University of Cincinnati Physicians and UC Health Ambulatory Services (with more than 900 board-certified clinicians and surgeons), Lindner Center of HOPE and several specialized institutes including: UC Gardner Neuroscience Institute and the University of Cincinnati Cancer Center. Many UC Health locations have received national recognition for outstanding quality and patient satisfaction. Learn more at uchealth.com. Minimum Required: High School Diploma or GED 0 - 6 Months equivalent experience The Co-Op is a current student in a University Sponsored program pursuing a degree. Typically, the co-op student has completed 1 year of college training before assuming a co-op work assignment REQUIRED SKILLS AND KNOWLEDGE: Gather and assess information pertaining to its reliability, reasonability and completeness; Prepare summaries of that information using standard Microsoft Office tools (MS Excel, MS Word, etc.); Have good writing skills, such that they are able to summarize their analyses and assessments; Work with UC Health associates from all areas of the campus; Have good inter-personnel skills. Join our team to BE UC Health. Be Extraordinary. Be Supported. Be Hope. Apply Today! At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-class care for not only our community, but patients from all over the world. Join our team and you'll be able to develop your skills, grow your career, build relationships with your peers and patients, and help us be a source of hope for our friends and neighbors. UC Health is an EEO employer. System Development and Support Assist in the development, implementation, and evaluation of digital health solutions that address specific patient needs, community health goals, or organizational objectives Ensure all programs comply with healthcare regulations, security and quality standards Project Support and Stakeholder Collaboration Support UCH teams with user testing, troubleshooting, & refinement of digital health tools Collaborate with clinicians, IT, & administrative staff to improve digital health experience Data Collection and Reporting Collect, review, analyze, interpret and communicate program data to track performance metrics and outcomes Present regular reports for UCH DHS, and other stakeholders as assigned Use data to identify areas for improvement and make evidence-based decisions to optimize program delivery Compliance and Risk Management Assist with ensuring programs adhere to healthcare laws, regulations, and accreditation standards Identify potential risks and barriers related to program implementation and delivery, taking corrective actions when needed Training and Development Help create training materials and provide support to contribute to documentation of processes, workflows, and lessons learned Other duties as assigned
    $43k-51k yearly est. Auto-Apply 31d ago

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