Medical Records Coder-Senior (Dental)
Medical coder job at UT Health San Antonio
Under limited supervision, responsible for conducting the quality review of inpatient and outpatient coding, assures coding compliance with federal regulations, and maintains up-to-date coding guidelines and coding policy changes.
Hiring Certified Professional Coder Instructor
Dallas, TX jobs
Graduate America is seeking a Certified Professional Coder (CPC) to join our team as an Adjunct Instructor! Share your industry expertise and help shape the future of medical coding professionals. Requirements: CPC, CCS, or equivalent certification 3+ years of coding experience (hospital or outpatient preferred)
Teaching experience a plus, but not required
Apply today and inspire the next generation!
OUTPATIENT SURGERY CODER
Columbus, OH jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **OUTPATIENT SURGERY CODER.** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHLIGHTS** This Outpatient Surgery Coding Specialist 3 position provides support to the Enterprise Records and Health Information department for coding highly specialized services. Outpatient Surgery coder should have experience for complex surgical procedures which include but not limited to General Surgery, Integumentary/Plastic, Orthopedics/Podiatry, Respiratory, Cardiovascular, Hemic and Lymphatic, Digestive, Urinary, Reproductive/Genital , Endocrine, Nervous, Ophthalmology, Auditory, and others
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
ERHI is an integral part of the Enterprise Revenue Cycle and has a unique role in the organization that supports both clinical and operational activities.
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Epic and/or Cerner to identify all billable ambulatory surgery procedures and services requiring facility fee coding be captured through Epic Hospital Billing (HB) and 3M computer assisted coding (CAC)
+ Reviews and resolves coding edits related to procedures and services charged during the ambulatory surgery visit in the operating room at the time of completing coding
+ Consults with physicians and/or clinical department representatives, as appropriate, to verify services were rendered, documented and meets the requirements for coding as an outpatient/ambulatory patient type
+ Maintains three day coding turnaround times for ambulatory surgery accounts based on date of service
+ Identifies and escalates to Coding Leadership impacts to timely coding and charge capture, and avoidable delays for billing and reimbursement
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
+ Equivalent experience/education may be considered
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$68,244.00 annual
**Pay Range Maximum:**
$97,740.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
Medical Coder - Inpatient Coding - PRN
Jackson, MS jobs
Hello, Thank you for your interest in career opportunities with the University of Mississippi Medical Center. Please review the following instructions prior to submitting your job application: * Provide all of your employment history, education, and licenses/certifications/registrations. You will be unable to modify your application after you have submitted it.
* You must meet all of the job requirements at the time of submitting the application.
* You can only apply one time to a job requisition.
* Once you start the application process you cannot save your work. Please ensure you have all required attachment(s) available to complete your application before you begin the process.
* Applications must be submitted prior to the close of the recruitment. Once recruitment has closed, applications will no longer be accepted.
After you apply, we will review your qualifications and contact you if your application is among the most highly qualified. Due to the large volume of applications, we are unable to individually respond to all applicants. You may check the status of your application via your Candidate Profile.
Thank you,
Human Resources
Important Applications Instructions:
Please complete this application in entirety by providing all of your work experience, education and certifications/
license. You will be unable to edit/add/change your application once it is submitted.
Job Requisition ID:
R00044931
Job Category:
Clerical and Customer Service
Organization:
Rev Cycle - HIM and Clinical Doc Ex
Location/s:
Jackson Medical Mall
Job Title:
Medical Coder - Inpatient Coding - PRN
Job Summary:
Medical Coder-Inpatient reviews and codes inpatient medical records and clinical documentation for hospital services. This role requires expertise in ICD-10, CPT, and HCPCS coding systems to assign accurate diagnostic and procedural codes, ensuring compliance with healthcare regulations, payer requirements, and industry standards for reimbursement and billing.
Education & Experience
Education and Experience Required:
High school diploma/GED and one (1) year of medical coding experience.
Certifications, Licenses, or Registration Required:
One of the following medical coding certifications from the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC) is required post-hire within one (1) year:
* Registered Health Information Management Technician (RHIT)
* Registered Health Information Administrator (RHIA)
* Certified Coding Associate (CCA)
* Certified Coding Specialist (CCS)
* Certified Coding Specialist- Physician-Based (CCS-P)
* Certified Professional Coder (CPC or CPC-A)
* Any Physician specialty certification from AAPC
Preferred Qualifications:
Associate's degree in health information management or medical coding.
Knowledge, Skills & Abilities
Knowledge, Skills, and Abilities:
Proficient in electronic coding systems and electronic health records. Skilled in using personal computers, Microsoft Office Suite (Excel, PowerPoint, Word, Outlook), and email applications for communication and scheduling. Strong written and verbal communication skills, with the ability to foster team collaboration across departments. Capable of researching and using available resources independently. Experienced in assigning accurate codes using coding guidelines with minimal supervision. Equipped to work remotely, with necessary hardware and high-speed internet for efficient task completion.
Responsibilities:
* Review medical records to identify and code diagnoses and procedures.
* Assign ICD, CPT, and HCPCS codes accurately.
* Ensure coding complies with healthcare regulations (e.g., HIPAA, CMS).
* Collaborate with healthcare providers for accurate documentation.
* Submit codes for billing and resolve discrepancies.
* Stay updated on coding changes and best practices.
* Demonstrative effective communication and response using systems available to both the medical coder and management through telephone and email communication.
* Demonstrate effective use of required EHR software.
* The duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive.
Environmental and Physical Demands:
Requires no exposure to unpleasant or disagreeable physical environment such as high noise level and exposure to heat and cold, no handling or working with potentially dangerous equipment, occasional working hours beyond regularly scheduled hours, occasional travelling to offsite locations, frequent activities subject to significant volume changes of a seasonal/clinical nature, constant work produced is subject to precise measures of quantity and quality, occasional bending, occasional lifting/carrying up to 10 pounds, occasional lifting/carrying up to 25 pounds, no lifting/carrying up to 50 pounds, no lifting/carrying up to 75 pounds, no lifting/carrying up to100 pounds, no lifting/carrying 100 pounds or more, occasional climbing, no crawling, occasional crouching/stooping, occasional driving, no kneeling, occasional pushing/pulling, frequent reaching, frequent sitting, frequent standing, occasional twisting, and frequent walking. (Occasional-up to 20%, frequent-from 21% to 50%, constant-51% or more).
Time Type:
Part time
FLSA Designation/Job Exempt:
No
Pay Class:
Hourly
FTE %:
50
Work Shift:
Day
Benefits Eligibility:
Grant Funded:
No
Job Posting Date:
12/16/2025
Job Closing Date (open until filled if no date specified):
Auto-ApplyCertified Coder Appeals, Remote
Remote
Primary Location: Work From Home - KY - ULP - AMGAddress: Home Office Remote, KY 40601 Shift: First Shift (United States of America) Summary: :
WE ARE HIRING!
About Us
UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians' academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow's physicians, leading research in medical advancements and bringing the most progressive, state-of-the-art health care to every patient.
With more than 13,000 team members - physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.
Our Mission
As an academic health care system, we will transform the health of the communities we serve through compassionate, innovative, patient-centered care.
JOB SUMMARY
This position is responsible for managing the appeal of unpaid claims in the Central Business Office. This position will also work closely with insurance carriers in resolving unpaid claims
Review and appeal unpaid claims daily.
Completes follow-up work on appealed claims.
Works with insurance carriers on appeal issues.
Provides feedback to the coding department with coding errors or updates.
Reviews remit to ensure accurate payment was received.
Reviews denials for accuracy.
Obtains all necessary information to expedite the appeal process.
Closes and prints daily batch proof.
Makes charge corrections as needed in the practice management system.
Attends continue education programs for coding.
Other duties as assigned.
Additional Job Description:
MINIMUM EDUCATION & EXPERIENCE
High School education or GED required.
Must have and maintain Certified Professional Coder (CPC) certification through AAPC or must have and maintain CCA, CCS or CCS-P certification through AHIMA.
3 years of prior coding experience, preferred.
Prior experience working with medical insurance.
KNOWLEDGE, SKILLS, & ABILITIES
Knowledge of medical terminology.
Strong oral and written communication skills.
Basic Microsoft Office knowledge.
Ability to foresee projects from start to finish.
WORKING CONDITIONS
Sedentary Work: Lifting 10lbs. maximum and occasionally lifting and/or carrying items as needed.
Frequent Talking (Expressing or exchanging ideas by means of the spoken word.)
Frequent Hearing (Perceiving the nature of the sounds by the ear.)
Frequent Seeing (Visual acuity, depth perception, field of vision, color vision).
Consistent use of hand movement for keyboarding purposes.
HOW TO APPLY
Please follow the URL link to submit your resume:
Only those candidates whose experience best meets our requirements will be contacted.
University of Louisville Physicians is an Equal Opportunity Employer.
Current UofL Physicians employees must follow the UofL Physicians Internal Transfer Policy.
Auto-ApplyCoding Specialist 4
Seattle, WA jobs
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a **RADIOLOGY CODER** **WORK SCHEDULE** + 100% FTE, Days + 100% Remote HIGHTLIGHTS** Responsible for performing daily activities related to coding and charge submission of abstract Current Procedural Terminology (CPT) professional fee and facility Radiology coding and billing.
Analyzes the medical record to assign International Classification of Diseases (ICD), CPT and/or Healthcare Common Procedure Coding System (HCPCS) codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
ERHI provides advice and resources related to the lifecycle management of all UW Medicine records
**PRIMARY JOB RESPONSIBILITIES**
+ Reviews available electronic and other appropriate documentation within Radiology Information System (RIS) and PACS to identify all billable Radiology procedures and services requiring facility and professional fee coding, ensuring all necessary codes use the appropriate ICD, CPT and/or HCPCS code(s) and quantities
+ Queries physicians and/or consults with clinical department representatives, as appropriate, to verify services were rendered and documented timely.
+ Provides feedback to the School of Medicine (SOM) Department of Radiology to assist in the understanding of coding and documentation issues and revenue opportunities.
+ Maintains three day turnaround times for Radiology Coding based on the date of service; and understands charge lag impact for facility and professional fee services.
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years' coding experience or equivalent education/experience
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC)
**UW Medicine - Where your Impact Goes Further**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
INPATIENT CODER
Olympia, WA jobs
**UW Medicine Enterprise Records and Health Information** has an outstanding opportunity for an **INPATIENT CODER** . Experience in a Level 1 Trauma center or teaching facility is preferred. **WORK SCHEDULE** + 100% FTE, Days + Mondays - Fridays + 100% Remote
**POSITION HIGHLIGHTS**
+ Implements the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture.
+ Performs daily activities related to of abstract Diagnosis Related Group (DRG) coding and billing
+ Analyzes the medical record to assign International Classification of Diseases (ICD), Clinical Modification (CM) diagnoses and Procedure Coding System (PCS) procedure codes to ensure correct code assignment and optimal reimbursement in compliance with state and federal guidelines
**DEPARTMENT DESCRIPTION**
Enterprise Records and Health Information (ERHI) is a Shared Service Department that supports all aspects of the patient medical record from governance, integrity, documentation timeliness, completion, clinical coding, billing, release, and tracking to management of access, retention, and destruction.
**PRIMARY JOB RESPONSIBILITIES**
+ Performs chart analysis and assigns ICD-CM and ICD-PCS codes using 3M computer assisted coding (CAC) to compute the final DRG assignment to diagnoses and procedures in an integrated system to ensure the appropriate coding for the facility inpatient billing and reimbursement
+ Reviews patient records upon admission and at discharge to the inpatient Rehabilitation Unit; assigns codes to each record to assure proper Case Mix Group (CMG) assignment and appropriate reimbursement to the facility for Medicare Rehab patients
+ Abstracts and/or reviews necessary patient data within 3M CAC and Cerner to ensure data integrity, accurate reimbursement, proper case mix and hospital decision support.
+ Identifies the need for documentation clarity and works with the Clinical Documentation Improvement (CDI) department to review clinical documentation and/or request provider documentation clarification
+ Maintains four day turnaround times for inpatient coding based on the discharge date and understand charge lag impacts, especially for high dollar accounts and long length of stays (LOS).
**REQUIRED POSITION QUALIFICATIONS**
+ High school diploma or equivalent and three years of coding experience or equivalent education/experience.
+ Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
**_UW Medicine - Where your Impact Goes Further_**
UW Medicine is Washington's only health system that includes a top-rated medical school and an internationally recognized research center. UW Medicine's mission is to improve the health of the public by advancing medical knowledge, providing outstanding primary and specialty care to the people of the region, and preparing tomorrow's physicians, scientists and other health professionals.
All across UW Medicine, our employees collaborate to perform the highest quality work with integrity and compassion and to create a respectful, welcoming environment where every patient, family, student and colleague is valued and honored. Nearly 29,000 healthcare professionals, researchers, and educators work in the UW Medicine family of organizations that includes: Harborview Medical Center, UW Medical Center - Montlake, UW Medical Center - Northwest, Valley Medical Center, UW Medicine Primary Care, UW Physicians, UW School of Medicine, and Airlift Northwest.
**Compensation, Benefits and Position Details**
**Pay Range Minimum:**
$71,052.00 annual
**Pay Range Maximum:**
$101,700.00 annual
**Other Compensation:**
-
**Benefits:**
For information about benefits for this position, visit ******************************************************
**Shift:**
First Shift (United States of America)
**Temporary or Regular?**
This is a regular position
**FTE (Full-Time Equivalent):**
100.00%
**Union/Bargaining Unit:**
SEIU Local 925 Nonsupervisory
**About the UW**
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
**Our Commitment**
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81 (*********************************************************************************************************************** .
To request disability accommodation in the application process, contact the Disability Services Office at ************ or ********** .
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law (********************************************************* .
University of Washington is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sexual orientation, gender identity, sex, age, protected veteran or disabled status, or genetic information.
HIM Outpatient Coder, Remote
Remote
Remote, KY 40601
Shift: First Shift (United States of America) Summary: : The outpatient coder is responsible for thorough review of clinical documentation and diagnostic results applicable to abstract data and appropriately assign ICD-10-CM and CPT/HCPCS codes and modifiers for billing and reimbursement, internal and external reporting, research, and regulatory compliance. This position commits to accurate medical coding for account types and/or service rendered to patients in the emergency department (ED), Same Day Surgeries (SDS), Ancillary (ANC), Oncology (ONC), Outpatient Rehab, Outpatient Psychiatric, and Interventional Radiology (IVR).Additional Job Description:
Auto-ApplyCertified Specialty Coder- Three Rivers Orthopedics
Pittsburgh, PA jobs
Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs Monday-Friday, 8:00 AM-4:30 PM, with the potential for work-from-home flexibility after training
Responsibilities:
* Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements.
* Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation.
* Perform all coding functions, based on staffing needs and/or department requirements.
* Refer problem accounts to appropriate coding or management personnel for resolution.
* Maintain daily productivity statistics and submits a weekly productivity sheet to management clearly indicating the number of hours worked, the number of coding hours, the number of average charts per hour, and number of minutes/hours spent on non-coding tasks. Balance daily charges to data entry, forwarding results to departmental designee.
* Utilize the ACEP acuity level guidelines for assigning the correct acuity level for ED coding, or hospital specific acuity level module as needed.
* Assess current CPT guidelines as well as other applicable payer coding policy changes.
* Lead, participate in and/or assist with departmental coding audits.
* Identify incomplete documentation in the medical record and formulates a physician query to obtain missing documentation and/or clarification to accurately complete the coding process. Consult with DRG Specialist when applicable during query process.
* Incorporate into departmental procedures and communicates changes to coders and providers.
* Adhere to internal department policies and procedures to ensure efficient work processes.
* Maintain required CPC or CSS-P certification and continuing education by attending seminars, reviewing updated CPT Assistant guidelines and updated coding clinics.
* Adhere to department time goal for final coding entry to prevent charge lags.
* If applicable, abstract required medical and demographic information from the medical record and enters the data into the appropriate information system to ensure accuracy of the database. Responsible for correcting any data to be in error after reviewing the medical record and comparing with system entries.
* Progress within the training period toward meeting departmental coding accuracy standards within the first year of employment by assigning correct principal diagnosis/procedure, complications and co-morbidities, and secondary diagnoses as reviewed by the designated trainer and/or the DRG Specialist. Coder should meet appropriate coding productivity standards within the time frame established by management staff.
* Advise and instruct providers regarding billing and documentation policies, procedures, and regulations; interacts with providers regarding conflicting, ambiguous, or non-specific medical documentation, to obtain clarification.
* Work with department management on coding interface, development, enhancements and changes, as well as implementation of those functions.
* Demonstrate proficiency on billing system functionality as related to claim edit/charge review queues, as well as reimbursement denials.
* Complete work assignments in a timely manner and understands the workflow of the department.
* Train all new Coders to observe established coding guidelines and to utilize the appropriate billing system.
* Investigate and resolve reimbursement issues, including denials, in a timely manner per department standards.
* Analyze and interpret patient medical records within an area of medical/clinical specialty in order to determine amount and nature of billable services.
* Utilize computer applications and resources essential to completing the coding process efficiently, such as hospital information systems (Medipac/SMS/Meditech), encoders and electronic medical record repositories.
* Actively participate in periodic coding meetings and shares ideas and suggestions for operational improvements.
Qualifications:
* High school diploma or GED is required.
* Graduation from an approved Health Record Administration or Accredited Medical Record Technician program (RHIA/RHIT or eligible) or a certified coding program preferred.
* 3 years of coding experience in the applicable medical specialty is required.
* Advanced knowledge of medical coding and billing systems and regulatory requirements is required.
* Ability to provide training, guidance, and operational support to lower level staff within area of specialty is required.
* Experience and knowledge of accurate DRG and APC assignment is essential.
* A
bility to problem solve and be knowledgeable in advanced medical terminology, human anatomy/physiology, pharmacology, pathology and the principles of ICD-9-CM and CPT Classification Systems and DSM IV, if applicable.
* Proficient computer skills, including working knowledge of MS Excel and MS Access, is preferred.
Licensure, Certifications, and Clearances:
* Certified Professional Coder (CPC)
* Act 34
UPMC is an Equal Opportunity Employer/Disability/Veteran
Inpatient Coding Review Specialist (H)
Medley, FL jobs
Current Employees: If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position using the Career worklet, please review this tip sheet.
The University of Miami/UHealth -Health Information Management Departmenthas an exciting opportunity for a full-time Inpatient Coding Review Specialist (H) to work remotely.
The Inpatient Coding Review Specialist (H) under the general direction of the Inpatient Coding Manager works closely with the University of Miami Health's Clinical Documentation Improvement Specialists (CDIS) as well as Quality Management Analysts to ensure accurate and compliant coding on all Mortality cases prior to billing. The Inpatient Coding Review Specialist also performs quality reviews that specifically focus on the identification and validation of Hospital Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Present on Admission status, complications, and comorbidities that impact USNWR rankings and Vizient quality measures.
CORE JOB FUNCTIONS
* Reviews, analyzes, and interprets the complete electronic medical record (EMR) after initial coding to identify missed coding opportunities supported by documentation, enhancing severity of illness and risk of mortality indicators through the provider query process.
* Validates the assigned principal diagnosis, significant secondary ICD-10-CM diagnosis codes, Present On Admission (POA) indicators, and ICD-10-PCS procedure codes to ensure compliance with ICD-10-CM/PCS Official Coding Guidelines, UHDDS, and regulatory requirements for accurate MS-DRG assignment.
* Ensures accurate capture of Severity of Illness (SOI) and Risk of Mortality (ROM) indicators.
* Applies knowledge of the Elixhauser Comorbidity Index and Vizient quality measure logic, focusing on specialty-specific conditions that impact MCC/CC capture and quality data reporting.
* Collaborates with CDI, quality teams, and physicians to clarify ambiguous or incomplete documentation through the provider query process, initiates queries when necessary.
* Participates in meetings with CDI, providers, and colleagues to discuss coding findings, share expertise, and defend coding decisions using documentation and official guidelines.
* Conducts POA reviews for cases marked "No" and provides feedback to leadership for coder education and improvement.
* Reviews denial cases and provides detailed feedback to the Revenue Cycle Director and Audit Specialists.
* Assists in resolving claim edits across all accounts, regardless of the initial coder assignment.
* Performs initial inpatient coding when primary responsibilities are complete or additional hours are approved.
* Meets or exceeds established quality and productivity benchmarks set by leadership.
* Adheres to University and unit-level policies and procedures and safeguards University assets.
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.
CORE QUALIFICATIONS
* High School diploma or equivalent
* Refer to department description for applicable certification requirements
* Minimum 5 years of relevant experience
* Learning Agility: Ability to learn new procedures, technologies, and protocols, and adapt to changing priorities and work demands.
* Teamwork: Ability to work collaboratively with others and contribute to a team environment.
* Technical Proficiency: Skilled in using office software, technology, and relevant computer applications.
* Communication: Strong and clear written and verbal communication skills for interacting with colleagues and stakeholders.
Any relevant education, certifications and/or work experience may be considered.
#LI-NN1
The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.
UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.
The University of Miami is an Equal Opportunity Employer - Females/Minorities/Protected Veterans/Individuals with Disabilities are encouraged to apply. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Click here for additional information.
Job Status:
Full time
Employee Type:
Staff
Pay Grade:
H11
Auto-ApplyCoding Specialist
Minneapolis, MN jobs
Why M Physicians? The Coding Specialist is responsible for the accurate and timely coding of complex services. This role is responsible for ensuring accurate diagnoses, procedure codes and other specified data to ensure appropriate/efficient reimbursement for facility charges applying information from medical records and following established methods and procedures!
What you will do as a Coding Specialist:
Codes intermediate to complex diagnostic, evaluation and management, surgical and procedural coding services (may include inpatient coding)
Performs coding quality reviews on a monthly basis; shares findings with staff
Ensures that all charges are brought together by applying reports or processes daily and following up accordingly
Communicates with Providers, Billing Operation Managers and clinic staff regarding documentation, coding issues or to provide ongoing education
Assists in research and resolves issues in a timely manner and provide feedback to management and/or providers
Partners with patient/care-giver/management in care/decision making
What you will need:
HS grad or equivalent coupled with CCS, CCS-P, CPC, CPC-A, CCA, RHIT, and/or RHIA certification
Minimum 2 years experience coding; proficient in basic coding and successfully able to handle more sophisticated coding assignments
Proficient in CPT and ICD-10-CM coding or professional and medical facility coding
Ability to use medical billing systems
Good analytical skills; ability to identify problems or issues and provide positive solutions or outcomes
Good attention to detail and highly organized
Location: At this time, the position will be working remote.
Hours: 1.0 FTE (Monday-Friday)
Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more!
Compensation:
22.47 - 32.58 USD Hourly
At M Physicians we believe in pay transparency and equity. The compensation for each position is based on experience, skills, qualifications, and other role-specific considerations. Our total compensation is designed to support your well-being, career growth, and work-life balance.
University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.
Join us on a mission to advance medicine.
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.
Auto-ApplyMedical Coding Specialist II - Inpatient
Rockford, IL jobs
Work Schedule:
100% FTE, day shift role, Monday - Friday 7am - 3 pm Central. You will work remote.
At UW Health in northern Illinois, you will have:
• Competitive pay and comprehensive benefits package including: PTO, Medical, Dental, Vision, retirement, short and long-term disability, paternity leave, adoption assistance, tuition assistance
• Annual wellness reimbursement
• Opportunity for on-site day care through UW Health Kids
• Tuition reimbursement for career advancement--ask about our fully funded programs!
• Abundant career growth opportunities to nurture professional development
• Strong shared governance structure
• Commitment to employee voice
Qualifications
High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required
Graduate of a Health Information Technology program. Preferred
Work Experience
2 years Two years of progressive inpatient facility coding experience. Required
2 years Two or more years of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center. Preferred
Licensure and Certifications
Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS), Certified Inpatient Coder (CIC). Required
Certified Coding Specialist (CCS) or Certified Inpatient Coder (CIC) AND Registered Health Information Technician (RH
Our Commitment to Social Impact and Belonging
UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Job Description
UW Health in northern Illinois benefits
Auto-ApplyMedical Coding Auditor
El Paso, TX jobs
Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding accuracy and assure regulatory requirements are met.
Requisition ID
42910BR
Travel Required
Up to 25%
Major/Essential Functions
* Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance
* Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines
* Identify and address coding discrepancies and recommend corrective actions
* Prepare detailed audit reports with findings and provide feedback on documentation and coding practices
* Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations
* Stay current with changes in coding guidelines, healthcare regulations, and payer policies
* Assist in developing and refining audit tools, policies, and procedures to support continuous improvement
* Monitor and track corrective actions post-audit, ensuring follow-up to resolve identified issues
* Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition, indicators, procedure dates of service, etc.
* Adhere to physician and facility coding guidelines and coding policy and procedures, as needed
* Lead coding/charge posting team communications/huddles, projects, and communicate Key Performance Indicator (KPI) requirements as determined by the Medical Coding Auditor Manager
* Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payors)
* Collaborate with appropriate teams to ensure claims data is transferred through the clearinghouse appropriately
* Maintain professional relationships and collaborate across teams, managing projects, facilitating meetings, and presenting in various settings, including senior leadership
* Remains current with all licensure, certifications and mandatory compliances and trainings required of this position
* Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSCEP OPs, etc.)
* Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution
* Perform all other duties as assigned
* Performs duties in-person or remotely, as approved, ensuring consistent availability, productively and responsiveness during established work hours
Grant Funded?
No
Minimum Hire Rate
Compensation is commensurate upon the qualifications of the individual selected
Pay Basis
Monthly
Work Location
El Paso
Preferred Qualifications
* 5 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
* Prior experience reviewing medical records to ensure accurate coding and compliance with regulatory requirements in an academic medical or health sciences center
Campus
HSC - El Paso
Department
Institutional Compliance Offc Elp
Required Attachments
Cover Letter, Resume / CV, Transcript
Job Type
Full Time
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
Job Group
Business Professionals
Shift
Day
EEO Statement
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Required Qualifications
* Bachelor's degree in business or related field with one year of related experience OR combination of education and/or related experience to equal 5 years
* Minimum 2 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
* Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist), or CBCS (Certified Billing and Coding Specialist)
Does this position work in a research laboratory?
No
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: **************************************************
Medical Coding Auditor
El Paso, TX jobs
Responsible for auditing medical records to ensure accurate coding and compliance with regulatory requirements. This role ensures continuous quality improvement in coding practices while maintaining compliance with healthcare laws and organizational policies. The Medical Coding Auditor collaborates with practice, providers, and other departmental leaders to provide education on medical coding and documentation based on audit findings and as required by current CMS regulations. Work directly with the Medical Coding Auditor Manager to implement best practices to maximize revenue, improve coding accuracy and assure regulatory requirements are met.
Conduct reviews and audits of medical records for coding accuracy (ICD-10-CM, CPT, HCPCS) and documentation compliance
Ensure compliance with federal, state, and payer-specific regulations, including CMS guidelines
Identify and address coding discrepancies and recommend corrective actions
Prepare detailed audit reports with findings and provide feedback on documentation and coding practices
Collaborate with relevant departments to resolve audit findings and ensure ongoing compliance with policies and regulations
Stay current with changes in coding guidelines, healthcare regulations, and payer policies
Assist in developing and refining audit tools, policies, and procedures to support continuous improvement
Monitor and track corrective actions post-audit, ensuring follow-up to resolve identified issues
Ensure abstracted data impacting reimbursement for all clinical locations is accurate: discharge disposition, indicators, procedure dates of service, etc.
Adhere to physician and facility coding guidelines and coding policy and procedures, as needed
Lead coding/charge posting team communications/huddles, projects, and communicate Key Performance Indicator (KPI) requirements as determined by the Medical Coding Auditor Manager
Participate in the development of coding and billing strategies, evaluating processes related to Revenue Cycle and making recommendations while ensuring compliance with any relevant rules or regulations (including HIPAA, Medicaid, Medicare, and specific 3rd Party Payors)
Collaborate with appropriate teams to ensure claims data is transferred through the clearinghouse appropriately
Maintain professional relationships and collaborate across teams, managing projects, facilitating meetings, and presenting in various settings, including senior leadership
Remains current with all licensure, certifications and mandatory compliances and trainings required of this position
Adhere to all policies, procedures and practices (Regents Rules, TTUS, HSCEP OPs, etc.)
Personally demonstrate, display and act in accordance with TTUHSC EP's Values (Service, Respect, Accountability, Integrity, Advancement, and Teamwork). Serve as a Value's leader while actively promoting and encouraging staff across the institution
Perform all other duties as assigned
Performs duties in-person or remotely, as approved, ensuring consistent availability, productively and responsiveness during established work hours
5 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Prior experience reviewing medical records to ensure accurate coding and compliance with regulatory requirements in an academic medical or health sciences center
Pay Statement
Compensation is commensurate upon the qualifications of the individual selected and budgetary guidelines of the hiring department, as well as, the institutional pay plan. For additional information, please reference the institutional pay plan on the Human Resources webpage.
EEO Statement
All qualified applicants will be considered for employment without regard to sex, race, color, national origin, religion, age, disability, protected veteran status, or genetic information.
Bachelor's degree in business or related field with one year of related experience OR combination of education and/or related experience to equal 5 years
Minimum 2 years of relevant audit experience in physician or facility medical coding, auditing, or compliance roles
Current CPC (Certified Profressional Coder), CCS (Certified Coding Specialist), or CBCS (Certified Billing and Coding Specialist)
Jeanne Clery Act
The Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act is a federal statute requiring colleges and universities participating in federal financial aid programs to maintain and disclose campus crime statistics and security information. By October 1 of each year, institutions must publish and distribute their Annual Campus Security Policy & Crime Statistics Report (ASR) to current and prospective students and employees. You can locate this report through our website at: **************************************************
Coder Certified (Remote) - Surgery
Remote
Scheduled Hours40Position reviews medical record documentation to determine appropriate billing codes and necessary documentation.Job Description
Primary Duties & Responsibilities:
Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment.
Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code.
Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up.
Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required.
Assists with efforts to increase physician awareness of documentation requirements.
Prepares case reports and initiates follow-up for billing process.
Working Conditions:
Job Location/Working Conditions:
Normal office environment.
Physical Effort:
Typically sitting at desk or table.
Equipment:
Office equipment.
The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.Required Qualifications
Education:
A diploma, certification or degree is not required.
Certifications/Professional Licenses:
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Certified Coding Specialist - Physican based (CCS-P) - American Health Information Management Association (AHIMA), Certified Professional Coder (CPC) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Apprentice (CPC-A) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital (CPC-H) - American Academy of Professional Coders (AAPC), Certified Professional Coder - Hospital Apprentice (CPC-H-A) - American Academy of Professional Coders (AAPC), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - American Health Information Management Association (AHIMA)
Work Experience:
No specific work experience is required for this position.
Skills:
Not Applicable
Driver's License:
A driver's license is not required for this position.More About This JobRequired Qualifications:
Must have one of the following coding credentials: AHIMA (CCA, CCS, or CCS-P); AAPC (CPC, CPC-A, CPC-H, CPC-H-A, or one of the AAPC specialty-specific coding credentials (the specialty-specific credential is only valid for that employee's department).
Preferred Qualifications:
Previous coding experience or experience equivalent to an associate's degree in a related field.
Knowledge of ICD-10 and CPT coding.
Preferred Qualifications
Education:
Associate degree - Medical Coding & Billing
Certifications/Professional Licenses:
No additional certification/professional licenses unless stated elsewhere in the job posting.
Work Experience:
No additional work experience unless stated elsewhere in the job posting.
Skills:
Computer Systems, ICD-10 Procedure Coding System, Medical Billing and Coding, Medical TerminologyGradeC10-HSalary Range$25.30 - $37.94 / HourlyThe salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request.
All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.Pre-Employment ScreeningAll external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Take advantage of our free Metro transit U-Pass for eligible employees.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: ******************************
EEO StatementWashington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information.Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
Auto-ApplyEdits Coder
Campus, IL jobs
UW Medicine Enterprise Records and Health Information has an outstanding opportunity for a Coding Specialist 1 - Edits Coder WORK SCHEDULE * 100% FTE * Mondays - Fridays * 100% Remote HIGHLIGHTS The Edits Coder position reports to the Outpatient Coding Supervisor within the Enterprise Records and Health Information Management department. Under the general supervision of the Manager of Facility Coding, and the direct supervision of the Supervisor of Outpatient Coding, the Edits Coder is responsible for implementing the mission and goals of Enterprise Records and Health Information, and incorporating a "patients are first" service culture. The Edits Coder is responsible for performing daily activities related to analyzing medical records to validate the correct coding assignment of International Classification of Disease (ICD), Current Procedural Terminology (CPT) and/or Healthcare Common Procedure Coding System (HCPCS) codes in Epic work queues (WQ) and/or Hierarchical Condition Category (HCC)/Risk Adjustment Factor (RAF) and/or Care Gap review to ensure optimal reimbursement for facility and/or professional fee coding and billing for Clinic, Outpatient and related charges needing coding review in compliance with State and Federal guidelines.
PRIMARY JOB RESPONSIBILITIES
* Validates codes entered at the point of care and/or by other charge sources by reviewing electronic data and making corrections based on a review of all available electronic and other appropriate documentation to support all billable procedures and services.
* Reviews and resolves coding accounts failed validations, revenue guard, missing modifiers, incorrect modifiers, missing charges, incorrect charges, medical necessity edits, CCI edits, claim edits, and payor denials in Epic; verifies accuracy of ICD diagnosis codes and CPT/HCPCS procedure codes.
* Investigates and researches coding issues identified by Revenue Integrity (RI) and Patient Financial Services (PFS) related to inquiries, complaints and/or denials. Makes coding corrections to resolve coding issues; supports RI by reviewing specified procedures for charge accuracy; reroutes accounts to correct coding team for coding resolution based on revenue codes.
* Maintains Epic WQ turnaround times for coding error and edits resolution to prevent charge lags for facility and professional fee services. Identifies potentially avoidable delays to timely billing and help identify systemic issues that contribute to delays in service or inefficient uses of resources to address root cause and prevent ongoing errors.
* Identifies the need for documentation clarity to support the integrity of the record and for reimbursement compliance; identifies charge error trends and escalate to supervisor.
* Performs special projects or other duties assigned.
* May perform the work of lower level classifications of the Coding Specialist series.
REQUIRED POSITION QUALIFICATIONS
High school diploma or equivalent
AND
Certified as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Coding Specialist - Physician Based (CCS-P), Certified Professional Coder (CPC), Certified Inpatient Coder (CIC), Certified Outpatient Coder (COC), Certified Interventional Radiology Cardiovascular Coder (CIRCC), Radiology Certified Coder (RCC) or Radiation Oncology Certified Coder (ROCC).
AND
One year coding experience or equivalent education/experience.
Equivalent education and/or experience may substitute for minimum qualifications except when there are legal requirements, such as a license, certification, and/or registration.
Compensation, Benefits and Position Details
Pay Range Minimum:
$59,976.00 annual
Pay Range Maximum:
$85,848.00 annual
Other Compensation:
* Benefits:
For information about benefits for this position, visit ******************************************************
Shift:
First Shift (United States of America)
Temporary or Regular?
This is a regular position
FTE (Full-Time Equivalent):
100.00%
Union/Bargaining Unit:
SEIU Local 925 Nonsupervisory
About the UW
Working at the University of Washington provides a unique opportunity to change lives - on our campuses, in our state and around the world.
UW employees bring their boundless energy, creative problem-solving skills and dedication to building stronger minds and a healthier world. In return, they enjoy outstanding benefits, opportunities for professional growth and the chance to work in an environment known for its diversity, intellectual excitement, artistic pursuits and natural beauty.
Our Commitment
The University of Washington is committed to fostering an inclusive, respectful and welcoming community for all. As an equal opportunity employer, the University considers applicants for employment without regard to race, color, creed, religion, national origin, citizenship, sex, pregnancy, age, marital status, sexual orientation, gender identity or expression, genetic information, disability, or veteran status consistent with UW Executive Order No. 81.
To request disability accommodation in the application process, contact the Disability Services Office at ************ or **********.
Applicants considered for this position will be required to disclose if they are the subject of any substantiated findings or current investigations related to sexual misconduct at their current employment and past employment. Disclosure is required under Washington state law.
Coding & Reimburs Spec
Amarillo, TX jobs
Abides by the Standards of Ethical Coding as set forth by the American Association of Professional Coders (AAPC) and adheres to official coding guidelines and the Values Based Culture of Texas Tech University Health Sciences Center. Reviews official medical records with physician/healthcare provider documentation and assigns appropriate codes for all physician/healthcare provider services from current editions of official coding sources; ensures accurate, complete, and timely code assignments for all physician/healthcare provider services to include procedural, diagnosis, and supplies in all places of service.
Responsible for accurate coding and billing of patient encounters, including processing insurance denials and performing detailed data entry.
Collaborates closely with providers to communicate coding updates, ensure compliance with current guidelines, and provide education on evolving coding trends.
High School graduate or equivalency required. A combination of coding and reimbursement or Medical billing experience, preferably in a physician group or health care institution to equal two years. Must include procedural and diagnosis coding; prefer experience in academic health care setting. OR High School graduate or equivalency required. Current coding certification from the American Association of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) Certification to remain current during term of employment.
In Patient Coder (Remote) | Health Information & Record Management | Full Time
Leesburg, FL jobs
FTE: 1.0 Work Schedule: Monday - Friday, 8:00 AM to 5:00 PM Additional Details: * The new hire will be required to attend in-person onboarding and hospital orientation.
Responsibilities
Summary:
The Coder III is responsible for evaluating and assigning the appropriate ICD-9, ICD-10, CPT-4, and HCPCS codes, as well as abstracting pertinent clinical information for bill preparation for the following patient types: Inpatient, Rehabilitation, and performing select Coder II functions as outlined in the coding policy and procedure manual.
This role is also responsible for:
* Researching and resolving coding/billing issues.
* Analyzing medical records for completeness, consistency, and compliance with all regulatory requirements.
Qualifications
Education:
* Post-High School Special Training
Licensure/Certification/Registration:
* AAPC or AHIMA Medical Coding Certification
Experience Requirements:
* Minimum of 6 months inpatient coding experience (requirement consistent across all facilities)
* Minimum of 1 year experience in acute care coding, including Medicare, MS-DRGs, and APR-DRGs
Special Skills/Qualifications/Additional Training:
* Knowledge of basic and advanced ICD-9-CM and CPT-4 coding instructions
* Understanding of medical terminology, anatomy, and physiology
* Verifiable training in coding systems, advanced medical and anatomical terminology, clinical theory, and reimbursement principles through college courses, hospital in-service, and/or approved seminars
* Must be able to read, write, speak, and understand English
7335-Temporary Professional
Pasadena, TX jobs
Temporary Worker/Temporary
Additional Information: Show/Hide
Education:
Essential:
* Bachelor's of be a current substitute teacher
Medical Coding & Billing Spec
Denton, TX jobs
Title: Medical Coding & Billing Spec
Employee Classification: Medical Coding & Billing Spec
Campus: University of North Texas
Division: UNT-Student Affairs
SubDivision-Department: UNT-Student Health and Wellness
Department: UNT-Health & Wellness-Gen-160700
Job Location: Denton
Salary: 41,640
FTE: 1.000000
Retirement Eligibility: TRS Eligible
About Us - Values Overview
Welcome to the University of North Texas System. The UNT System includes the University of North Texas in Denton and Frisco, the University of North Texas at Dallas and UNT Dallas College of Law, and the University of North Texas Health Science Center at Fort Worth. We are the only university system based exclusively in the robust Dallas-Fort Worth region. We are growing with the North Texas region, employing more than 14,000 employees, educating a record 49,000+ students across our system, and awarding nearly 12,000 degrees each year. We are one team comprised of individuals who are committed to excellence, curiosity and innovation. We are transforming lives and creating economic opportunity through education. We champion a people-first values-based culture where We Care about each other and those we serve. We believe that we are Better Together because we foster an environment of respect, belonging, and access for all. We demonstrate Courageous Integrity through setting exceptional standards and acting in the best interest of our communities. We are encouraged to Be Curious about opportunities for learning, creating, discovering, and innovating, and are encouraged to learn from failure. Show Your Fire by joining our team and exhibiting your passion and pride in your work as part of our UNT System team. Learn more about the UNT System and how we live our values at ******************
Department Summary
The University of North Texas (UNT) Student Health and Wellness Center is a full-service medical center offering all UNT students general wellness and specialty medical care. We are staffed with licensed physicians, nurse practitioners, physician assistants, certified lab technologists, psychiatric nurse practitioners, licensed nurses, and medical assistants.
Position Overview
Acts as primary billing/checkout clerk. Assists the Billing Supervisor with opening/closing the department. First point of contact within the Billing Department as a customer service representative.
Minimum Qualifications
High school diploma/GED equivalent and three years of general office or clerical experience. Substitution of education for experience allowed.
Knowledge, Skills and Abilities
Ability to problemsolve and make decisions. Skill in recording and compiling material for reports. Excellent oral and written communication skills. Ability to work independently with limited supervision. Ability to professionally handle clients in stressful situations with empathy and composure.
Preferred Qualifications
The preferred candidate will possess the following additional qualifications: Previous medical office experience. Previous customer service experience.
Required License/Registration/Certifications
Job Duties
% - Presents a professional demeanor when interacting with internal and external customers. Follows appropriate chain of command. - ()
% - Participates in all mandatory SHWC trainings and meetings, including committees, as assigned. Practices and follows proper privacy and security regulations. - ()
% - Participates/volunteers with SHWC events, including internal events, orientations, etc. - ()
% - Checks out patients, ensuring that insurance information is correct and followups are scheduled as necessary, process and posts payments. Provide information on parking, no show fees, ancillary fees, and services provided. - ()
% - Provides phone and billing window coverage. - ()
% - Assists with opening and closing job duties as assigned. - ()
% - Maintains security of cash fund and deposit which includes being assigned a cash bag at beginning of shift, collecting payments throughout the day, and accurately posting individual deposit at end of shift. - ()
% - Other duties as assigned. - ()
Physical Requirements
Environmental Hazards
Work Schedule
Mon-Fri 8:00 am- 5:00 pm
Driving University Vehicle
No
Security Sensitive
This is a Security Sensitive Position.
Special Instructions
Applicants must submit a minimum of two professional references as part of their application. If needed, additional references can be added after the application has been submitted.
Benefits
For information regarding our Benefits, click here.
EEO Statement
The University of North Texas System is firmly committed to equal opportunity and does not permit -- and takes actions to prevent -- discrimination, harassment (including sexual violence, domestic violence, dating violence and stalking) and retaliation on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status in its application, employment practices and facilities; nor permits race, color, national origin, religion, age, disability, veteran status, or sex discrimination and harassment in its admissions processes, and educational programs and activities, facilities and employment practices. The University of North Texas System promptly investigates complaints of discrimination, harassment and related retaliation and takes remedial action when appropriate. The University of North Texas System also takes actions to prevent retaliation against individuals who oppose any form of harassment or discriminatory practice, file a charge or report, or testify, assist or participate in an investigative proceeding or hearing.