610 Healthcare Coding jobs in the United States

Pay Range: $30hr - $35hr

Acts as an internal expert to ensure that value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions. Utilizes extensive.

The Medical Coding Specialist will evaluate medical records and encounters to ensure completeness, accuracy, and compliance with the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM), and the American Medical Associations Current Procedural Terminology Manual (CPT). The Specialist will also provide technical guidance and training on medical coding to physicians and staff.

Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Assign codes to diagnoses and procedures, using ICD-10 (International Classification of Diseases) and CPT (Current Procedural Terminology) codes
• Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations and meet current policy coding guidelines
• Communication and training with provider(s) on any documentation that is insufficient or unclear to meet current policy coding guidelines
• Communicate with clinical staff and management regarding documentation
• Research information in cases where the coding is complex or unusual to meet FQHC guidelines
• Keep up to date with current Medicaid methodology and coding requirements for FQHC billing/coding
• Audit and review patient charts and documents for accuracy and over/under coding
• Represent the Business Office at monthly provider meetings to educate, answer questions and assist staff in coding needs/questions
• Work with management on special programs related to grants, training, and risk management score improvement

• Strong knowledge of anatomy, physiology, and medical terminology
• Commitment to a high level of customer service
• Familiarity with ICD-10 codes and procedures
• Solid oral and written communication skills
• Working knowledge of medical jargon and anatomy preferred
• Able to work independently
• Commitment to driving diversity, equity, and inclusion
• Excellent verbal and written communication skills
• Excellent organizational skills and attention to detail
• Excellent time management skills with a proven ability to meet deadlines
• Strong critical thinking skills
• Experience in EPIC as EMR system.
• Understanding of FQHC billing and coding process.
• Ability to adapt to the needs of the organization

• Prolonged periods of sitting at a desk and working on a computer.

• High school diploma or equivalent with;
• Minimum (2) years' experience in outpatient coding and/or Health Information Management required;
• Successful completion of an ICD-10-CM training or certification curriculum; or if currently pursuing such, then completion of 50% or more of the curriculum to date with an expectation of finishing within 2 months after hire
• Must provide certification from a recognized professional coding organization, transcript from an educational institution, or similar proof of successful completion (i.e., competency assessments

• Minimum (2) year of experience in a medical office setting highly preferred (i.e., Family Practice, FQHC, Community Clinic, ambulatory surgery center, hospital, doctor's office)
• Completed coursework in Human Anatomy & Physiology, Medical Terminology, Introduction to Coding (including ICD-10 and CPT) preferred
• Bilingual in Spanish/English or Hmong/English highly preferred

• Demonstrated success in working effectively with target population(s).
• Change Agile; ability to operate in the gray and flex to new developments or situations.
• Experience working in a multi-site environment is highly desired.

• Review medical records and documentation to assign accurate diagnosis and procedure codes.
• Ensure coding accuracy in line with payer guidelines and regulatory requirements.
• Collaborate with healthcare providers to clarify documentation and resolve discrepancies.
• Maintain confidentiality while adhering to HIPAA regulations.
• Stay current on coding guidelines, insurance policies, and medical terminology.
• Assist with audits and provide feedback to improve documentation and coding processes.
• Prepare reports and ensure timely submission of coded data for billin g.

• High school diploma or equivalent (required); Associate degree in healthcare or related field preferred.
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
• 1+ years of medical coding experience preferred.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• Excellent attention to detail, organizational skills, and ability to meet deadlines independently.

4 days ago Be among the first 25 applicants

Liberty, SC

Monday - Friday 8-5 (can be flexible, but is a full 40 hours/week)

Full On-site

$20-25/hour

ExecuSource is looking for experienced Medical Coders for our growing client. This role will require in depth knowledge & experience accurately coding medical services and procedures in accordance with current healthcare regulations.

What You Need To Succeed

• Previous experience within Medical Coding
• Deep knowledge of medical terminology/coding
• High level of professionalism with both written and verbal communication
• Ability to work in fast paced environment
• Minimum of a high school diploma
  
  

• Benefits: 401k, PTO, insurance, bonus potential
• Opportunity to join a growing team!
• Room for growth!
  
  

• Seniority level Associate

• Employment type Part-time

• Job function Health Care Provider
• Industries Accounting and Financial Services

Referrals increase your chances of interviewing at ExecuSource by 2x

Anderson, SC $5,000.00- 35,000.00 1 year ago

Greenville, SC 40,000.00- 60,000.00 6 months ago

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Group Health Cooperative of South Central Wisconsin. BETTER TOGETHER

The Medical Coding Specialist is responsible for reviewing electronic encounter documentation to verify that practitioner-submitted codes are accurate, adhere to coding protocols, and comply with all applicable guidelines. This role also involves assigning appropriate codes to medical records to ensure their accuracy and completeness. Additionally, the Specialist supports practitioners and their staff by providing education on coding practices and documentation requirements and may contribute to coding-related research projects. The position includes reviewing insurance claims to identify potential coding errors and researching coding standards to address denials based on coding issues. As needed, the Specialist may assist the Medical Coding Manager with administrative duties. This position operates under the general supervision of the Medical Coding Supervisor.

GHC-SCW is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. In dedication to the health and well-being of our employees, we offer a comprehensive benefits package that includes health and dental insurance, along with paid short-term disability, long-term disability, and life insurance. Additional benefits include a flexible spending account, employee assistance programs, tuition reimbursement, pet insurance, eyewear discounts, and more. Check us out by clicking on Many Talents, One Mission! The Benefits of Working at GHC-SCW.

Job Specific Minimum Qualifications

1. High school graduation or equivalent is required.
2. Graduation from an accredited Medical Coding Specialist Program or equivalent combination of education and/or relevant work experience is required.
3. Minimum of one (1) year of medical coding experience is preferred. Knowledge of insurance processing is preferred.
4. Certification as a CPC or CCS-P is required.
5. Knowledge of CPT/HCPCS (supplies and pharmaceuticals), ICD-10-CM, E/M (evaluation and management), medical records and documentation is required.
6. Experience with EPIC is highly desirable.
7. Knowledge of medical terminology, basic anatomy, physiology, and disease process is required.
8. Knowledge of Medicare and Medicaid rules and regulations is required.
9. Minimum of one (1) year of experience interacting with practitioners regarding coding requirements is preferred.
10. Knowledge of or ability to learn various computer programs such as MS Office Suite, word processing, database, calendar and email is required.
11. Knowledge of or ability to learn and effectively use systems including electronic medical record and electronic coding systems is required.
12. Excellent oral and written communication skills are required.
13. Excellent customer service skills and the ability to work with a diverse patient population is required. Ability to work harmoniously and cooperatively with all staff and the public is required.
14. Ability to identify coding needs and code accurately is required.
15. Excellent organizational, analytical and problem-solving skills are required.
16. Ability to maintain personnel related and patient confidentiality is required. Knowledge of or ability to learn HIPAA requirements.
17. Ability to negotiate with individuals, including practitioners, is required.
18. Ability to adhere to OSHA standards and other patient care protocols is required.
19. Ability to see at near and mid-range is required.
20. Ability to use a keyboard regularly is required.
21. Ability to travel among GHC sites on short notice is required.
22. Manual dexterity, including the ability to perform fingering and handling with both hands is required.
23. Ability to intermittently sit, stand, bend, stoop and stretch is required.

The incumbent knows and abides by all GHC-SCW organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner.

Our Mission Statement: We partner with members and the communities we serve to maximize health and well-being.

Our Vision: As a local, not-for-profit, member-owned Cooperative, we are the most trusted resource for lifelong health and well-being in the communities we serve.

Our Values:

• We are a not-for-profit Cooperative
• We are member-centered
• We are equitable and inclusive
• We are quality-driven
• We are innovative
• We are community involved

We believe:

Healthcare is a human right.

In treating all people with dignity and respect.

There is strength in diversity.

Equity celebrates our humanity.

We are better together.

Group Health Cooperative of South Central Wisconsin is proud to be an equal opportunity employer. GHC-SCW considers candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

Location: Bedford, MA; Remote in AL, FL, GA, MI, MO, NC, NH, OH, OK, TN, TX, UT, WI, and WV

This Role:

Manage and monitor projects and operations to support interdepartmental goals.

Key Responsibilities:

• Assist in the development and implementation of ED pro /facility coder production, other specialties and consistently meet LogixHealth coding industry standards

• Monitor and track use of operational production tools to determine root cause and provide a meaningful analysis

• Help direct the offshore production operational team

• Assist with management of new and established client production opportunities for the coding staff

• Assign work to staff and ensure completion

• May delegate day to day oversight to supervisors or team leads

• Ensure staff is trained and aware of job and company expectations and determine remedial action when needed

• Ensure cooperative team environment by

• Effectively communicating with staff about department and company initiatives

• Adjusting procedures as necessary to create process efficiencies

• Resolving issues among staff

• Encouraging constructive feedback from staff and between team members

• Comply with all State and Federal Laws regarding an effective Compliance Program inclusive of HIPAA Privacy and Security

• Manage recruitment process including

• Identifying needs

• Posting internally

• Screening and interviewing candidates

• Review and approve time and attendance records according to company standards

• Provide on-going feedback and annual performance reviews

Qualifications:

To perform this job successfully, an individual must be able to perform each Key Responsibility satisfactorily. The following requirements are representative of the knowledge, skills, and/or ability required to perform this job successfully. Reasonable accommodation may be made to enable individuals with disabilities to perform the duties.

Required:

• Bachelor’s degree or certification or equivalent combination of education and experience.

• Prior MS Office experience, including proficiency with Excel and Word, and internet software experience required.

Preferred:

• Prior Emergency Department specific, or related, coding background with a familiarity of different types of chart constructs is preferred.

Benefits at LogixHealth:

We offer a comprehensive benefits package including health, dental and vision, 401(k), PTO, paid holidays, life and disability insurance, on-site fitness center and company-wide social events.

About LogixHealth:

At LogixHealth we provide expert coding and billing services that allow physicians to focus on providing great clinical care. LogixHealth was founded in the 1990s by physicians to service their own practices and has grown to become the nation’s leading provider of unsurpassed software-enabled revenue cycle management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for clients in 40 states.

Since our first day, we have had a clear vision of a better healthcare system and have continually evolved to get there. In addition to providing expert revenue cycle services, we utilize proprietary software to provide valuable financial, clinical, and other data insights that directly improve the quality and efficiency of patient care.

At LogixHealth, we’re committed to Making intelligence matter through our pillars of Physician-Inspired Knowledge, Unrivaled Technology and Impeccable Service.

To learn more about us, visit our website 

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Department of Radiology

This position is a dual post linked to Job ID 57262 (Medical Coding Specialist-Certified - Radiology), and the department will be hiring for a total of 1 position. Final title will depend on the qualification of the final candidates.

Review clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM, ICD-10-PCS, and CPT codes for billing, internal and external reporting, research and regulatory compliance; complete audits of coding and billing for validation; test coding applications

Review appropriate provider documentation to determine appropriate principal diagnosis, co-morbidities and complications, secondary conditions, and surgical procedures; utilizes technical coding principles to assign appropriate CPT and ICD-10 codes to Radiology exams, for both technical and professional components. Assignment of codes will be based on review of documentation from RADNET, IDX/BAR and Powerchart.

Perform additional coding support activities including but not limited to audits for correct coding and billing, participates in testing and troubleshooting problems when implementing new applications or updates to existing systems, assists with training for new software applications.

Knowledge of Paperless Collection System to work ODR reports and charge corrections.

Assist with Medicare Part B corrections to ensure maximum reimbursement. Report to supervisor any reimbursement trends or misuse of CPT and/or ICD-10 coding.

Review current coding literature to keep up-to-date with federal and state guidelines

Monday through Friday 8am-5pm

Completion of a coding certification program or equivalent training to obtain certification using ICD-10-CM, ICD-10-PCS, and the CPT-4 coding systems. One (1) year of related medical records coding experience may be substituted.
One of the following certifications within one (1) year as a condition of continued employment in this job classification:
--Certified Coding Associate (CCA)
--Certified Coding Specialist (CCS)
--Registered Health Information Technician (RHIT)
--Registered Health Information Administrator (RHIA) by the American Health Information Management Association (AHIMA); or
--Certified Professional Coder (CPC/CPC-A)
--Certified Outpatient Coder (COC/COC-A)
--Certified Inpatient Coder (CIC/CIC-A) by the American Academy of Professional Coders (AAPC); or
--Existing staff in this title as of 2014 are grandfathered from the certification requirement.

Two (2) years of experience in coding for hospital or physician practice.
Additional license/certification requirements as determined by the hiring department.

Salary Range: $22.00 - $29.00 hourly
Grade: PAT - 006
University Title: MEDICAL CODING SPECIALIST
Internal applicants can determine their university title by accessing the Talent Profile tile in myHR.

In addition to the Online Application, please provide a Resume.

Columbia offers small-town friendliness with big city features and a high quality of life for people of all ages and interests. Founded on education and known as an ideal college town, its location also makes it an attractive spot for businesses and travelers. Located on Interstate 70 and U.S. Highway 63, Columbia is right in the middle of the state and the nation. Just a couple hours' drive from St. Louis and Kansas City, Columbia is Boone County's largest population center offering big-city culture, activities, and resources with a low cost of living. Columbia is home to a variety of restaurants and entertainment venues and hosts more than a dozen festivals each year. If you want to grow your career, continue your education, raise a family, and retire, Columbia is a good place to be!

This position is eligible for University benefits. As part of your total compensation, the University offers a comprehensive benefits package, including medical, dental and vision plans, retirement, paid time off, short- and long-term disability, paid parental leave, paid caregiver leave, and educational fee discounts for all four UM System campuses. For additional information on University benefits, please visit the Faculty & Staff Benefits website at

Equal Employment Opportunity

The University of Missouri is an Equal Opportunity Employer.

To request ADA accommodations, please call the Director of Accessibility and ADA at .

• Evening, night, and weekend shift differential
• Overtime
• On-call pay

• 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

• High School diploma or equivalent and medical coding education. In lieu of a medical coding education, an active coding certification is required. Required
• Associate degree in a healthcare related field. Preferred

• Two years progressive coding experience in multiple specialties, HCC Risk adjustment Coding. Preferred
• Minimum of one-year of progressive coding experience. Required
• Experience with coding concepts (Current Procedural Terminology (CPT), International Classification of Disease 10th Edition-Clinical Modification (ICD-10-CM), Code on Dental Procedures and Nomenclature (CDT), Health Care Procedure Coding System (HCPCS), Diagnosis Related Group (DRG), and Hierarchical Condition Categories (HCC) for HCC. Required
• Experience using Microsoft Office (i.e., Excel, Word). Required

• Certification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P), or a Certified Coding Associate (CCA) required, Certified Risk Adjustment Coder (CRC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA) required within one year of hire for HCC. Required
• Registered Health Information Technician (RHIT). Preferred
• Registered Health Information Administrator (RHIA). Preferred

Job Type

Full-time

Description

The Orthopedic Clinic is a leader in the orthopedic community of East Central Florida. Our team is dedicated to providing compassionate and cutting-edge orthopedic care. We believe every patient should receive the best possible care, our practice offers an array of services specializing in general orthopedics, spine care, sports reconstruction, adult reconstruction and non-surgical treatments. The Orthopedic Clinic is a well-respected practice that was established in 1961 and has a rich history of providing exceptional Orthopedic care to the community. We currently have eleven Orthopedic Surgeons, Interventional Pain Management Physician, ten Mid-Level Providers, and a Physical Therapy team who serve patients at four locations within Volusia and Flagler counties.

POSITION EXPECTATIONS:

*This position is not remote and requires onsite work availability*

The Medical Coding Specialist will be responsible for reviewing patient medical records and extracting all applicable ICD10 and CPT codes for billing purposes. The coder will verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered and assign appropriate modifiers.

• Assign ICD-10 and CPT codes accurately for Physician services

• Review medical documentation, assign the appropriate procedure and diagnosis codes

• Reviews physician documentation to ensure accurate coding of all office and surgical procedures

• Demonstrates knowledge and remains current in regard to ICD''s current version, CPT codes

• Abide by the AHIMA Standards of Ethical Coding and adhere to official coding guidelines

• Provide support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards

• Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD)

• Experience with surgery coding and E&M coding

• Post charges accurately and submit electronic claims

• Resolve any claim rejections, including CCI edits

• Research inadequate documentation and rejected or denial claims

• Query attending physicians for documentation and diagnostic clarification

• Researches coding requirements for new and existing office services and procedures.

• Plan, organizes, and integrates priorities and deadlines.

• Identify, analyze, and resolve operational issues.

• Evaluate and make recommendations for continuous quality improvement.

Requirements

REQUIRED QUALIFICATIONS:

• CPC/CPC-A with min of 2 years of medical experience with coding orthopedics and E&M services required

• Previous customer service experience, preferably in medical/healthcare setting

• Proficiency in the use of Microsoft Office Products, EPM and EHR software applications, preferably Athena

• Must be able to proficiently speak, read and write in English

• Clean Driving Record / Proof of auto insurance

Full compensation package for Full Time Positions to include: competitive salary, medical, dental, vision, STD, LTD. Life insurance, 401k, profit sharing, paid time off, continuing education reimbursement

The Orthopedic Clinic is an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, citizenship, religion, national origin, age, sex (including sexual harassment, sexual orientation, and gender identity), disability or handicap, genetic information, citizenship status, veteran, or current or future military status or any other category protected by federal, state, or local law.

The Orthopedic Clinic is a drug free workplace and all applicants under consideration for employment will be subject to a thorough background screening as part of the hiring process.