836 Physician Coding jobs in the United States

About Us

MedKoder, LLC is a full-service medical coding management services provider based in Mandeville, Louisiana, specializing in expert medical coding for health systems, providers, and payers. MedKoder delivers accurate, efficient, and ethical coding, aiming to ensure accurate payment and financial peace for clients. With a team of certified coders throughout the United States, MedKoder emphasizes coding excellence, remote-work flexibility, and a positive workplace culture, earning high employee satisfaction ratings and awards with Best Places to Work in Modern Healthcare and City Business Best Places to Work.

Position Location: 100% Remote

Position Classification: Full-time, 40 hour work week  that offers a flexible schedule

Description:

Physician Coding Auditor is responsible for reviewing and accurately coding all professional multi-specialty services including evaluation and management, diagnostics, surgeries, and procedures in compliance with applicable Medicare, Medicaid, and third-party payer guidelines to ensure receipt of accurate reimbursement. Physician Coding Auditor is expected to adhere to MedKoder’s internal coding/auditing policies and expectations set forth by department management. Physician Coding Auditor must prioritize daily duties, communicate effectively, and make the decisions necessary to complete all assigned tasks and accomplish their goals.

Candidates ideally have recent auditing experience specializing in some of the following profee areas: Ophthalmology, Behavioral Health, Cardiovascular/Cardiothoracic Surgery, Complex ENT Surgery, Dental, Complex Plastic Surgery, Orthopedic Surgery, Peds NICU/PICU, and FQHC/RHC. 

Responsibilities:

• Perform professional compliance audits of coding and documentation including surgeries, visits, and other services for multiple provider types across multiple specialties, for multiple clients;

• Accurate application of appropriate coding and documentation guidelines, including ICD-10-CM Guidelines, CPT Coding Guidelines, AHA Coding Clinics, AMA, CMS, Specialty Association/Society guidance, and others, as applicable;

• Accurate selection of CPT codes for services performed; 

• Accurate selection and application of modifiers to CPT codes; 

• Accurate selection and evaluation of ICD-10-CM diagnosis coding;

• Evaluate the overall quality of physician documentation that supports codes selected including adherence to Medical Necessity;

• Adherence to Local Coverage Determination (LCDs), or National Coverage Determination (NCDs), if applicable; National Correct Coding Initiative (NCCI) edits, and payor-specific policies, if applicable;

• Appropriateness of documentation for split/shared or incident-to services;

• Appropriateness of provider documentation related to Teaching Physician Guidelines, FQHCs, RHCs, and HEDIS, as applicable;

• Accurately score audits utilizing proper scoring methodology;

• Identifies risk areas and provides mitigation strategies and recommendations;

• Provide detailed findings for each service reviewed on customized reports, including supporting documentation;

• Prepare and present audit follow-up education to clients;

• Prepare and present customized education materials based on the unique needs of the client remotely and on-site;

• Communicate with the Physician Audit and Education Manager on issues, trends, and audit timeline task completion;

• Stay current on all coding guidelines (including specialty - specific guidelines), and maintain credentials as necessary;

• Participate in department and education meetings;

• Maintain confidentiality and protect sensitive information;

• Exhibit professional demeanor and communication (written and verbal);

• Other duties as assigned by leadership.

Education/Experience Requirements: 

• High School diploma required. Associate or BS degree preferred.

• Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. Successful completion of the AAPC CPMA credential is required; preferably a combination of two or more credentials.

• Minimum 5 years of recent physician coding experience and 3 years of recent physician auditing experience are required.

• Must be a subject matter expert on E&M and Surgical coding. Must have expert knowledge of medical terminology, anatomy and physiology, disease processes, CPT coding and guidelines by the AMA, ICD-10-CM coding and guidelines, and Medicare and Medicaid billing policies for professional services.

• Experience working independently, excellent time management, masterful research and organizational skills, the ability to switch between multiple projects, and the ability to meet project deadlines are a must.

• Experience creating and implementing audit plans. Experience educating providers one-on-one or in group settings.

• Additional skills required: Proficiency with Microsoft Word, Excel, PowerPoint, Windows, and healthcare information and billing systems. 

• Experience working with Google Suite is preferred but not required.

• Experience working remotely is preferred but not required.

• Epic and eClinicalWorks (ECW) experience is a PLUS.

About MedKoder, LLC:

• Privately held, growing company with strong values and ethics 

• Professional development and education 

• All positions are permanent – no contracts or sitting on a “coding bench” 

• Generous paid time off, holiday pay, and flexible scheduling year-round 

• Internal network of Medical Coding Industry Leaders – CEO is a Certified Coder with 20+ years of experience 

• Up to 100% EMPLOYER PAID Medical, Dental, and Vision benefits for employees 

• 401K and Profit Sharing 

• STD, LTD, Life Insurance, and FSA Program 

• Paid AAPC and AHIMA corporate memberships 

• 30 Hours of CEU pay (continuance in education)

• MedKoder is recognized nationally by Modern Healthcare as Best Place to Work

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• Manages the Epic coding functions for all types of charges/codes to ensure that claims are submitted to payers in compliance with coding regulations and organizational guidelines.
• Performs human resources responsibilities for staff which includes coaching on performance, completes performance reviews and overall staff morale. Recommends hiring, compensation changes, promotions, corrective action decisions, and terminations. Responsible for understanding and adhering to the organizations Code of Ethical Conduct and for ensuring that personal actions, and the actions of employees supervised, comply with the policies, regulations and laws applicable to Advocate Aurora's business.
• Oversees the development, documentation, implementation, maintenance and continuous process improvement efforts of production coding for coding staff.
• Identifies trends and implements resolution to charge capture, coding and billing issues and rejections.
• Develops, updates and implements department guidelines and procedures. Educates team members, clinic/hospital leadership and clinicians on coding related guidelines, procedures and practices.
• Communicates and reinforces changes in CPT, ICD, HCPCS and other requirements and coordinates necessary modifications and updates to appropriate coding staff.
• Ensures that documentation, coding procedures and requirements are clearly communicated and reinforced to coding staff, physicians, patient care staff and revenue cycle team members as appropriate.
• Works directly with Coding leadership to research and resolve issues. Collaborates with other leaders in revenue cycle services and clinic/hospital administration, to implement and monitor coding, billing, documentation and charge capture processes.
• Creates highly functioning, self-directed work teams.
• Maintains up-to-date knowledge of Medicare, Medicaid and other regulatory requirements pertaining to nationally accepted coding policies and standards. Develops expertise in coding for assigned responsibilities.
• Manages the timely, accurate review and validation of charges/codes assigned for billing. At times, it may also include customer concerns that question coding. Ensures that coding practices and quality are consistent with coding and other regulatory requirements.
• Ensures that coding practices are standardized systemwide and consistent with regulatory requirements. Documents all coding procedures and guidelines in writing and ensures all coding team members adhere to them. Identifies opportunities for process and quality improvement based upon analysis and review of current practices.
• Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. Practices ethical judgment in assigning and sequencing codes for proper insurance reimbursement.

• Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)

• Bachelors degree (or equivalent knowledge) in Health Information Management or related field.

• 7 years of experience in coding that includes experiences in advanced level of ICD, CPT and HCPCS coding in a large, complex clinic or hospital setting at a lead or senior level. Requires 1 year of progressive leadership experience in a high-volume health care setting.

• High leadership skills and abilities including team building, conflict resolution, project management and effective decision making.
• Advanced knowledge of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
• Proficient knowledge of Medicare, Medicaid and commercial payer coding guidelines.
• Advanced computer skills including the use of Microsoft office products, especially Excel, electronic mail, including experience with electronic coding systems or applications.
• Excellent communication (oral and written), presentation and interpersonal skills, including the ability to effectively collaborate with multiple departments.
• Excellent organization and prioritization skills; ability to manage multiple priorities in a stressful, fast-paced work environment.
• Ability to work independently and exercise independent judgment and decision making.
• Ability to meet deadlines while working in a fast-paced environment.
• Ability to take initiative and work collaboratively with others.

• Exposed to a normal office environment.
• Must be able to sit for extended periods of time.
• Must be able to continuously concentrate.
• Position may be required to travel to other sites; therefore, may be exposed to road and weather hazards.
• Operates all equipment necessary to perform the job.

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Employment Type:

Full time

Shift:

Day Shift

Description:

At Mount Carmel, we’re committed to making a meaningful difference in the lives of our patients and communities. Our colleagues – people like you – share our passion for always going above and beyond to provide the highest standards of care.

We are seeking a detail-oriented and experienced Specialty Medical Coder to join our professional coding team. This role is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for General surgery, Trauma, and other specialty services. The ideal candidate will have a strong understanding of specialty-specific coding guidelines, payer policies, and compliance standards to ensure optimal reimbursement and regulatory adherence.

Position Purpose:

• Physician Coding Specialist II will assign the appropriate surgical and office procedural and diagnostic (CPT - E/M, surgical and ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position utilizes advanced knowledge of specialty coding, including surgical procedures. The coding specialist will abstract pertinent data and resolve edits within specified time frames.

• Specialty: Medical Group , specialize in coding for General Surgery and Trauma , and additional specialties as assigned (e.g., Neurology, Gastroenterology, Pulmonology)

• Location: Fully Remote

• Hours of office: Monday through Friday 8am – 5pm

What You Will Do:

• EPIC

• Monitoring work queries

• Verify codes

• There are production standards to meet

• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

• Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to manager.

Minimum Qualifications:

• Education: High School diploma or equivalent required.

• Licensure / Certification: Certification in coding (CPC, COC, CCS, CCS-P, RHIA, RHIT) required. Certification in coding of physician services (CPC, CCS-P) preferred.

• OBGYN background preferred

• Experience: Formal training in CPT and ICD coding or previous work experience utilizing ICD and CPT coding principles is required

Position Highlights and Benefits:

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.

• Retirement savings account with employer match starting on day one.

• Generous paid time off programs.

• Employee recognition programs.

• Tuition/professional development reimbursement starting on day one.

• RN to BSN tuition 100% paid at Mount Carmel’s College of Nursing.

• Relocation assistance (geographic and position restrictions apply).

• Employee Referral Rewards program.

• Mount Carmel offers DailyPay - if you’re hired as an eligible colleague, you’ll be able to see how much you’ve made every day and transfer your money any time before payday. You deserve to get paid every day!

• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:

Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you’re seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran

Employment Type:

Full time

Shift:

Day Shift

Description:

At Mount Carmel, we're committed to making a meaningful difference in the lives of our patients and communities. Our colleagues - people like you - share our passion for always going above and beyond to provide the highest standards of care.

We are seeking a detail-oriented and experienced Specialty Medical Coder to join our professional coding team. This role is responsible for accurately assigning ICD-10-CM, CPT, and HCPCS codes for General surgery, Trauma, and other specialty services. The ideal candidate will have a strong understanding of specialty-specific coding guidelines, payer policies, and compliance standards to ensure optimal reimbursement and regulatory adherence.

Position Purpose:

• Physician Coding Specialist II will assign the appropriate surgical and office procedural and diagnostic (CPT - E/M, surgical and ICD) codes to individual patient health information for data retrieval, analysis and claims processing for the Mount Carmel Medical Group (MCMG). This position utilizes advanced knowledge of specialty coding, including surgical procedures. The coding specialist will abstract pertinent data and resolve edits within specified time frames.

• Specialty: Medical Group , specialize in coding for General Surgery and Trauma , and additional specialties as assigned (e.g., Neurology, Gastroenterology, Pulmonology)

• Location: Fully Remote

• Hours of office: Monday through Friday 8am - 5pm

What You Will Do:

• EPIC

• Monitoring work queries

• Verify codes

• There are production standards to meet

• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.

• Keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to manager.

Minimum Qualifications:

• Education: High School diploma or equivalent required.

• Licensure / Certification: Certification in coding (CPC, COC, CCS, CCS-P, RHIA, RHIT) required. Certification in coding of physician services (CPC, CCS-P) preferred.

• OBGYN background preferred

• Experience: Formal training in CPT and ICD coding or previous work experience utilizing ICD and CPT coding principles is required

Position Highlights and Benefits:

• Competitive compensation and benefits packages including medical, dental, and vision with coverage starting on day one.

• Retirement savings account with employer match starting on day one.

• Generous paid time off programs.

• Employee recognition programs.

• Tuition/professional development reimbursement starting on day one.

• RN to BSN tuition 100% paid at Mount Carmel's College of Nursing.

• Relocation assistance (geographic and position restrictions apply).

• Employee Referral Rewards program.

• Mount Carmel offers DailyPay - if you're hired as an eligible colleague, you'll be able to see how much you've made every day and transfer your money any time before payday. You deserve to get paid every day!

• Opportunity to join Diversity, Equity, and Inclusion Colleague Resource Groups.

Ministry/Facility Information:

Mount Carmel, a member of Trinity Health, has been a transforming healing presence in Central Ohio for over 135 years. Mount Carmel serves over 1.3 million patients each year at our four hospitals, free-standing emergency centers, outpatient facilities, surgery centers, urgent care centers, primary care and specialty care physician offices, community outreach sites and homes across the region. Mount Carmel College of Nursing offers one of Ohio's largest undergraduate, graduate, and doctor of nursing programs. If you're seeking a rewarding career where your purpose, passion, and desire to make a difference come alive, we invite you to consider joining our team. Here, care is provided by all of us For All of You!

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran

Under the direction of the Revenue Cycle Supervisor - Coding the Physician Coding Specialist II monitors and analyzes unresolved third party accounts for multi-specialty group practices. This position initiates contact and negotiates appropriate resolutions to ensure timely payments of outstanding claims.

What You Will Do

• Analyzes, on a daily basis and in accordance with established time frames, the outstanding insurance accounts. Initiates appropriate and effective telephone and/or written follow-up on the identified accounts.
• Communicates with payors and other internal departments as required to obtain critical information that impacts the resolution of both current and future claims.
• Researches and responds to all telephone inquiries from the customer service department, in a prompt, professional manner meeting departmental guidelines.
• Reviews and corrects coding edits and denials.
• May code ICD-10 from written documentation.
• May abstract CPT/HCPCS codes.
• May perform computer assisted coding functions.
• Working knowledge of coding rules and payer guidelines.
• Consistently meets department productivity standards
• Consistently meets department quality standards.
• Maintains patient/physician confidentiality at all times and maintains effective communication and professional interaction with patients and physicians.
• Provides appropriate information and feedback to various personnel within UHPS. Supports and utilizes established departmental guidelines. Recommends additional research to other CBO departments.
• Identifies trends with insurance related issues and reports findings to the Team Lead.
• Acts as a role model for professionalism through appropriate conduct and demeanor at all times.
• Interprets written correspondence and either resolves the problem or forwards it to another department for prompt resolution.
• Effectively communicates utilizing the telephone, form letters or internal correspondence to resolve patient inquiries.
• Handles multiple tasks simultaneously.
• Must have an understanding of insurance products and billing requirements to effectively resolve discrepancies in billing statements.
• Performs other related duties as assigned.
• This role will encounter Protected Health Information (PHI) as part of regular responsibilities. UH employees must abide by all requirements to safely and securely maintain PHI for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Additional Responsibilities

• Performs other duties as assigned.
• Complies with all policies and standards.
• For specific duties and responsibilities, refer to documentation provided by the department during orientation.
• Must abide by all requirements to safely and securely maintain Protected Health Information (PHI) for our patients. Annual training, the UH Code of Conduct and UH policies and procedures are in place to address appropriate use of PHI in the workplace.

Position Summary

***MUST RESIDE IN ST PETE, FL AREA***

At Orlando Health, we are ordinary people with extraordinary individuality, working together to bring help, healing and hope to those we serve. By daily embodying our over 100-year legacy, we have grown into a 3,900-bed healthcare organization that delivers care for more than 142,000 inpatient and 3.9 million outpatient visits each year. Our 24 award-winning hospitals and ERs, 9 specialty institutes, 14 urgent care centers, 100+ primary care practices and more than 60 outpatient facilities serve communities that span Florida's east to west coasts and beyond.

Orlando Health is committed to providing you with benefits that go beyond the expected, with career-growing FREE education programs and well-being services to support you and your family through every stage of life. We begin your benefits on day one and offer flexibility wherever possible so that you can be present for your passions. "Orlando Health Is Your Best Place to Work" is not just something we say, it's our promise to you.

Performs, develops, and implements coding related efficiency processes to monitor professional coding to ensure optimal efficiency and follow the controlling compliance guidelines with governmental and private payers. The Physician Coding Education Specialist is responsible for analyzing physician coding trends and providing educations that will contribute to effective productivities.
• Location: Hybrid, Remote 90% & On-site 10%
• Status: Full Time (exempt)
• Days: Monday through Friday
• Shift: Day (flextime plan with the possibility of occasional early morning/evening hours)

**This opportunity is a hybrid role requiring occasional on-site presence and residency in the St. Petersburg area***

Orlando Health Patient Accounting Department

Responsibilities

Essential Functions:
• Responsible for internal auditing and analyzing professional coding for all service lines.
o Monitor the audit results closely to identify any potential coding inaccuracy
o Providesthe Department/Practice the needed support in identifying coding errors
o Works with the practice to ensure services are captured accordingly.
o Provides additional education to practices/providers/coders as needed and requested.
• Ensure that medical documentation is following Governmental payers, Managed Care and private insurances guidelines
• Review medical recordsto ensure accuracy of code assignment.
• Guide and educate coding team members by addressing errors, performance issues, and trends identified through reporting.
• Identify and communicate physician documentation and coding opportunitiesforimprovement
• Takes an active role in developing and presenting educational programs to physicians, physician extenders, and physician offices.
• Effectively communicates best practice physician coding related feedback with physicians, non-physician providers, physician office staff, administration, practice managers, and team members of the Physician and Professional Services Central Business Office.
• Takes the initiative to identify and solve complex trending coding issues affecting the physician revenue cycle and provide the necessary feedback to correct claims on a go-forward basis as well as recovered underpaid amounts.
• Collaborates with Physician and Professional Services Central Business Office to ensure appropriate and complete follow up of patient accounts to ensure coding accuracy for payor guideline reimbursement.
• Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress.
• Providesstatisticalreportsto deliver accurate documentation of ongoing internal coding efficiency process.
• Conducts focused physician reviews as needed and provides data to manager.
• Maintains 90% physician coding accuracy rate.
• Attends payor, departmental and interdepartmentalmeetings asrequired.
• Prepares/distributes information summarizing opportunities with physician coding monthly.
• Researches, identifies, develops, and assistsin implementation of a plan of action to resolve coding disputes with payors.
• Utilizesresource material available in department, CMS, AMA, and AHCA and federal registry to support coding practices.
• Perform physician queriesfor coding and documentation clarification during concurrent chartreview process.
• Addresses all Orlando Health departments professionally and positively, in all settings, by always maintaining a high level of professional demeanor and dress.
• Serves as a preceptor to new coders.
• Takes an active role in developing and presenting educational programs to Physician & Professional Services team, physicians, physician extenders, physician offices, and all members of the coding team and manager.
• Maintains patient and coder confidentiality results.
• Proficiency in coding including ICD-10, CPT, E/M, modifiers while maintaining a 90% accuracy.
• Adhere to Standards of Ethical Coding, all applicable regulations and guidelines, and all clientspecific policies.
• Other duties as assigned based on company needs and projects.
• Ongoing Coding Education and training activities
• Responsible for the development and training of staff within the scope of his/her responsibilities as it relates to Coding Department structure
• New providers
• New Coders
• Testing, training, and mentoring incoming coders according to the coding guidelines and individual skills
for the Division for which the coder will be assigned.
• Existing providers
• Collaborate with Physician Coding Leadership in monitoring coding quality
• Participate in Health Plan Audits
• Develop and implement coder enhancementstrategies
o New Governmental releasesinformation
o Basic in-house coders auditing
o In-Service presentation during coders' meeting
• Provide daily support to all assigned practice managers on their coding related questions
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies, the ADA, FMLA and other federal, state, and local standards.
• Maintains compliance with all Orlando Health policies and procedures.

Other Related Functions:
• Attends payor, departmental and interdepartmental meetings asrequired.
• Other duties as assigned based on organization needs and projects.
• Works in collaboration for testing, training, and mentoring incoming coders according to the coding guidelines and individual skills for the Division for which the coder will be assigned.
• Conducts focused physician reviews as needed and provides data to manager.

Qualifications

Skills Knowledge:
• Excellent knowledge of CPT-4, ICD-10-CM/PCS and HCPCS coding principles, governmental regulations, protocols, and third party payer requirements pertaining to billing, coding and documentation
• Knowledge of medical terminology
• Experience working with Electronic Medical Records
• Ability to work independently
• Strong interpersonal and presentation skills paired with advanced written and verbal communication skills
• Strong analytical and writing skillsrequired for proposal and report development

Education/Training:
• Associate degree required.
• Five (5) years of directly related work experience may substitute for the associate degree.
• Possesses exceptional knowledge in Microsoft Office Word, Outlook, and PowerPoint as well as moderate to expert experience with Microsoft Excel.
• Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS as evidenced by results of coding skills test of 90% or better.

Licensure/Certification:
Must maintain one (1) of the following national certifications:
• Certified Professional Coder (CPC) through the American Academy of Professional Coders
• Certified Coding Specialist (CCS) through the American Health Information Management Association (AHIMA)
• Certified Coding Specialist-Physician (CCS-P) through the American Health Information Management Association (AHIMA)
• Certified Medical Coder (CMC) through Practice Management Institute
• Certified Professional Medical Auditor (CPMA)
• CEMA certification via National Alliance of Medical Auditing Specialists

Experience:
• 5-6 years of professional based coding experience isrequired.
• Professional based coding experience must include - Office, Inpatient, Bedside Procedures, Surgical Coding, Teaching &
Physician extender provider coding, multiple specialties is desired.
• Level one (1) Trauma hospital experience is preferred.
• Experience with a large organization, multi-location, multi-specialty with high volume providers is preferred.

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience.

Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to time off benefits At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level

The Coder III is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. The Coder III uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC. The Coder III will abstract and enter required data.

Salary and Work Model The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior coding experience. 100% Remote

• Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees.
• Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
• Communicates with providers for missing documentation elements and offers guidance and education when needed.
• Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
• Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
• Reviews and edits charges.

• Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area.
• Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function.
• Sound knowledge of anatomy, physiology, and medical terminology.
• Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits.
• Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
• Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
• Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

Belonging Statement We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

Qualifications EDUCATION - H.S. Diploma/GED Equivalent EXPERIENCE - 3 Years of Experience Coder I experience needed for this Coder II opportunity CERTIFICATION/LICENSE/REGISTRATION - Cert Coding Specialist (CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient Coder (CIC) Cert Interv Radiology CV Coder (CIRCC) Cert Outpatient Coder (COC) Cert Professional Coder (CPC) Reg Health Info Administrator (RHIA) Reg Health Information Technic (RHIT) As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

About Us Here at Baylor Scott & White Health we promote the well-being of all individuals, families, and communities. Baylor Scott and White is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are:

We serve faithfully by doing what's right with a joyful heart.

We never settle by constantly striving for better.

We are in it together by supporting one another and those we serve.

We make an impact by taking initiative and delivering exceptional experience.

Benefits Our benefits are designed to help you live well no matter where you are on your journey. For full details on coverage and eligibility, visit the Baylor Scott & White Benefits Hub to explore our offerings, which may include:

• Eligibility on day 1 for all benefits
• Dollar-for-dollar 401(k) match, up to 5%
• Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more
• Immediate access to time off benefits

At Baylor Scott & White Health, your well-being is our top priority. Note: Benefits may vary based on position type and/or level

The Coder III is skilled in high acuity inpatient, hospital-based outpatient, or Profee. This includes high acuity profee service lines, Cardiac Cath/Electrophysiology (EP), or Interventional Radiology (IR) with a CIRCC certification, or expertise in at least 8 sub-specialties. The Coder III uses ICD-10-CM, ICD-10-PCS, and HCPCS, including CPT, for accurate coding. Coding references ensure accurate coding and classification assignment grouping, like MS-DRG, APR-DRG, and APC. The Coder III will abstract and enter required data.

The pay range for this position is $28.52 (entry-level qualifications) - $42.79 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior coding experience. 100% Remote

Reviews and interprets documentation from medical records and completes accurate coding of diagnosis, procedures, and professional fees. Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. Communicates with providers for missing documentation elements and offers guidance and education when needed. Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. Reviews and edits charges.

Sound knowledge of applicable rules, regulations, policies, laws, and guidelines that impact the coding area. Sound knowledge of transaction code sets, HIPAA requirements, and other issues impacting the coding and abstracting function. Sound knowledge of anatomy, physiology, and medical terminology. Demonstrated expertise in the use of computer applications, group software, and Correct Coding Initiatives (CCI) edits. Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. Ability to interpret health record documentation to identify procedures and services for accurate code assignment. Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.

We believe that all people should feel welcomed, valued and supported, and that our workforce should be reflective of the communities we serve.

Education - H.S. Diploma/GED Equivalent Experience - 3 Years of Experience Coder I experience needed for this Coder II opportunity Certification/License/Registration - Cert Coding Specialist (CCS) Cert Coding Spec Physician Bas (CCS-P) Cert Inpatient Coder (CIC) Cert Interv Radiology CV Coder (CIRCC) Cert Outpatient Coder (COC) Cert Professional Coder (CPC) Reg Health Info Administrator (RHIA) Reg Health Information Technic (RHIT)

As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.