52,345 Coding jobs in the United States

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: 22.47 - 32.58 USD Hourly At M Physicians we believe in pay transparency and equity. The compensation for each position is based on experience, skills, qualifications, and other role-specific considerations. Our total compensation is designed to support your well-being, career growth, and work-life balance.

University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.

Join us on a mission to advance medicine.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

As a leading financial services and healthcare technology company based on revenue, SS&C is headquartered in Windsor, Connecticut, and has 27,000+ employees in 35 countries. Some 20,000 financial services and healthcare organizations, from the world's largest companies to small and mid-market firms, rely on SS&C for expertise, scale, and technology.

Job Description

Web Development - Senior Software Engineer

Locations : Newtown, CT | Hybrid HIRING LOCALLY

Get To Know Us:

SS&C is leading the way. We continue to look for todays and tomorrow's brightest talent, those that embody a spirit to improve not only their lives, but those around them. From college students to seasoned and experienced professionals, we encourage you to apply. SS&C prides itself on hiring diverse, honest, dynamic individuals, who value collaboration, accountability, and innovation to name a few.

Why You Will Love It Here!

• Flexibility : Hybrid Work Model and Business Casual Dress Code, including jeans
• Your Future: 401k Matching Program, Professional Development Reimbursement
• Work/Life Balance: Flexible Personal/Vacation Time Off, Sick Leave, Paid Holidays
• Your Wellbeing: Medical, Dental, Vision, Employee Assistance Program, Parental Leave
• Wide Ranging Perspectives: Committed to Celebrating the Variety of Backgrounds, Talents and Experiences of Our Employees
• Training: Hands-On, Team-Customized, including SS&C University
• Extra Perks: Discounts on fitness clubs, travel and more!

• 5+ years overall software development experience with C# including debugging skills
• Autonomy to work effectively with minimal supervision
• Ability to meet deadlines and to work under pressure in a team environment
• Must be organized and self-starting
• Ability to adapt to rapidly changing priorities
• Ability to work independently or as part of a team
• Strong understanding of computing environments (client-server applications, web applications, networks, databases)
• Strong analytical and problem-solving skills
• Business Analysis
• Strong written and verbal communication skills with the ability to clearly articulate opinions and ideas
• Excellent analytical, reasoning and problem-solving abilities
• Computer knowledge
• Must understand object oriented programming, inheritance, polymorphism
• Must understand service orient architecture/programming and design patterns
• Web Technology
• Familiar with Microsoft Entity Framework and Microsoft Application blocks such as Unity
• Have worked with ASP.NET, MVC
• Have created Web Service using .Net
• Have worked with HTML, JavaScript and JQuery
• Have worked with AJAX, JSON and CSS/SASS
• Have worked with Vue.js or Angular/React
• Debug skills for HTML and JavaScript code
• Understand Cookies and Secure Cookies
• Basic understanding of certificates, encryption and authentication
• Database skills
• Used ADO.NET
• Experience using MS SQL
• Can create and alter SQL tables, functions, and procedures
• SQL debug skills
• Understand cursors, table variables, output parameters, identity columns, temporary tables their scope
• Understand database normalization
• Understand Inner and Outer joins to tables
• Tools
• Strong Microsoft Visual Studio skills
• Database Management Studio

• Previous experience with financial applications
• Business Analysis
• Identify gaps in requirement and working system and provide solution
• Computer knowledge
• Bachelor's degree in Computer Science or related field
• Database skills
• Have used Common table expression and created complex SQL stored procedures and functions
• Database tuning and deadlock analysis
• Web Technology
• Strong UI/UX skills
• Have worked with Vue.js or other JavaScript Framework
• Have worked with or developed responsive design such as Bootstrap or Bourbon
• Creation and consumption of REST API
• Have worked with or developed WCF
• Experience with TLS and SSL protocols
• Have worked with NuGet
• Have worked with IIS configurations
• Networking
• Have worked with SWIFT message formats
• Have worked with or developed software using IP sockets
• Have worked with Docker
• Tools
• MS SQL Profiler or related database tracing program
• Fiddler or related HTTP debugging program

Summary:The Coding Quality Specialist reports to the HIM Coding Education Manager to perform internal departmental coding reviews in support of the Coding Operations Department's business needs. This position contributes to coding education and training and facilitates pre-bill and cross-training in order to advance and keep current, the skillset of our HB coding associates.The Coding Quality Specialist demonstrates high caliber specialty knowledge and understanding of current ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS coding guidelines and practices in both the inpatient and outpatient care settings, maintaining a 95% accuracy rate.Assignments are based on departmental needs and include but are not limited to PEPPER reviews, new hire and standard pre-bill reviews, remediation and performance improvement reviews and those required for corrective action plans, query quality and other focused reviews as may be needed. The Coding Quality Specialists will review for quality in regards to POA assignment, principal and secondary diagnosis code assignment, procedural coding, modifier usage, discharge disposition verification, query opportunities and DRG and APC accuracy.Coding Quality Specialist will work collaboratively with various CHRISTUS Health Departments, including but not limited to the Regional Coding Managers, HIM, Compliance, and Clinical Documentation Specialist to ensure feedback is shared and reported for education and training purposes. The Coding Quality Specialist will also assist in production coding as may be required and in order to keep current skills up-to-date and accustomed to changing technology and workflows.The Coding Quality Specialist will report directly to the HIM Coding Education Manager, with additional leadership from the Director of Coding Operations and System HIM Director.Responsibilities:Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.Facilitate and complete inpatient and outpatient coding reviews.Communicates findings both verbally and in writing in an approved, appropriate format to support training and education such as would be reported in Coding Roundtables or Section Meetings.Assist with development and coordination of review plans, feedback to coding staff and management to include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management.Assist with chart sample selection for reviews and randomization to be coordinated with Coding Managers.Assist with finalizing an annual work plan for targeted chart reviews and pre-bill reviews.Work collaboratively with Coding Integrity Department to recommend and assist with content and examples that may be used to develop Job Aides, Coding Best Practice references and other assisting resources to support and advance coder knowledge and expertise. Reviews results and performs trend analyses to identify patterns and variations in coding practices and/or case-mix index which require education.Meets or exceeds an accuracy rate of 95%.Ensure coding reviews are appropriate and effective. Assesses effectiveness through associate evaluations.Has strong written and verbal communication skills.Able to work independently in a remote setting, with minimal supervision.All other work duties as assigned by Manager.Job Requirements:Education/SkillsHigh school diploma or equivalent years of experience required.Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.ExperienceFive (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting preferred.Licenses, Registrations, or CertificationsRegistered Health Information Administrator (RHIA) (AHIMA) required.Registered Health Information Technician (RHIT) (AHIMA) required.Certified Coding Specialist (CCS) (AHIMA) required.Work Schedule:5 Days - 8 HoursWork Type:Full TimeEEO is the law - click below for more information: endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at .

Full Time, 80 Hours Per Pay Period, Day Shift

Covenant Health Overview:

Covenant Health is East Tennessee's top-performing healthcare network with 10 hospitals and over 85 outpatient and specialty services, and Covenant Medical Group, our area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned, not-for-profit healthcare system and the area's largest employer with over 11,000 employees.

Covenant Health is the only healthcare system in East Tennessee to be named six times by Forbes as a Best Employer.

Position Summary:

This individual provides leadership, direction, and training for the coding staff. Working directly with the physicians, Manager of Corporate Coding Services, Director of Registration/Admitting, and medical staff education efforts, serves as the user advocate between Health Information Management (HIM), Clinical Effectiveness, and Registration. Other job duties include: improving health record documentation and coding accuracy, developing and updating all departmental policies and procedures relative to coding, performing quality reviews of coding/abstracting, and focusing on problem solving issues related to denials. Provides assurance that billing practices are complete, accurate, and in compliance with state and federal guidelines.

• Oversees through monitoring and by reviewing and auditing the coding staff to ensure position accountabilities and performance criteria are adhered to.
• Develops and maintains departmental and hospital policies and procedures and implements new policies and procedures relative to coding.
• Educates and assists physicians and clarifies coding versus clinical issues.
• Works closely with Registration and Business Office personnel to resolve issues related to claims, coding, pre-cert, and denials appeals, and verifies that appropriate chargemaster rates are used.
• Reviews medical record documentation to ensure existing documentation supports diagnostic/procedure code billed per UB 92 or HCFA 1500 form.
• Provides education to coding staff and physicians in response to regulatory changes and identified areas of deficiency.
• Monitors claim rejections and systematically assesses specific types of denial as it relates to coding and documentation issues, outpatient registration, and the receipt of physician orders.
• Attends meetings and provides input as it relates to coding, medical documentation, and reimbursement issues specific to medical billing and regulatory requirements.
• Increases awareness of compliance as it relates to coding and documentation.
• Facilitates and coordinates education of coding staff in the areas of coding, documentation, case mix, and denials.
• Increases understanding of APCs, DRGs, case mix, and denials.
• Educates coding staff to proper documentation necessary to support a DRG/APC/Medical Necessity/ROM/SOI.
• Integrates documentation, coding, and proper oversight to ensure accurate reimbursement.
• Reviews records to verify if the correct code has been assigned.
• Assists with all insurance requested audits and provides information to supervisor related to inaccurate and/or missing documentation.
• Reviews DRG/APC classifications and educates to maximize level of care assignment for increased reimbursement.
• Keeps current on local, state, and federal regulations to ensure compliance.
• Keeps current on coding guidelines and communicates to Health Information Manager. Implements corrective actions as indicated to minimize financial risk.
• Works with Denials Elimination Group and deals with physician specific issues as it impacts denials.
• Ensures LCDs/NCDs are being adhered to by admissions and hospital personnel to ensure qualifying diagnosis covers tests/procedures.
• Analyzes denials and coordinates appeals.
• Ensures corrective action is taken to prevent denials from reoccurring.
• Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
• Performs other duties as assigned.

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Five or more (5+) years coding experience.

Licensure Requirement:

RHIA, Coding, or RHIT certification required. Registered Health Information Technologist preferred.

The Coding Trainer is responsible for constructing and implementing coding training programs forcoding specialists. Creates presentations, develops learning material, handbooks and other training materials as needed. Conducts regular audits to ensure understanding and retention of basic and advanced coding concepts. Represents Enterprise Coding as coding expert in specialty projects.

Primary Responsibilities:

• Trains and instructs coders on CPT, Diagnosis, modifiers, CCI edits and documentation requirements as appropriate regarding all industry standards for each clinical department across OHSU
• Reviews, develops, modifies, and/or adapts relevant training materials, presentations and curriculum
• Audits medical record documentation to identify under-coded and up- coded services; prepares reports of findings and meets with codersand leadership to provide education and training on accurate coding practices and compliance issues both for coders currently in training and ongoing audits for all coders
• Leads cross training efforts for coders learning new subspecialties
• Review and respond in a timely manner to trainee questions and offer support
• Regularly communicates status of ongoing training projects as well as outcomes and challenges to leadership
• Provides second-level review of documentation and coding for difficult/advanced services to ensure accurate and compliant charge submission
• Participates in process improvement through identification of provider or coder trends (documentation and coding) as well as workflow evaluations
• Provides coding audits and detailed assessments for annual performance appraisals
• Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations and presents findings and material to the coding department to ensure ongoing education and compliance of all coders in Enterprise Coding
• Meets/communicates with Provider Educators to ensure that education is uniform and consistent for both providers and coders for any given area.

Secondary Responsibilities

• Assists Leads with coding e-mail queries for difficult scenarios
• Researches, analyzes, and responds to inquiries for challenging coding scenarios regarding compliance, inappropriate coding, denials,and billable services
• Participates in recruitment process including evaluation of resumes, interviews and correction/analysis of coding assessment test
• Meets with the Coding & Compliance department as needed to discuss concerns, make plans for processes/procedures
• Participates in required huddles with leadership team to communicate ongoing training needs
• Participates in advisory team meetings to discuss coding guidelines and best practices for consistent coding across Depts/Service Areas.
• Other job-related duties as assigned

• Associates degree in Healthcare, Business or related field plus 5 years of production coding experienceOR equivalent combination of education and experience

• Detailed knowledge of medical coding systems, procedures, and documentation requirements

• Knowledge of auditing concepts and principles

• Certification in CPC, CPC-H, RHIT, or RHIA

• Completed coding education and certification from an accredited institution such as AHIMA or AAPC (CPC, CPC-H, RHIT, RHIA)
• Solid understanding of 2023 E/M guidelines
• Specialty coding experience in a variety of specialties including but not limited to, OB/GYN, GI, ENT, Pulmonary, Endocrinology, Pediatric Medicine, Hospitalists and Telemedicine

Job Related Knowledge,Skills and Abilities(Competencies):

• Ability to analyze and solve problems
• Ability to develop and implement a training plan
• Excellent oral, written, communication, and analytical skills
• Ability to use independent judgment and to manage and impart confidential information.
• Ability to set priorities and meet deadlines
• Strong communication and interpersonal skills
• Knowledge of legal, regulatory, and policy compliance issues related to medical coding procedures and documentation
• Knowledge of current and developing issues and trends in medical coding procedures requirements

Must be able to sit for extended periods of time; must be able to lead small or large training sessionswith composure.