Medical Coder jobs at Wellstar Health System

**We are more than a health system. We are a belief system.** We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. ** Summary:** This position performs facility coding and abstracting functions of Inpatient. **Responsibilities And Duties:** 1. 60% Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the minimum standards of 95% Review Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least 95% or better Monitor and appropriately assign HAC codes when appropriate Responsible for recognizing when it is necessary to obtain further clarification from physician when documentation is inadequate, ambiguous, or unclear for coding purposes. Assists educators and supervisors with reviewing accounts denied by RAC and other governmental payers for appropriate documentation to support original coding. 2. 20% In the event of insufficient, missing or conflicting documentation, assigns transaction codes in HBOC system and follows department policy for follow up and physician query. 3. 10% : Abstracts all data elements necessary to complete UB0 4 and meet hospital-reporting requirements. 4. 5% : Verifies demographics, corrects account number, charges and service and identify missing or incorrect forms in each record. 5. 5% : Identifies problem cases on the DNFB and forwards to appropriate staff for follow up. The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor. **Minimum Qualifications:** Bachelor's Degree (Required) AHIMA - American Health Information Management Association - American Health Information Management Association, CCS - Certified Coding Specialist - American Health Information Management Association **Additional Job Description:** **Work Shift:** Day **Scheduled Weekly Hours :** 40 **Department** Hospital Coding Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment **Remote Work Disclaimer:** Positions marked as remote are only eligible for work from **Ohio** .

Position: Coding Specialist Department: Health Information Management Location: Cass City, MI Hours: Full-Time. Full-Benefits. Days Aspire Rural Health Systems is seeking a Coding Specialist in our Health Information Management department. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patient. Requirements: CPT Coding, HCPCS Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word and other office equipment High School Diploma, Certification from AAPC or AHIMA 5 years with hospital or physician coding and/or auditing In depth knowledge of ICD CM, ICD PCS and CPT/HCPCS Strong analytical and communication skills Responsibilities: Responsible for conducting coding and billing training programs for billing and coding specialists and physicians. Creates presentations, develops learning material and other training material. " We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law ."

Position: Coding Specialist Department: Health Information Management Location: Cass City, MI Hours: Full-Time. Full-Benefits. Days Aspire Rural Health Systems is seeking a Coding Specialist in our Health Information Management department. We are looking for those who have a great attitude to join our dedicated team of healthcare professionals who are constantly striving to provide the highest quality of services for our patient.Requirements: CPT Coding, HCPCS Coding, ICD-10 Coding and Revenue Coding, Data Processing, Accounts Receivable Collections, Excel, Word and other office equipment High School Diploma, Certification from AAPC or AHIMA 5 years with hospital or physician coding and/or auditing In depth knowledge of ICD CM, ICD PCS and CPT/HCPCS Strong analytical and communication skills Responsibilities: Responsible for conducting coding and billing training programs for billing and coding specialists and physicians. Creates presentations, develops learning material and other training material. " We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law ."

We are hiring an Outpatient Coder for an exciting opportunity to join our growing team at our Regional Support Office in Alpharetta! Benefits: Medical, dental, vision, short/long term disability, 401k, PTO, life insurance, critical illness, hospital indemnity, and holiday pay. Hours: Monday-Friday, 8AM - 5PM, no nights or weekends This is a HYBRID REMOTE work schedule (4 days remote / 1 day in office in Alpharetta) - after training. The Outpatient Coder works to review patient medical records for outpatient procedures and translate the information into standardized alphanumeric codes. These codes are then used for billing, data collection, and insurance reimbursement. An outpatient coder must have strong knowledge of medical terminology, anatomy, and various coding systems to ensure accuracy and compliance. Duties may include but not limited to: Ability to read & interpret patient charts, notes, testing results to identify diagnosis & procedure. Translate medical diagnoses, treatments and procedures into standardized codes using ICD-10-CM, CPT & HCPCS for inpatient and observation services In-depth understanding of medical terminology, human anatomy and disease processes Expertise in ICD-10-CM, CPT, HCPCS Reviews and verifies documentation supports diagnoses, procedures and treatment Understanding of coding guidelines, payer policies and compliance standards Requirements: Dependable team player is a must. Ability to work in a fast paced environment. Prior medical experience is required. Heart and Vascular Care is a cardiology practice that places a priority on compassionate patient care and service. In our team-based and family-oriented setting, we strive to set a new bar for patient healthcare through a modern, friendly, and thoughtful approach. Come be a part of our growing team. Apply and someone will be in touch!

Job Description We are hiring an Outpatient Coder for an exciting opportunity to join our growing team at our Regional Support Office in Alpharetta! Benefits: Medical, dental, vision, short/long term disability, 401k, PTO, life insurance, critical illness, hospital indemnity, and holiday pay. Hours: Monday-Friday, 8AM - 5PM, no nights or weekends This is a HYBRID REMOTE work schedule (4 days remote / 1 day in office in Alpharetta) - after training. The Outpatient Coder works to review patient medical records for outpatient procedures and translate the information into standardized alphanumeric codes. These codes are then used for billing, data collection, and insurance reimbursement. An outpatient coder must have strong knowledge of medical terminology, anatomy, and various coding systems to ensure accuracy and compliance. Duties may include but not limited to: Ability to read & interpret patient charts, notes, testing results to identify diagnosis & procedure. Translate medical diagnoses, treatments and procedures into standardized codes using ICD-10-CM, CPT & HCPCS for inpatient and observation services In-depth understanding of medical terminology, human anatomy and disease processes Expertise in ICD-10-CM, CPT, HCPCS Reviews and verifies documentation supports diagnoses, procedures and treatment Understanding of coding guidelines, payer policies and compliance standards Requirements: Dependable team player is a must. Ability to work in a fast paced environment. Prior medical experience is required. Heart and Vascular Care is a cardiology practice that places a priority on compassionate patient care and service. In our team-based and family-oriented setting, we strive to set a new bar for patient healthcare through a modern, friendly, and thoughtful approach. Come be a part of our growing team. Apply and someone will be in touch!

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position performs facility coding and abstracting functions of Inpatient. Responsibilities And Duties: 1. 60% Assigns appropriate admit, & principal and secondary diagnoses and/or procedure codes by reading documentation present in medical record and applying knowledge of correct coding guidelines as appropriate for hospital service and/or patient type while maintaining 95% quality and meeting and maintaining the minimum Coder productivity requirements. Assign Present on Admission PO a indicators to all inpatient account diagnoses as required by official coding guidelines. Accurately Assign DRG/MSDRG/APR-DRG at the minimum standards of 95% Review Diagnosis and CC/MCC for maximum SOI/ROM Clinical understand of laboratory and radiology values Knowledge of quality outcomes indicators Work with CDS to improve physician documentation and case mix index Assign Principal Diagnosis accurately at least 95% or better Monitor and appropriately assign HAC codes when appropriate Responsible for recognizing when it is necessary to obtain further clarification from physician when documentation is inadequate, ambiguous, or unclear for coding purposes. Assists educators and supervisors with reviewing accounts denied by RAC and other governmental payers for appropriate documentation to support original coding. 2. 20% In the event of insufficient, missing or conflicting documentation, assigns transaction codes in HBOC system and follows department policy for follow up and physician query. 3. 10% : Abstracts all data elements necessary to complete UB0 4 and meet hospital-reporting requirements. 4. 5% : Verifies demographics, corrects account number, charges and service and identify missing or incorrect forms in each record. 5. 5% : Identifies problem cases on the DNFB and forwards to appropriate staff for follow up. The major duties, responsibilities and listed above are not intended to be all-inclusive of the duties, responsibilities and to be performed by employees in this job. Employee is expected to all perform other duties as requested by supervisor. Minimum Qualifications: Bachelor's Degree (Required) AHIMA - American Health Information Management Association - American Health Information Management Association, CCS - Certified Coding Specialist - American Health Information Management Association Additional Job Description: Work Shift: Day Scheduled Weekly Hours : 40 Department Hospital Coding Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.

WOOSTER COMMUNITY HOSPITAL JOB DESCRIPTION Coder MAIN FUNCTION: The Coder is responsible to review, abstract, assign appropriate ICD10-CM, CPT and DRG codes as needed to all patient charts/accounts. Assists the revenue cycle team by performing audits to detect, assess and resolve re-imbursement and revenue compliance concerns. Involved in the charge capture process. RESPONSIBLE TO: System Director of Revenue Cycle MUST HAVE REQUIREMENTS: Previous coding experience / knowledge. Ability to follow written and verbal directions. Knowledge of state and federal coding regulations. Knowledge of Anatomy, Physiology, Disease Processes, and Medical Terminology. RHIT/RHIA/CCS/ or CCA eligible. If not credentialed at time of hire, then applicant must become credentialed in one of the four areas within 12 months of hire to remain employed. Ability to operate computer on a daily basis and perform basic office procedures. No written disciplinary action within the last 12 months. PREFERRED ATTRIBUTES: Completion of an accredited program in Health Information Technology. * Denotes ADA Essential * Follows Appropriate Service Standards POSITION EXPECTATIONS: * Reviews charts of all inpatient, outpatient surgeries, observations, clinic, special procedures, emergency room records, and outpatient testing or treatment room records, etc. on a daily basis in order to assign proper ICD10-CM and/or CPT codes for billing and statistical reports. * Utilizes encoder software to code and finalize bill * Able to prioritize most needed coding and code in a timely manner. * Abstracts demographic information as needed. * Works with Manager with problem accounts. Tracks down these accounts and works with the physician to complete these records and codes them for billing. * Reports any problems in coding, billing or registrations to the Manager. * Ensures that chart information supports the diagnosis and treatment. Charts must be thoroughly reviewed and discrepancies communicated to the physician for correction or further documentation. * Performs audits of revenue cycle processes utilizing reports from various software applications (i.e. Craneware, Meditech, Quadex, etc.) and report findings to the Manager. * Must be able to perform audits utilizing all source documents, including the medical record, itemized charges, UB92 and charging worksheets. * Performs revenue audits for clinical departments on a rotating basis as well as requested audits on an as needed basis. The need for an audit can be identified by PFS, HIM or clinical departments. * Performs charge capture processes for the specified categories of charges. 4/95 Revised Dates: 3/00, 6/00, 3/02, 9/03, 1/04, 3/05, 5/09, 11/10, 10/15, 2/20 Approved by Human Resources: Full time Monday thru Friday 8am-430pm 40 hours per week

Job Details HAMILTON MEDICAL CENTER - DALTON, GA Optional Work from Home Full Time Varies Health Information Management / Medical RecordsDescription Codes, analyzes, and abstracts all scanned or imaged emergency room, outpatient surgery and observation electronic medical records according to established classification system and enters the abstracted information into the hospital financial system via a CRT. Identifies documents of poor quality. Ensures all scanned documents are positioned correctly. Identifies the documents that are incorrect. Ensures each document is indexed to the correct patient/encounter. Refers identified issues to appropriate scanning/QC staff for correction. The individual must be detailed oriented and be able to work independently. Must demonstrate initiative and ability to work with physicians and other healthcare providers with cooperation and flexibility. The team member has access to patient medical information, involved in ensuring the integrity of the legal medical record and must strictly uphold patient confidentiality. This position serves as a resource for other members of the organization in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work queue(s) daily and ensure timely processing of assignments in each queue. Qualifications JOB QUALIFICATIONS Education: Graduate of AHIMA accredited HIA or HIT program with completion of basic coding courses, required. Licensure: AHIMA or AAPC approved credential(s)- RHIA, RHIT, CCS, CPC, CCA or equivalent. Experience: Minimum of one year experience coding ICD-10-CM & CPT-4 in an acute care hospital. Skills: Knowledge of Medical Record content for emergency room, outpatient surgery and observation visits. Knowledge of medical terminology, anatomy & physiology, APC assignment, and ICD10-CM & CPT-4 coding systems Ability to examine the chart and verify documentation needed for accurate code assignment Good decision-making Organized with attention to detail and quality Ability to prioritize workload and strong recall and recognition skills Ability to perform computer functions in Microsoft Windows Good verbal, written and computer communication skills PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS Works in a typical office setting. Frequent sitting, and long periods of reviewing records from a computer screen. Prolonged sitting and eye strain with concentrated effort over detail work. Requires a moderate amount of working with computers. Requires walking up and down stairs. Requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift sitting. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, codes, report types, as well as hand dexterity to enter data. Work assignments require consistent periods of sitting. Dexterity of upper extremities and fingers, as well as mental dexterity for utilizing dual monitors and operating multiple windows of different software programs simultaneously. Ability to flex neck for reviewing documents on dual monitors. Ability to communicate clearly and understandably on the telephone and in person. Ability to understand the spoken word on the telephone and in person. WORKING CONDITIONS This position must practice good organization skills due to interruptions and interactions with other team members. Position must be able to work in a team environment and be self-directed enough to work alone when necessary, with the opportunity to work remotely. Must remain calm under stress and must be able to appropriately handle an irate person when the occasion arises (i.e., physician, hospital employee, patient). Full-Time Benefits 403(b) Matching (Retirement) Dental insurance Employee assistance program (EAP) Employee wellness program Employer paid Life and AD&D insurance Employer paid Short and Long-Term Disability Flexible Spending Accounts ICHRA for health insurance Paid Annual Leave (Time off) Vision insurance

Codes, analyzes, and abstracts all scanned or imaged emergency room, outpatient surgery and observation electronic medical records according to established classification system and enters the abstracted information into the hospital financial system via a CRT. Identifies documents of poor quality. Ensures all scanned documents are positioned correctly. Identifies the documents that are incorrect. Ensures each document is indexed to the correct patient/encounter. Refers identified issues to appropriate scanning/QC staff for correction. The individual must be detailed oriented and be able to work independently. Must demonstrate initiative and ability to work with physicians and other healthcare providers with cooperation and flexibility. The team member has access to patient medical information, involved in ensuring the integrity of the legal medical record and must strictly uphold patient confidentiality. This position serves as a resource for other members of the organization in regards to code assignment issues and related policies and procedures regarding required documentation. Reviews assigned work queue(s) daily and ensure timely processing of assignments in each queue. Qualifications JOB QUALIFICATIONS Education: Graduate of AHIMA accredited HIA or HIT program with completion of basic coding courses, required. Licensure: AHIMA or AAPC approved credential(s)- RHIA, RHIT, CCS, CPC, CCA or equivalent. Experience: Minimum of one year experience coding ICD-10-CM & CPT-4 in an acute care hospital. Skills: * Knowledge of Medical Record content for emergency room, outpatient surgery and observation visits. * Knowledge of medical terminology, anatomy & physiology, APC assignment, and ICD10-CM & CPT-4 coding systems * Ability to examine the chart and verify documentation needed for accurate code assignment * Good decision-making * Organized with attention to detail and quality * Ability to prioritize workload and strong recall and recognition skills * Ability to perform computer functions in Microsoft Windows * Good verbal, written and computer communication skills PHYSICAL, MENTAL, ENVIRONMENTAL AND WORKING CONDITIONS Works in a typical office setting. Frequent sitting, and long periods of reviewing records from a computer screen. Prolonged sitting and eye strain with concentrated effort over detail work. Requires a moderate amount of working with computers. Requires walking up and down stairs. Requires use of proper body mechanics. Often it will be necessary for individual to spend most of shift sitting. Dexterity of upper extremities and fingers, as well as mental and visual dexterity to names, numbers, codes, report types, as well as hand dexterity to enter data. * Work assignments require consistent periods of sitting. * Dexterity of upper extremities and fingers, as well as mental dexterity for utilizing dual monitors and operating multiple windows of different software programs simultaneously. * Ability to flex neck for reviewing documents on dual monitors. * Ability to communicate clearly and understandably on the telephone and in person. * Ability to understand the spoken word on the telephone and in person. WORKING CONDITIONS This position must practice good organization skills due to interruptions and interactions with other team members. Position must be able to work in a team environment and be self-directed enough to work alone when necessary, with the opportunity to work remotely. Must remain calm under stress and must be able to appropriately handle an irate person when the occasion arises (i.e., physician, hospital employee, patient). Full-Time Benefits * 403(b) Matching (Retirement) * Dental insurance * Employee assistance program (EAP) * Employee wellness program * Employer paid Life and AD&D insurance * Employer paid Short and Long-Term Disability * Flexible Spending Accounts * ICHRA for health insurance * Paid Annual Leave (Time off) * Vision insurance

Department: HIM-Coding Shift: First Shift (United States of America) Standard Weekly Hours: 40 The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Primarily codes complex ambulatory surgery and observation visit medical records. Identifies and abstracts specified information from the patient medical record and enters data into the electronic health record system for billing and use in all types of CCHCS reporting. Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary. Minimum expected accuracy rate for all coding assignments is 95%. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy. Maintains current knowledge of coding and documentation changes, rules and guidelines. Education & Experience: High School Diploma or Equivalent required. RHIA, RHIT or CCS with one (1) year minimum current and continuous full-time ICD-10-CM& CPT-4 ambulatory surgery, observation and/or inpatient coding and abstracting experience required. Pediatric coding experience highly desired. Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required. Experience using Microsoft Office Excel and Word highly desired. Ability to work well independently and productively with minimal guidance and without direct supervision. Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills. Ability to maintain confidentiality. Goal oriented, flexible and energetic. Demonstrates coding skills, and critical thinking skills. Ability to solve problems appropriately using job knowledge and current policies and procedures. Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire. Certification/Licensure: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) or Certified Coding Specialist (CCS) required. Required to provide current American Health Information Management Association (AHIMA) continuing education certification records. About Us: Cook Children's Medical Center is the cornerstone of Cook Children's, and offers advanced technologies, research and treatments, surgery, rehabilitation and ancillary services all designed to meet children's needs. Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.

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

Job Description A Medical Coder for WellStreet Urgent Care is responsible for supporting all aspects of the Revenue Cycle for our Urgent Care Centers. Responsibilities • Coding for our Urgent Care Centers using our internal software • Knowledge of ICD-10 Coding and compliance • Experience using an encoder • Setting up insurance plans within our software • Working with the Revenue Cycle Management to identify & resolve issues related to coding and the process flow • Interfacing with clinic staff on billing & coding issues. • Comply with all legal requirements regarding coding procedures and practices • Conduct audits and coding reviews to ensure all documentation is accurate and precise • Assign and sequence all codes for services rendered • Collaborate with billing department to ensure all bills are satisfied in a timely manner • Communicate with insurance companies about coding errors and disputes • Contact physicians and other health care professionals with questions about treatments or diagnostic tests given to patients regarding coding procedures • Adhere to productivity standards Minimum Qualifications • 3+ years of experience in medical billing • Epic experience required • Urgent Care and Occupational Health Billing experience is a plus • High School diploma or equivalent Required Skills • Active CPC, RHIT, CCS or COC Certification • Knowledge of insurance payers, insurance verification, the AR/revenue billing lifecycle and appealing denied claims • Excellent Computer skills - expertise in MS word suite including Word, Excel and PowerPoint. Experience in using one or more Practice Management Systems/Billing Software Energy, enthusiasm and the ability to work under pressure in a high volume, fast paced, unstructured start-up environment • Ability to work within a team environment and maintain a positive attitude • Excellent documentation, verbal and written communication skills • Extremely organized with a strong attention to detail • Motivated, dependable and flexible with the ability to handle periods of stress and pressure • All other duties as assigned. WellStreet Urgent Care is committed to providing the highest quality patient and customer care. In addition to the above requirements, WellStreet is looking for team members with the following qualities: • A positive attitude toward patients, families, and coworkers. • Willingness always to go the extra mile to create an outstanding experience for customers and to train and lead the center team to do the same. • A desire to work in concert with others in an upbeat and supportive atmosphere while reinforcing the WellStreet mission to provide uncompromising service. • A compelling desire to serve others, improve your community's health, and have fun every day. INDmisc

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

Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills to interact with physicians, other health care workers, the general public, administration, and health information management staff • Team oriented Your Job Responsibilities: • Communicate clearly and openly • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: Magnet designations for Methodist Dallas, Methodist Charlton, Methodist Mansfield, and Methodist Richardson Medical Centers 150 Top Places to Work in Healthcare by Becker's Hospital Review , 2023 Top 10 Military Friendly Employer, Gold Designation, 2023 Top 10 Military Spouse Friendly Employer, 2023

Your Job: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 1 classifies and abstracts outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS and/or CPT codes for optimal reimbursement. Follows up on unbilled accounts to assure timely billing to avoid denials of non-payment by third party payers. Your Job Requirements: • High school Diploma or Equivalent required in addition to extensive ICD-10 training from an accredited coding program • Anatomy and Physiology with a minimum of a coding internship completed • None required but prefer RHIT or CCS • 1 Year work experience preferred • PC skills - demonstrates proficiency in PC applications as required Your Job Responsibilities: • Assigns appropriate ICD-9/CPT codes for all diagnoses and procedures affecting inpatient hospital services provided by the physicians and enters the information into Epic as necessary • Verify accuracy of ICD-10/CPT procedure documented by clinic staff for outpatient clinic services and enters the information into Epic as necessary. • Communicates with Practice Manager any patterns/problems with information supplied by physicians regarding the specificity of diagnoses, any problems regarding outpatient charges, and any patterns in errors made in physician coding. • Build relationships to promote a collaborative environment • Be accountable for your performance • Always look for ways to improve the patient experience • Take initiative for your professional growth • Be engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare , Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: TIME magazine Best Companies for Future Leaders, 2025 Great Place to Work Certified™, 2025 Glassdoor Best Places to Work, 2025 PressGaney HX Pinnacle of Excellence Award, 2024 PressGaney HX Guardian of Excellence Award, 2024 PressGaney HX Health System of the Year, 2024

Your Job: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 1 classifies and abstracts outpatient diagnoses and procedures which are assigned appropriate ICD-10-CM, ICD-10-PCS and/or CPT codes for optimal reimbursement. Follows up on unbilled accounts to assure timely billing to avoid denials of non-payment by third party payers. Your Job Requirements: * High school Diploma or Equivalent required in addition to extensive ICD-10 training from an accredited coding program * Anatomy and Physiology with a minimum of a coding internship completed * None required but prefer RHIT or CCS * 1 Year work experience preferred * PC skills - demonstrates proficiency in PC applications as required Your Job Responsibilities: * Assigns appropriate ICD-9/CPT codes for all diagnoses and procedures affecting inpatient hospital services provided by the physicians and enters the information into Epic as necessary * Verify accuracy of ICD-10/CPT procedure documented by clinic staff for outpatient clinic services and enters the information into Epic as necessary. * Communicates with Practice Manager any patterns/problems with information supplied by physicians regarding the specificity of diagnoses, any problems regarding outpatient charges, and any patterns in errors made in physician coding. * Build relationships to promote a collaborative environment * Be accountable for your performance * Always look for ways to improve the patient experience * Take initiative for your professional growth * Be engaged and eager to build a winning team Methodist Health System is a faith-based organization with a mission to improve and save lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist Health System has been a trusted choice for health and wellness. Named one of the fastest-growing health systems in America by Modern Healthcare, Methodist has a network of 12 hospitals (through ownership and affiliation) with nationally recognized medical services, such as a Level I Trauma Center, multi-organ transplantation, Level III Neonatal Intensive Care, neurosurgery, robotic surgical programs, oncology, gastroenterology, and orthopedics, among others. Methodist has more than two dozen clinics located throughout the region, renowned teaching programs, innovative research, and a strong commitment to the community. Our reputation as an award-winning employer shows in the distinctions we've earned: * TIME magazine Best Companies for Future Leaders, 2025 * Great Place to Work Certified, 2025 * Glassdoor Best Places to Work, 2025 * PressGaney HX Pinnacle of Excellence Award, 2024 * PressGaney HX Guardian of Excellence Award, 2024 * PressGaney HX Health System of the Year, 2024

Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day. PRIMARY PURPOSE Conducts audits of medical record coding to ensure compliance with established guidelines, provides results of audits, and assists with educational activities related to findings to promote adherence to state/federal laws and regulatory requirements. MINIMUM SPECIFICATIONS Education: * Must be a graduate of a Health Information Management program or must have successfully completed an approved Coding educational program. Experience * Must have six (6) years of proven coding experience in an acute care setting. Equivalent Education and/or Experience * May have an equivalent combination of education and experience in lieu of specified requirements. Certification/Registration/Licensure * Because of the lag in SCCE, HCCA, NCRA, and AHIMA updating the status of certifications, current employees whose certification is granted through one of these associations are allowed up to seven (7) calendar days, after expiration, to provide proof of renewal. Although an additional seven (7) calendar days is allowed to provide proof of renewal, there cannot be a lapse in the certification's "active" status. * Must possess one of the below certifications: * Registered Health Information Administrator (RHIA) * Registered Health Information Technician (RHIT) * Certified Coding Specialist (CCS), * Certified Professional Coder (CPC) * Certified Coding Specialist - Physician (CCS-P) * Certified Inpatient Coder (CIC) * Certified Outpatient Coder (COC) * Certified Professional Medical Auditor (CPMA) Required Tests for Placement * Must score a minimum of 85% on a pre-employment coding test. Skills or Special Abilities * Must be able to demonstrate time management, organizational, oral and written communication skills. * Must be proficient and demonstrate and advanced knowledge in ICD-9-CM and CPT/HCPCS coding and abstracting and have an advanced clinical knowledge of medical terminology, disease process and pharmacology. * Must be able to demonstrate knowledge of reimbursement (Medicare and Medicaid) principles and methodologies (MS-DRG and APC). * Must have a working knowledge of the compliance guidelines related to coding and billing. - Must have strong skills in diplomacy, professionalism and trustworthiness. * Must be able to demonstrate excellent computer skills, including word processing, spreadsheet and database management software proficiency. Responsibilities 1. Conducts quality reviews on all coders using the "official coding guidelines" as published in AHA Coding Clinic and AMA CPT Assistant, and hospital policy, including specific payer guidelines, rules, regulations in analyzing questionable documentation to ensure the accuracy and completeness of clinical and financial information reported for billing of hospital services. Provides feedback to the coders on findings as needed. Provides reports of findings to the Coding Compliance Manager. The Outpatient area utilizes the CMS regulatory coding and billing guidelines, the National Correct Coding Initiative, the Local and National Coverage Determinations to resolve billing edits. 2. Analyzes medical record documentation to assure that coding and abstracting of data is in compliance with the official coding guidelines as published in the American Hospital Association s Coding Clinic for ICD-9-CM and the American Medical Associations CPT Assistant. 3. Maintains knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. Provides input as requested to assist in the development of effective internal controls that promote adherence to applicable state/federal laws, and the program requirements of accreditation agencies and federal, state, and private health plans. 4. Stays abreast of the latest developments, advancements, and trends in medical records coding by attending educational programs, reading professional journals, actively participating in professional organizations, and maintaining certification. Integrates knowledge gained into current work practices. 5. Assists in ensuring that abstracted coded data and other elements are correct and appropriate. Assists in ensuring that data being submitted to state/federal and other regulatory agencies is correct and appropriate. 6. Maintains a positive working relationship with physicians, nurses, medical staff and hospital employees to ensure that all work-related encounters are productive. 7. Identifies ways to improve work processes and improve customer satisfaction. Makes recommendations to supervisor, implements, and monitors results as appropriate in support of the overall goals for the department and Parkland. 8. This position is 100% Virtual. Virtual employees must also comply with all Parkland policies and procedures governing the use of Parkland information resources. Virtual employees must maintain all equipment lent by Parkland for performing the agreed upon job duties in good working condition. All employment responsibilities and conditions in applicable Parkland policies and procedures apply to employees while working virtually. Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status. Nearest Major Market: Dallas Nearest Secondary Market: Fort Worth Job Segment: Medical Coding, Medicaid, Public Health, Medicare, Healthcare

Hours: Monday - Friday 9am - 1:45 pm Must be certified The Pathology Medical Coder is responsible for accurately translating pathology services into standardized medical codes for billing, reporting, and compliance. This role requires in-depth knowledge of coding systems such as ICD-10, CPT, and HCPCS, along with the ability to understand medical terminology and pathology reports. The ideal candidate must ensure that all coding meets regulatory requirements and is performed in compliance with healthcare policies and procedures. Additionally, the coder will be responsible for working all eCW claims for denials and errors, ensuring timely resolution and adherence to billing guidelines. Principal Duties & Responsibilities: Example of Essential Duties: Review pathology reports and assign the appropriate ICD-10, CPT, and HCPCS codes for all diagnostic and procedural information. Demographic registration/updates for all patients. Enters charges into claim entry in eCW. Assists patients and/or insurance companies with billing and authorization questions. Analyze and validate the accuracy of diagnosis and procedure documentation in pathology reports to ensure appropriate coding and billing. Ensure coding practices adhere to national and local coding guidelines, Medicare, Medicaid, and private insurance policies. Accurately enter and track medical codes in billing and coding software systems. Collaborate with pathologists, laboratory technicians, and billing departments to clarify coding questions or discrepancies. Participate in coding audits and assist in identifying opportunities for improving coding accuracy and efficiency. Regularly review updates in medical coding standards and practices, such as ICD-10 and CPT revisions. Maintain accurate, detailed, and organized coding and documentation for future reference and audits. Other duties as assigned. Knowledge, Skills & Abilities: Required: Strong knowledge of ICD-10-CM, CPT, and HCPCS codes. Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame. Excellent attention to detail and accuracy in coding and documentation. Proficiency in medical terminology, anatomy, and pathology. Familiarity with electronic health records (EHR) and laboratory information systems (LIS). Strong communication skills and ability to collaborate with clinical and administrative teams. Ability to work independently and meet deadlines. 1-2 years of medical coding experience, with preference for pathology/laboratory coding. Familiarity with coding tools like EncoderPro or similar coding software. Specialized training or coursework in pathology coding (Preferred) Education: Associate's degree CPC, CCS, or CCS-P required Knowledge of medical terminology, anatomy and physiology, treatment methods, patient care assessment, data collection techniques, and coding classification systems Preferred: Medical Coding education Previous coding experience

Hours: Monday - Friday 9am - 1:45 pm Must be certified The Pathology Medical Coder is responsible for accurately translating pathology services into standardized medical codes for billing, reporting, and compliance. This role requires in-depth knowledge of coding systems such as ICD-10, CPT, and HCPCS, along with the ability to understand medical terminology and pathology reports. The ideal candidate must ensure that all coding meets regulatory requirements and is performed in compliance with healthcare policies and procedures. Additionally, the coder will be responsible for working all eCW claims for denials and errors, ensuring timely resolution and adherence to billing guidelines. Principal Duties & Responsibilities: Example of Essential Duties: * Review pathology reports and assign the appropriate ICD-10, CPT, and HCPCS codes for all diagnostic and procedural information. * Demographic registration/updates for all patients. * Enters charges into claim entry in eCW. * Assists patients and/or insurance companies with billing and authorization questions. * Analyze and validate the accuracy of diagnosis and procedure documentation in pathology reports to ensure appropriate coding and billing. * Ensure coding practices adhere to national and local coding guidelines, Medicare, Medicaid, and private insurance policies. * Accurately enter and track medical codes in billing and coding software systems. * Collaborate with pathologists, laboratory technicians, and billing departments to clarify coding questions or discrepancies. * Participate in coding audits and assist in identifying opportunities for improving coding accuracy and efficiency. * Regularly review updates in medical coding standards and practices, such as ICD-10 and CPT revisions. * Maintain accurate, detailed, and organized coding and documentation for future reference and audits. * Other duties as assigned. Knowledge, Skills & Abilities: Required: * Strong knowledge of ICD-10-CM, CPT, and HCPCS codes. * Consistently arrives at work, in professional attire, on time and completes all tasks within * established time frame. * Excellent attention to detail and accuracy in coding and documentation. * Proficiency in medical terminology, anatomy, and pathology. * Familiarity with electronic health records (EHR) and laboratory information systems (LIS). * Strong communication skills and ability to collaborate with clinical and administrative teams. * Ability to work independently and meet deadlines. * 1-2 years of medical coding experience, with preference for pathology/laboratory coding. * Familiarity with coding tools like EncoderPro or similar coding software. * Specialized training or coursework in pathology coding (Preferred) Education: * Associate's degree * CPC, CCS, or CCS-P required * Knowledge of medical terminology, anatomy and physiology, treatment methods, patient care assessment, data collection techniques, and coding classification systems Preferred: * Medical Coding education * Previous coding experience