776 Medical Coding jobs in the United States

Certified Medical Coder

We are seeking a detail-oriented and experienced Certified Medical Coder to join our client's healthcare team. The Certified Medical Coder will be responsible for reviewing and coding patient medical records to ensure that healthcare claims are processed accurately and efficiently. This role requires knowledge of ICD-10, CPT, and HCPCS coding systems, along with an understanding of healthcare regulations and insurance billing procedures.

Key Responsibilities:

Accurately review patient medical records and assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and treatments.
Ensure that coded data is correctly submitted for insurance claims, adhering to payer-specific guidelines and medical coding standards.
Maintain strict adherence to healthcare regulations, including HIPAA, and ensure the accuracy of coding to minimize claim denials and audit risks.
Work closely with physicians, nurses, and other healthcare staff to clarify any discrepancies in documentation and ensure proper coding.
Conduct regular audits to ensure coding accuracy and identify areas for improvement in documentation practices.
Stay updated with changes in medical coding guidelines, insurance policies, and healthcare regulations to maintain certification and improve coding practices.
Assist the billing team by providing accurate codes for patient billing and insurance submissions.

Qualifications:

Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) certification required.
Proven experience in medical coding, with a strong understanding of ICD-10, CPT, and HCPCS coding systems.
Familiarity with medical terminology, anatomy, and healthcare procedures.
Strong attention to detail, organizational skills, and ability to work under pressure.
Excellent communication skills, both written and verbal, to effectively collaborate with healthcare providers.
Knowledge of medical billing practices and healthcare insurance policies.
Ability to maintain confidentiality and comply with HIPAA regulations.
Please apply at for immediate consideration.

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Job Description

Job Description

Salary: $27.00

MEDICAL CODING MODERNIZATION SPECIALIST

Pearl Harbor, HI

AAI is actively recruiting a Medical Coding Modernization Specialist. This position will support coding operations and compliance as part of the Medical Modernization Program. The coding professional will conduct internal audits; monitor coding practices and documentation deficiencies to identify, develop, deliver training and monitor effectiveness of efforts to ensure improvement to documentation, coding completion, timeliness and accuracy rates for the MTF.

RESPONSIBILITIES

• Knowledge of The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-CM), procedural coding, healthcare common procedure coding system (HCPCS)/current procedural terminology (CPT) nomenclature, medical and procedural terminology, anatomy and physiology, pharmacology, and disease processes to perform the duties described. Knowledge of reimbursement systems, including Prospective Payment System (PPS) and Diagnostic Related Groupings (DRGs); Ambulatory Payment Classifications (APCs); and, ResourceBased Relative Value Scale (RBRVS).
• Knowledge of and the ability to interpret guidelines, rules and regulations developed by: Centers for Medicare & Medicaid Services (CMS), American Medical Association (AMA), American Heart Association (AHA) and other applicable Federal requirements so as to provide timely and accurate information relating to coding, billing and documentation.
• Excellent oral and written communication skills, interpersonal skills along with the confidence to present complex medical coding issues and educational instruction to a diverse audience. Must be comfortable in front of high ranking, professional staff and coding peers to training and respond to questions.
• Ability to write reports, business correspondence, and procedure manuals.
• Organizational, analytical, time management, statistical, and problem-solving skills.
• Advanced knowledge of computers, keyboard skills, and various software programs including Microsoft (word processing, spreadsheet and database) as well as coding software programs.
• Medical Coding Modernization Specialists will maintain the required continuing education hours and credentials as required by their national association certification at their own expense.
• Work Environment/Physical Requirements. The work is primarily sedentary. Requirements may include prolonged walking, standing, sitting, or bending. Carrying or lifting of medical records or documentation may be required daily. Use of one or more computer programs and monitors simultaneously is typical and frequent.
• Assists the MTF in identifying medical coding deficiencies by analyzing documentation and coding practices that may be misrepresenting or incorrectly capturing medical care activities.
• Analyzes historical encounter documentation and coding records from Government computer systems and medical records to identify clinical documentation improvement (CDI) and training opportunities.
• Compares documentation to code application to ensure accuracy. Tracks deficiencies for trending and corrective action.
• Collaborates with MTF leadership, MTF providers/staff, and other coding professionals related to the performance of tasks to address recurring documentation and coding deficiencies, Contacts providers to review findings to improve documentation practices as well as E&M leveling, capturing medical procedures and to improve diagnosis specificity issues IAW with coding guidelines.
• Develops focused training presentations from thorough analysis as outlined in the MTF modernization action plan. Seeks Government approval prior to delivering Government scheduled training to MTF providers and other staff.
• Creates and submits training activity reports to the MTF leadership. Presents reports to the Government weekly and identifies scheduling issues and obstacles to meeting improvement objectives.Creates monthly reports showing completed activities and improvement to metrics

Education/Certification:
1. Successful completion of academic requirements, at least at an associate's degree level from a health information management program is required.
2. A Registered Health Information Technician (RHIT) or equivalent certification is required.

1. Must have successfully completed requirements for International Classification of Diseases, Tenth Revision ICD-10-CM/PCS proficiency certification by AHIMA standards or the AAPC ICD-10-CM proficiency test prior to their start date if an equivalency determination request for AAPC certification(s) is authorized by the Government.

Experience:

• Candidates will require a minimum of 10 years of medical coding experience in production coding environments within the past 10 years, in more than 4 medical and surgical specialties, involving assignment of ICD, E&M, CPT, and HCPCS codes. Coding, auditing and training for ancillary services such as physical, occupational therapy, speech, and nutritional medicine as well as home health, skilled nursing facilities, rehabilitation care and urgent care clinics are not qualifying.
• A minimum of four years of auditing, training, and/or compliance functions within the last eight years is required in at least 4 medical and surgical specialties as stated above OR candidates with three years of auditing, compliance, or training experience involving professional coding within the last five years in a DoD coding environment may be considered in lieu of 10 years for those without DoD experience. Auditing, compliance, or training experience is described as:

1. Auditing functions include development and execution of audit plan, conducting audit according to audit plan by reviewing required documentation and determining compliance with audit standards, communicating with stakeholders during all phases of audit, and reporting on audit findings.
2. Training functions include identifying coding training opportunities; developing coding training plans, and development/delivery of coding training to coder and physician/provider audiences.
3. Compliance functions include identifying compliance issues and analyzing practice patterns and recommending changes to policies and procedures; recommending/updating standard policies and procedures; contribute to risk assessments and mitigation strategies; and data collection and statistical report generation.

UNIQUE MILITARY HEALTH CARE DYDTEMD/PROCEDURED:

• Armed Forces Health Longitudinal Technology Application (AHLTA).
• Composite Health Care System (CHCS) and/or MHS GENESIS.
• Defense Enrollment Eligibility Reporting System (DEERS).
• Essentris The client-server version of the Clinical Information System (CIS).
• Coding Compliance Editor (CCE).
• Biometric Data Quality Assurance Service (BDQAS)-
• AFMS Internal Coding Audit Methodology AFMOA Audit Tool/Coding Audit Review System (CARS), or current tool.
• MHS Coding Guidelines
• AFMS Centralized Coding Manual.

About AAI

AAI is focused on delivering outstanding services to the federal government. We have extensive experience in the fields of cyber security, development, IT infrastructure, supply chain management and other professional services such as system design and continuous improvement. AAI is a VA CVE-certified Service-Disabled Veteran-Owned Small Business (SDVOSB), SBA certified Economically Disadvantaged Woman Owned Small Business (EDWOSB), and a Woman Owned Small Business (WOSB) with offices in Hampton Roads Virginia, Montgomery, AL, Washington DC and Atlanta.

Fully qualified candidates are welcome to apply directly on our website at:

Our benefits include:

• Paid Federal Holidays
• Robust Healthcare and Dental Insurance Options
• 401a plan
• 401k plan
• Paid vacation and sick leave
• Continuing education assistance
• Short Term / Long Term Disability Life Insurance.

Veterans are encouraged to apply

AAI does not discriminate in employment opportunities, terms and conditions of employment, or practices on the basis of race, age, gender, religious or political beliefs, national origin or heritage, disability, sexual orientation, or any characteristic protected by law. Pending guidance from the Safer Federal Workforce, employees may in the future be required to provide evidence of COVID-19 vaccination or request and receive approval for a medical or religious exemption.

Work Schedule :

This is a full-time, 1.0 FTE position that is remote. Applicants hired into this position can work from most states. This will be discussed during the interview process.

To be eligible to work remotely, you must be in an approved remote work state for UW Health. We've included a link below to view the full list of approved remote work states.

Approved Remote Work States Listing

Be part of something remarkable

Join the #1 hospital in Wisconsin!

We are seeking a Medical Coding Specialist II - Inpatient to:

• Determine and assign ICD-10-CM diagnosis codes, in addition to present on admission indicators, and ICD-10-PCS procedure codes, using official coding guidelines and knowledge of anatomy and physiology, pharmacology and pathophysiology/disease processes.
• Identify cases with clinical indicators that may require provider documentation clarification and/or specificity in order to accurately assign codes; collaborate with CDIS team as part of the clinical documentation validation and physician query workflows.

At UW Health, you will have :

• An excellent benefits package, including health and dental insurance, paid time off, retirement plans, two-week paid parental leave and adoption assistance.
• Access to great resources through the UW Health Employee Wellbeing Department that supports your emotional, financial, and physical well-being.
• Tuition benefits eligibility - UW Health invests in your professional growth by helping pay for coursework associated with career advancement.
• Options for a variety of schedules and shifts that offer flexibility and allow for work-life balance.

Qualifications

• High School Diploma or equivalent and Medical Coding Education. In lieu of a medical coding education, an active coding certification is required. Required

Work Experience

• 2 years of progressive inpatient facility coding experience Required
• 2 years or more of inpatient facility coding experience in an Academic Medical Center and/or Level 1 Trauma Center Preferred

Licenses & Certifications

• Certified Coding Specialist (CCS) Upon Hire Required or
• Certified Inpatient Coder (CIC) Upon Hire Required
• Registered Health Information Technician (RHIT) Preferred
• Registered Health Information Administrator (RHIA) Preferred

Our commitment to Social Impact and Belonging

UW Health is committed to fostering a workplace that creates belonging for everyone and is an Equal Employment Opportunity (EEO) employer. Our respect for people shines through patient care interactions and our daily work practices as we work to embrace the knowledge, unique perspectives and qualities each employee and faculty member brings to work each day. It is the policy of UW Health to provide equal opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Job Description

UW Hospital and Clinics benefits

**Description**
This position is incentive eligible.
**Introduction**
Do you want to join an organization that invests in you as a Medical Coding Manager? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.
**Benefits**
HCA Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
You contribute to our success. Every role has an impact on our patients' lives and you have the opportunity to make a difference. We are looking for a dedicated Medical Coding Manager like you to be a part of our team.
**Job Summary and Qualifications**
GENERAL SUMMARY OF DUTIES: Contributes to the company's mission, vision and values by coordinating and directing the coding process for the surgery center or multiple surgery centers in a specific region. The Coding Manager reviews the medical records to select the appropriate diagnosis and procedure codes, sequencing and assigning from the most current version of ICD-CM and HCPCS CPT coding applications. Applies all appropriate coding guidelines and criteria for code selections. Adheres to HCA-OSG Coding Policies and Procedures for the assignment of complete, accurate, timely and consistent codes for diagnoses and procedures.
+ Works with remote coding team to improve the accuracy, integrity and quality of patient data to ensure minimal variations in coding practices and improve the quality of physician documentation with the body of the medical records to support code assignment.
+ Monitors and assesses performance of coding staff to assure timely, accurate coding of the patient records.
+ Serve as mentor for complex case coding.
+ Codes outpatient surgery center records, including the assignment of most current version of ICD-CM, E/M, Procedure Categories, modifiers (when applicable) and HCPCS/CPT procedure codes.
+ Codes billing supplies and implants and furnishes completed coding information as necessary to bill cases.
**What you should have for this role**
EXPERIENCE:
+ Bachelors degree in Business or HealthCare Administration desired ,extensive or relevant experience accepted in lieu of a degree
+ Minimum two years of experience in outpatient-multispecialty coding required
+ Minimum one year of experience in a medical office setting (i.e. ambulatory surgery center, hospital, or doctor's office) highly preferred
CERTIFICATE/LICENSE:
+ Coding certification from AAPC, AHIMA preferred
+ BCLS may be required as per facility standard.
Consider a fulfilling and secure career with Surgery Ventures, in partnership with HCA Healthcare. Our team of over 3,400 physicians manages more than 150 surgery centers across 16 states in the United States. As a dedicated unit within HCA Healthcare, we prioritize providing safe, efficient, and premium surgical services. With over 30 years of pioneering experience in the industry, our physician partners offer exceptional outpatient care to over 800,000 patients in communities across our network. We do so with the backing of the clinical, operational, and financial expertise of a Fortune 100 healthcare leader. At Surgery Ventures, we are committed to supporting your career growth and advancement at every stage.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses
"Good people beget good people."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our Medical Coding Manager opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
Remote Work - New York, Albany, New York, United States of America, 12224
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 110
Compensation Range:
$60,431.00 - $84,603.00
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
GENERAL PURPOSE
The Assistant Coding Manager serves as a key support leader within the assigned functional area(s). This role provides assistance to the Manager by driving revenue cycle results through effective oversight of activities that impact professional charging and receivables. These activities include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, productivity, and provider relationships across all departments.
Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards. Working collaboratively with the Manager, the Assistant Coding Manager may also prepare reports and analyze data for presentation purposes.
This position requires demonstrated knowledge and expertise in all aspects of coding operations, including staff management and supervision, office workflows, accounts receivable collaboration, payer rules, compliance, and regulatory requirements. The Assistant Coding Manager must exhibit exceptional communication, interpersonal, and problem-solving skills, as well as the ability to work independently while maintaining a collaborative team-oriented approach.
**Key Functions and Expected Performances**
With general direction of the Manager, with latitude for independent judgment:
**30%** In collaboration with the Manager, the Assistant Manager plays a key role in driving revenue cycle results by effectively managing the assigned functional area and serving as the team's coding specialist. This role acts as a subject matter expert on team functions and underlying processes, demonstrating comprehensive knowledge of medical terminology and coding guidelines relevant to the assigned functional area.
The Assistant Manager ensures the accuracy and timeliness of activities and outcomes by applying expertise in coding principles and healthcare regulations. Additionally, this role is responsible for ensuring compliance with all regulatory requirements and maintaining adherence to coding standards to ensure that all coding activities are performed in a compliant and accurate manner.
**20%** Uses knowledge and experience to review and trend analytic and reporting data identifying problem areas and directing actions to resolve deficiencies. Provides feedback and recommendations to Manager to ensure functional area meets or exceeds all URMC/URMFG established performance metrics relating to revenue cycle coding management. Ensures early problem identification and effective resolution. Identifies and presents new ways to improve operations.
**25%** Provides first-line management of assigned teams. Provides supervision, leadership, coaching and counseling. Services as a role model and facilitator to staff. Ensures a positive working environment through suggestions on team building to promote heightened team morale. May participate in recruitment, performance evaluation and disciplinary processes, following University guidelines.
**10%** Ensures hands-on training is provided to assigned team. Monitors and evaluates work of subordinates to assure adherence to policies and procedures. Provides coaching and reinforces coding acuity and department relationship skills to team members to ensure exceptional service. Empowers team members by providing the appropriate level of decision making.
**15%** May serve as department liaison on matters related to business functions.
Provides a high level of problem solving and support by assisting with the resolution of outstanding issues within team, revenue cycle or stakeholders handling charging and billing related issues.
May perform other duties as assigned.
**Background Expectations:**
Required:
+ Bachelor's degree and 2 years of coding experience required, or equivalent combination of education and experience.
+ Knowledge of ICD-10-CM, CPT and HCPCS required
+ Working knowledge of medical terminology and anatomy required
+ Certification in one of the following:
+ RHIA - Registered Health Information Administrator Successful completion of American Health Information Management Association (AHIMA) accreditation examination upon hire required or
+ RHIT - Registered Health Information Technician upon hire required or
+ CCS-Certified Coding Specialist upon hire required or
+ Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or
+ Certified Medical Coder (CMC) from the Practice upon hire required
Preferred:
Demonstrated working knowledge of the professional billing software applications. Active medical coding credential with AHIMA as RHIT, RHIA, CCS, CCS-P, AAPC certified as CPC, or PMI certified as CMC. High level, in-depth coding knowledge and experience with CPT/HCPCS and ICD-10-CM. 1-2 years billing office experience, at least 1 year of supervisory experience
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.
**Job Location (Full Address):**
601 Elmwood Ave, Rochester, New York, United States of America, 14642
**Opening:**
Worker Subtype:
Regular
Time Type:
Full time
Scheduled Weekly Hours:
40
Department:
910503 United Business Office Coding
Work Shift:
UR - Day (United States of America)
Range:
UR URG 110
Compensation Range:
$60,431.00 - $84,603.00
_The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations._
**Responsibilities:**
The Assistant Coding Manager serves as a key support leader within the assigned functional area(s). This role provides assistance to the Manager by driving revenue cycle results through effective oversight of activities that impact professional charging and receivables. These activities include, but are not limited to, coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, productivity, and provider relationships across all departments.
Additionally, the Assistant Coding Manager is responsible for ensuring proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards. Working collaboratively with the Manager, the Assistant Coding Manager may also prepare reports and analyze data for presentation purposes.
This position requires demonstrated knowledge and expertise in all aspects of coding operations, including staff management and supervision, office workflows, accounts receivable collaboration, payer rules, compliance, and regulatory requirements. The Assistant Coding Manager must exhibit exceptional communication, interpersonal, and problem-solving skills, as well as the ability to work independently while maintaining a collaborative team-oriented approach.
**Key Functions and Expected Performances**
With general direction of the Manager, with latitude for independent judgment:
**30%** In collaboration with the Manager, the Assistant Manager plays a key role in driving revenue cycle results by effectively managing the assigned functional area and serving as the team's coding specialist. This role acts as a subject matter expert on team functions and underlying processes, demonstrating comprehensive knowledge of medical terminology and coding guidelines relevant to the assigned functional area.
The Assistant Manager ensures the accuracy and timeliness of activities and outcomes by applying expertise in coding principles and healthcare regulations. Additionally, this role is responsible for ensuring compliance with all regulatory requirements and maintaining adherence to coding standards to ensure that all coding activities are performed in a compliant and accurate manner.
**20%** Uses knowledge and experience to review and trend analytic and reporting data identifying problem areas and directing actions to resolve deficiencies. Provides feedback and recommendations to Manager to ensure functional area meets or exceeds all URMC/URMFG established performance metrics relating to revenue cycle coding management. Ensures early problem identification and effective resolution. Identifies and presents new ways to improve operations.
**25%** Provides first-line management of assigned teams. Provides supervision, leadership, coaching and counseling. Services as a role model and facilitator to staff. Ensures a positive working environment through suggestions on team building to promote heightened team morale. May participate in recruitment, performance evaluation and disciplinary processes, following University guidelines.
**10%** Ensures hands-on training is provided to assigned team. Monitors and evaluates work of subordinates to assure adherence to policies and procedures. Provides coaching and reinforces coding acuity and department relationship skills to team members to ensure exceptional service. Empowers team members by providing the appropriate level of decision making.
**15%** May serve as department liaison on matters related to business functions.
Provides a high level of problem solving and support by assisting with the resolution of outstanding issues within team, revenue cycle or stakeholders handling charging and billing related issues.
May perform other duties as assigned.
**Background Expectations:**
Required:
+ Bachelor's degree and 2 years of coding experience required, or equivalent combination of education and experience.
+ Knowledge of ICD-10-CM, CPT and HCPCS required
+ Working knowledge of medical terminology and anatomy required
+ Certification in one of the following:
+ RHIA - Registered Health Information Administrator Successful completion of American Health Information Management Association (AHIMA) accreditation examination upon hire required or
+ RHIT - Registered Health Information Technician upon hire required or
+ CCS-Certified Coding Specialist upon hire required or
+ Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or
+ Certified Medical Coder (CMC) from the Practice upon hire required
Preferred:
+ Demonstrated working knowledge of the professional billing software applications
+ Active medical coding credential with AHIMA as RHIT, RHIA, CCS, CCS-P, AAPC certified as CPC, or PMI certified as CMC. High level, in-depth coding knowledge and experience with CPT/HCPCS and ICD-10-CM.
+ 1-2 years billing office experience, at least 1 year of supervisory experience
The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create - and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.
Notice: If you are a **Current** **Employee,** please **log into myURHR** to search for and apply to jobs using the Jobs Hub. Your application, if submitted using this portal, cannot be moved forward.
**Learn. Discover. Heal. Create.**
Located in western New York, Rochester is our namesake and our home. One of the world's leading research universities, Rochester has a long tradition of breaking boundaries-always pushing and questioning, learning and unlearning. We transform ideas into enterprises that create value and make the world ever better.
If you're looking for a career in higher education or health care, the University of Rochester may offer the perfect opportunity for your background and goals
At the University of Rochester, we are committed to fostering, cultivating, and preserving an inclusive and welcoming culture and are united by a strong commitment to be ever better-Meliora. It is an ideal that informs our shared mission to ensure all members of our community feel safe, respected, included, and valued.

Job Summary
Health information coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures.
Job Duties
+ Reviews the content of the medical records from multiple EHR's and on-site for both hospital and professional inpatient or outpatient records to identify principal diagnosis, secondary diagnoses and procedures performed.
+ Carefully reviews details of documents such as laboratory findings, radiology reports, various scan reports, discharge summary, history and physical, consultations, orders, progress notes and other ancillary services treatment records needed to ensure all pertinent diagnoses and procedures are recorded.
+ Failure to properly identify diagnoses and procedures may have a dramatic negative impact upon payment received by The Health Plan.
+ Assigns codes based on hospital and professional coding guidelines, Coding Clinic directives, federal regulations, CCI coding initiatives, CPT Assistant or other standard coding guidelines.
+ Provides material to the RACE team to educate physicians as needed to clarify documentation within the patient's record to facilitate complete and accurate coding.
+ Assists in decision making relevant to physician coding education and HCC targeting purposes.
+ Provides encoder software and EMR (EPIC) expertise and uses these tools along with their knowledge in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded.
+ Ensures strict confidentiality of financial and medical records.
+ Develops and maintains expertise in non-EPIC EMR systems as deemed appropriate by the Chart Retrieval team.
+ Updates and corrects historical file data by submitting delete files and notifying the RACE team.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
*Relevant experience may be a combination of related work experience and/or completed specialty training program (1 year of specialty training = 1 year relevant experience).
This posting reflects an opening for Coder III and we are seeking candidates for that position. Geisinger reserves the right to consider applicants for higher levels of this role to include Coder IV and Coder Senior based on their skills, qualifications, and experience. We encourage all qualified individuals to apply.
Position Details
Minimum one of these coding certifications is required:CPC - Certified Professional Coder
CRC - Certified Risk Adjustment Coder
RHIT - Registered Health Information Technician
Education
High School Diploma or Equivalent (GED)- (Required)
Experience
Minimum of 5 years-Relevant experience* (Required)
Certification(s) and License(s)
Certified Professional Coder - American Academy of Professional Coders (AAPC); Registered Health Information Technician (RHIT) - American Health Information Management Association; Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.

Job Description

Job Description

Critical Care Transport, INC. is looking for a highly motivated, detail oriented, and multi-tasking individual to join our accounts receivable office.

Candidates must possess an active coding certification with Hospital ICD-10 coding experience. Additional experience in Ambulance billing is a plus, as well as background in billing Medicare, Medicaid and commercial insurance including appeals & reconsiderations.

Job duties may vary but will include daily data entry of ambulance run reports, verifying insurance eligibility, filing appeals with insurance companies, posting insurance payments, and handling inbound/outbound phone calls.

Hours are Monday through Friday, 7:30am-4:00pm. Salary DOE. This is a full-time position, and is benefits eligible. Critical Care Transport is proud to offer employer-sponsored health insurance, matching 401k, paid vacation, bi-weekly direct deposit, and additional insurance options through Colonial Life.

Critical Care Transport is a leading provider of Emergency and Non-Emergency medical services in the Greater Central Ohio region. Our highly-trained staff of EMS professionals, Communication Specialists, Accounts Receivable Specialists, and Fleet Mechanics work together to provide optimal service to our patients and customers.

If you want to join our exciting, dynamic, and rewarding team, please fill out an application and attach your resume detailing your qualifications and references. If you have any questions at all, please feel free to contact Justin at . We look forward to meeting you!