34,082 Coding jobs in the United States

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, this position will be remote.

Hours: 1.0 FTE

Benefits: This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more!

Compensation:

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.

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Role Overview

The Coding Manager provides operational leadership by planning, managing, and coordinating the coding activities for a multi-specialty coding unit. They offer expert knowledge and analysis of payer and coding rules and regulations for hospital and physician billing. The role involves coordinating with clinical and administrative staff, developing and implementing policies, procedures, and system enhancements to ensure accurate, efficient, and compliant coding for medical records used in billing and reporting. The manager also provides reimbursement and coding data for reporting purposes, analyzes CMS and Medicaid regulations related to billing, and ensures compliance with payer system requirements. Management duties include interviewing, selecting, training employees, setting work hours, planning and directing work, appraising productivity and quality, addressing grievances, and disciplinary actions, including terminations.

Qualifications

Education: Bachelor of Science in Health Information Management Administration, or Associate Degree in Health Information Management with Registered Health Information Technician or Administrator certification.

Minimum Requirements: Bachelor's degree in Health Information Management or related certification. Experience in medical coding, preferably 5+ years, with at least 2 years in a supervisory or management role.

Seniority level: Mid-Senior level

Employment type: Full-time

Job function: Healthcare Provider

Industries: Hospitals and Healthcare

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The Certified Coding Specialist is responsible for abstraction and accurate coding of procedures from the medical record to ensure optimal reimbursement while staying compliant with OIG, CMS, the local Medicare Administrative Contractor, all facility Coding Specialist, Specialist, Certified, Microsoft, Contractor, Skills, Healthcare

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. Our Coding Supervisor will be responsible for reviewing clinical documentation and diagnostic results as appropriate (i.e., to extract data and apply appropriate ICD-10-CM, HCPCS, and CPT-4 codes for billing, review and correct billing edits, internal and external reporting, research, and regulatory compliance). Under the direction of the Coding Leadership Team, the successful candidate must be able to accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting.

Here is what you can expect as our Coding Supervisor:

Assigns codes for diagnoses, treatments, and procedures according to the appropriate classification system for professional service encounters to determine the highest level of specificity ICD-10 codes, CPT codes, HCPCS codes, and modifiers.

Reviews physician assigned diagnosis code after thorough review of the medical record and, if necessary, queries physician for additional clarity in a professional manner.

Able to accurately abstract information from the medial records into the abstract system, according to established guidelines.

Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and American Academy of Professional Coders (AAPC) adheres to official coding guidelines.

Enters and validates codes, charges, and other edits flagged in Athena or EPIC for review.

Review documentation (and returned accounts) to verify and correct place of service, billing, and service providers, or other missing data elements (ie: NDC #, or number of units).

Uses CCI edit software to check bundling issues, modifier appropriateness, and LCD's/NCD's for medical necessity.

Communication with other departments to recommend coding guidance for charge corrections, appeals processes, and patient billing concerns.

Meet and/or exceed the established coding productivity standards.

Meet and/or exceed the established quality standard of 95% accuracy while meeting and/or exceeding productivity standards.

Required Qualifications:

Required CCS-P, CPC

Preferred experience in coding OBGYN

Two (2) years experience coaching/providing feedback

Preferred experience in a leadership role

Experience in multispecialty coding

Must be able to demonstrate proficiency in professional services (95% accuracy).

Extensive knowledge of official coding conventions and rules established by the American Medical Association (AMA) (ie: Documentation Guidelines '95 & '97)

Extensive knowledge of government, and commercial payer guidelines.

Must be able to use standard office equipment and information systems.

Ability to interact with other employees through effective communication.

Ability to prioritize and shift workloads to ensure departmental goals align with revenue cycle goals.

For this US-based position, the base pay range is $45,926.00 - $70,631.44 per year. Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training. This job is eligible to participate in our annual bonus plan at a target of 5.00%.

The healthcare system is always evolving and it's up to us to use our shared expertise to find new solutions that can keep up. On our growing team you'll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team including offering a competitive benefits package.

R1 RCM Inc. ("the Company") is dedicated to the fundamentals of equal employment opportunity. The Company's employment practices, including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person's age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.