certified coder

United Digestive

<div>
 <strong>
  GENERAL SUMMARY OF DUTIES:
 </strong>
 Responsible for the CPT, HCPCS, and ICD-10 coding of endoscopy center procedures, hospital charges and other services performed by the physicians and advanced practice providers of UD.
 <br/>
 <br/>
 <strong>
  REPORTS TO:
 </strong>
 Reports to the Billing &amp; Coding Manager
 <br/>
 <br/>
 <strong>
  RESPONSIBILIITES
  <br/>
  <br/>
 </strong>
 <strong>
  Duties Include But Are Not Limited To
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Accurate coding of services provided by United Digestive, LLC physicians, including assigning the correct ICD-10 and CPT codes.
  </li>
  <li>
   Research difficult coding questions thoroughly in order to maintain high quality standards.
  </li>
  <li>
   Provides support to management, staff and physicians in determining accurate coding and billing practices.
  </li>
  <li>
   Participates in coding audits and educational endeavors as directed by RCM leadership
  </li>
  <li>
   Maintains certification by completing required CEUs and training courses.
  </li>
  <li>
   Continues personal education by attending seminars and classes as needed.
  </li>
  <li>
   Stays up to date on changes and updates to the Current Procedural Terminology (CPT) and diagnosis codes.
  </li>
  <li>
   Understands and abides by CMS guidelines in coding.
  </li>
  <li>
   Meets or exceeds quality and productivity standards as set by RCM leadership
  </li>
  <li>
   Answers emails and voicemails and returns calls in a timely and efficient manner.
  </li>
  <li>
   Completes requests for information from other United Digestive, LLC staff and ensures that they are handled promptly and effectively to guarantee payment on patient accounts
  </li>
  <li>
   Abides by and promotes HIPAA compliance; maintains strictest confidentiality with regards to patient information
  </li>
  <li>
   Participates in staff meetings as directed by RCM leadership
  </li>
  <li>
   Participates in marketing activities as directed by RCM Leadership
  </li>
  <li>
   Cross trains and performs other practice functions as directed by RCM Leadership
  </li>
  <li>
   Any other duties and/or special projects as assigned
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required Education, Skills And Experience
  <br/>
  <br/>
 </strong>
 Certified Coder required. High School Diploma or GED required; proficiency in Evaluation and Management Level of service coding required. 2-3 years of specialty clinical experience, gastroenterology experience preferred. Employee must be computer literate and able to operate Practice Management Software, electronic medical records system and multiple Microsoft Office applications.
 <br/>
 <br/>
 <strong>
  Additional Skills And Experience
  <br/>
  <br/>
 </strong>
 Certified Coder must be able to:
 <br/>
 <br/>
 <ul>
  <li>
   Provide a high level of quality patient care and customer service at all times
  </li>
  <li>
   Plan, prioritize, and complete multiple tasks as delegated by RCM Leadership
  </li>
  <li>
   Work under pressure; assess, respond, and communicate issues in a timely manner
  </li>
  <li>
   Maintain composure and set a professional example to patients and coworkers
  </li>
  <li>
   Communicate clearly with patients and coworkers through the telephone, email, and in-person
  </li>
  <li>
   Interpret and apply clinical and non-clinical policies and procedures
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  PHYSICAL/MENTAL/ENVIRONMENTAL DEMANDS
  <br/>
  <br/>
 </strong>
 Requires sitting and standing associated with a normal office environment; travel within the Metro area required.
 <br/>
 <br/>
 <strong>
  DRUG FREE WORKPLACE
  <br/>
  <br/>
 </strong>
 United Digestive LLC is a drug free workplace. All offers of employment are contingent upon passing a pre-employment drug screening.
 <br/>
 <br/>
 <strong>
  EQUAL OPPORTUNITY EMPLOYER
  <br/>
  <br/>
 </strong>
 United Digestive, LLC is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, military or veteran status, gender, color or national origin in its employment practices.
</div>


Certified Coder (66022)

CERIS

<div>
 Job Details
 <br/>
 <br/>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders.
 <br/>
 <br/>
 This is a remote position.
 <br/>
 <br/>
 <strong>
  Essential Functions &amp; Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Receives claim and processes based on state rules and regulations
  </li>
  <li>
   Determines validity and compensability of the claim using CorVel proprietary programs
  </li>
  <li>
   Makes recommendations and communicates claim status to to referring office
  </li>
  <li>
   Read and comprehend all medical reports
  </li>
  <li>
   Adhere to client and carrier guidelines and participate in claims review as needed
  </li>
  <li>
   Assists other claims professionals with more complex or problematic claims as necessary
  </li>
  <li>
   Maintain HIPAA compliance
  </li>
  <li>
   Additional duties as assigned
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Knowledge &amp; Skills
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Ability to learn rapidly to develop knowledge and understanding of claims practices
  </li>
  <li>
   Strong organizational skills
  </li>
  <li>
   Ability to meet or exceed performance competencies
  </li>
  <li>
   Effective and professional verbal and written communication skills
  </li>
  <li>
   Ability to handle demanding situations while using critical and strategic thinking skills
  </li>
  <li>
   Demonstrated outstanding leadership, problem solving, and analytical skills
  </li>
  <li>
   Ability to think and work independently, while working in an overall team environment
  </li>
  <li>
   Proficient in Microsoft Office, especially Excel and Outlook
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Eduction &amp; Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High School diploma or equivalent
  </li>
  <li>
   Current AAPC certification (which must be maintained throughout employment as current and active status)
  </li>
  <li>
   Certification as CPC with the AAPC for more than 2 years (w/ surgical or office experience)
  </li>
  <li>
   Current or recent orthopedic billing/coding experience
  </li>
  <li>
   EncoderPro software experience
  </li>
  <li>
   E/M coding/down-coding experience
  </li>
  <li>
   Texas workers' compensation experience is preferred
  </li>
  <li>
   Pain Management/Anesthesia/General Surgery coding experience is preferred
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Pay Range
  <br/>
  <br/>
 </strong>
 CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time.
 <br/>
 <br/>
 For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process.
 <br/>
 <br/>
 Pay Range: $48,143 &ndash; $71,852
 <br/>
 <br/>
 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
 <br/>
 <br/>
 In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.
 <br/>
 <br/>
 <strong>
  About Ceris
  <br/>
  <br/>
 </strong>
 CERIS, a division of CorVel Corporation, a certified Great Place to Work&reg; Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
 <br/>
 <br/>
 A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
 <br/>
 <br/>
 <strong>
  CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
  <br/>
  <br/>
 </strong>
</div>


CERIS Certified Coder II

Community Health Network

<div><div><div><div>Category</div>
<div>Administrative &amp; General Support</div>
</div><div><div>Job Family</div>
<div>Billing &amp; Coding</div>
</div><div><div>Department</div>
<div>Revenue Cycle-Physician Billng</div>
</div><div><div>Schedule</div>
<div>Full-time</div>
</div><div><div>Facility</div>
<div>Heritage Park</div>
<div><div><div>Indianapolis</div>, <div>IN</div> <div>46250</div><br>
<div>United States</div></div></div>
</div><div><div>Shift</div>
<div>Day Job</div>
</div><div><div>Hours</div>
<div>8:00am - 5:00pm, Monday - Friday</div><br>
</div></div><div><div><p><b>Join Community</b></p><p>
Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, &ldquo;community&rdquo; is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered &mdash; and we couldn&rsquo;t do it without you.</p><p></p><p><b><br>
Make a Difference</b></p><p>
The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment.</p><p></p><p><b><br>
Exceptional Skills and Qualifications</b></p><p>
Applicants for this position should be able to collaborate with others in a team setting, have excellent communication skills, and a strong attention to detail.</p><ul><li><p><br>
High School Diploma or GED required.</p></li></ul><ul><li><p>
Two (2) years of coding experience preferred.</p></li></ul><ul><li><p>
Certified Professional Coding (CPC) certification through the American Academy of Professional Coders (AAPC) required.</p></li></ul><ul><li><p>
Previous experience with Epic EMR strongly preferred.</p></li></ul><ul><li><p>
This position will allow the flexibility to work remotely after the initial training period with the expectation to work on-site on an as needed basis per the needs of the hiring department.</p></li></ul></div>
<p><b>Why Community?
</b></p><p>At Community Health Network, we build teams that deliver exceptional care through empathy, communication and collaboration. We consider ALL an integral part of the exceptional patient experience. We PRIIDE ourselves on not having employees but Caregivers. Join our Community as we make a difference in your community.</p></div></div><p></p>

Certified Coder - Surgery - CPC

University Physicians' Association, Inc. (UPA)

<div>
 <strong>
  Description
  <br/>
  <br/>
 </strong>
 This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region.
 <br/>
 <br/>
 <strong>
  University Health Networ
 </strong>
 k is seeking a
 <strong>
  full-time Certified Medical Coder
 </strong>
 to join our team. This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding HCC diagnoses using ICD-10-CM guidelines. CPT and E/M experience is not required for this role.
 <br/>
 <br/>
 <strong>
  Essential Duties and Responsibilities (this list does not include all duties assigned)
  <br/>
  <br/>
 </strong>
 <strong>
  Performs coding services while meeting daily production and quality goals
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards.
  </li>
  <li>
   Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services.
  </li>
  <li>
   Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate coding.
  </li>
  <li>
   Use CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities
  </li>
  <li>
   Participate in ongoing education and training to stay current with coding updates and guidelines
  </li>
  <li>
   Actively participates in designated team meetings
  </li>
  <li>
   Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows. If unable to maintain productivity and accuracy standards, team members will work onsite at the UHN office until standards are met and maintained.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Educates and coaches providers on compliant coding and documentation practices
  </li>
  <li>
   Facilitates and supports a culture of compliance, ethics, and integrity
  </li>
  <li>
   Recognized as an expert in medical coding, documentation, and risk adjustment compliance
  </li>
  <li>
   Interacts effectively and builds respectful working relationships across the organization.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Maintains HIPPA Guidelines for privacy
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Respects the privacy of all patients 100% of the time
  </li>
  <li>
   Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times
  </li>
  <li>
   Obtains consent to release protected health information
  </li>
  <li>
   Reports all HIPAA issues to the Supervisor
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Remains current on coding rules and guidelines
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Remains up to date with official AMA ICD-10-CM, CPT, and HCPCS coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines
  </li>
  <li>
   Remains up to date with CMS and HHS HCC risk adjustment models
  </li>
  <li>
   Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Requirements
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Current CPC or RHIT certification required.
  </li>
  <li>
   CRC required within 6 months of hire
  </li>
  <li>
   Preferred at least two years of E/M and professional medical coding experience in an ambulatory care setting.
  </li>
  <li>
   Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management
  </li>
  <li>
   Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills
  </li>
  <li>
   Must be initiative-taking, highly organized, and have excellent time management
  </li>
  <li>
   Must possess good problem solving and critical thinking skills
  </li>
  <li>
   Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint)
  </li>
  <li>
   Demonstrates integrity by adhering to high standards of personal and professional conduct
  </li>
 </ul>
</div>


Risk Adjustment Certified Coder

Affinia Healthcare

<div>
 <strong>
  Position Summary:
 </strong>
 Verifies and ensures the accuracy, completeness, specificity and appropriateness of diagnosis codes on services rendered. Complete appropriate paperwork/documentation/system entry regarding claim and encounter information. Support and participate in process and quality improvement initiatives. Assist with clinician billing and documentation training.
 <br/>
 <br/>
 <strong>
  Education:
 </strong>
 Requires an associate degree from Accredited Heath Information Technology program, Bachelor's degree preferred. Coding certificate with AHIMA approval status. RHIA, RHIT, CCS or CCS-P certification status required.
 <br/>
 <br/>
 <strong>
  Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Three (3) years' experience as a Certified Medical Biller/Coder Experience at a Federally Qualified Health Center (FQHC) preferred.
  </li>
  <li>
   Lab coding experience required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Skills And Abilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Strong written and verbal communication skills, strong analytical skills, organizational and time management skills .
  </li>
  <li>
   Knowledge and experience in a healthcare environment of billing and reimbursement of Medicaid, Medicare and other
  </li>
  <li>
   Knowledge of LCD/NCD coding policies regarding Laboratory Services
  </li>
  <li>
   Ability to devise training materials to teach staff correct
  </li>
  <li>
   Professional demeanor and appearance, strong ethics, team player with positive attitude.
  </li>
  <li>
   Strong knowledge of Microsoft XP products(Word, Excel, and PowerPoint)
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Transportation Requirement:
 </strong>
 None
 <br/>
 <br/>
 <strong>
  License(s)/Certification(s) Required:
 </strong>
 HIA, RHIT, CCS or CCS-P certification status required.
 <br/>
 <br/>
 <strong>
  Essential Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Reviews medical record documentation to identify all services provided by
  </li>
  <li>
   Renews appropriate CPT-4 procedure code(s) to accurately report the clinician services provided to
  </li>
  <li>
   Renews appropriate ICD-10 diagnosis code(s) to accurately support the need for each clinician service.
  </li>
  <li>
   Assists with the submission of billing
  </li>
  <li>
   Obtains and submits copies of medical documentation with clinician charges to support billing to third party
  </li>
  <li>
   Identifies clinician services provided but not adequately documented in the medical advise supervisor and clinicians of deficiencies to support charge capture of all billing services.
  </li>
  <li>
   Analyzes and resolves clinician claim rejects and denials from the billing system or insurance carriers related to coding
  </li>
  <li>
   Assists with clinician billing and documentation training in daily interactions with clinicians and other routine training
  </li>
  <li>
   Compiles monthly reports as
  </li>
  <li>
   Identifies trends/problems in medical documentation and recommends possible solutions.
  </li>
  <li>
   Provides training support to billing department in handling of rejections and denials of
  </li>
  <li>
   Correction and submission of reference lab billing requests.
  </li>
  <li>
   Performs other duties as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Marginal Functions
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Assists in audits.
  </li>
  <li>
   Codes input forms as required.
  </li>
  <li>
   Provides backup support to billing department.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Supervises:
 </strong>
 None
 <br/>
 <br/>
 <strong>
  NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
  <br/>
  <br/>
 </strong>
 <strong>
  NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
  <br/>
  <br/>
 </strong>
 <strong>
  AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 </strong>
</div>


Certified Medical Coder

Cooper Family Medical

<p><b>Overview</b><br/>Join our healthcare team as a Certified Professional Coder (CPC), where your expertise in medical coding and billing will play a vital role in ensuring accurate and efficient processing of medical records. As a CPC, you will be responsible for translating healthcare services into standardized codes, facilitating seamless communication between healthcare providers, insurance companies, and patients. Your attention to detail and thorough understanding of medical terminology and coding systems will directly impact the quality of patient care and reimbursement processes. This role offers a great opportunity to apply your coding skills in a fast-paced environment dedicated to excellence .</p><p><b>Duties</b></p><ul><li>Commercial claims processing</li><li>Reviewing charts before sending out and then working payments and denials post-processing.</li><li>Records review to maximize the quality of coding</li><li>Communicate with the providers when needed for missing, or non-specific information that is present in the health record</li><li>Assure compliance with coding rules and regulations according to regulatory agencies for Center for Medicare Services (CMS)</li><li>Performs accurate and timely charge entries into billing software</li><li>Stays up to date with coding changes</li><li>Informs management of trends identified through the review and validation process</li><li>Ensure clean claim submissions</li><li>Work with insurance companies for reports, denials, and re-submission of claims</li><li>Identify and troubleshoot billing, coding, and payer issues</li><li>Attends office meetings as necessary to provide information relating to coding and compliance</li><li>Performing medical coding of encounters and reviewing medical codes for adherence to risk adjustment models</li><li>Daily audits of medical record data pre and post patient visit to ensure accuracy will be performed</li><li>Make recommendations according to regulations and your employer&rsquo;s operational policies</li><li>Report the results of an audit to the relevant supervisor or coding service provider</li><li>Have overall proficiency with revenue cycle workflows</li><li>It is your job to ensure compliance with rules related to patient privacy and electronic medical record keeping</li><li>Always demonstrate service excellence</li></ul><p><b>Qualifications</b></p><ul><li>Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or equivalent certification</li><li>Proven experience in medical coding, including CPT coding, ICD-9/ICD-10 coding, DRG assignment, and medical records review</li><li>Strong knowledge of medical terminology, anatomy, physiology, and healthcare documentation standards</li><li>Familiarity with EMR/EHR systems used for medical record management and coding purposes</li><li>Experience with medical billing, collections, and insurance claim processes</li><li>Excellent attention to detail with the ability to interpret complex clinical documentation accurately</li><li>Effective communication skills for collaborating with healthcare providers and insurance representatives</li></ul><p>Join us to leverage your coding expertise in a role that is essential to delivering high-quality healthcare services.</p><p>Benefits:</p><ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Paid time off</li><li>Vision insurance</li></ul><p>Work Location: In person</p>

Certified Professional Coder (CPC)

sequel technologies

<p><b>Location:</b> Bahria Town Phase 7, Rawalpindi (Preference for residents of Bahria, DHA, or nearby areas)</p><p>Sequel Technologies, a software company providing healthcare IT and medical billing services to the US market.</p><p><b>Responsibilities </b></p><ul><li>Proven work experience as a medical coder or in a similar role.</li><li>Ensure codes are sequenced correctly according to government and insurance regulations.</li><li>Ensure medical records are filed and processed accurately.</li><li>Analyze medical records and identify documentation deficiencies.</li><li>Identify diagnostic and procedural information.</li><li>Work with coding software.</li></ul><p><b>Qualifications/Skills </b></p><ul><li>2+ years of experience as a medical coder.</li><li>Degree in BSCS, software engineering, or a related field.</li></ul><p><b>Timings </b></p><ul><li>5:00 PM - 2:00 AM (Summers)</li><li>6:00 PM &ndash; 3:00 AM (Winters)</li></ul><p><b>Benefits </b></p><ul><li>Healthcare</li><li>Entertainment allowance</li><li>Cellular allowance</li><li>Provident fund</li></ul><p>Job Type: Full-time</p><p>Application Question(s):</p><ul><li>Are you a resident of Bahria Town Phase 7/8 or DHA 1/2? If not, kindly state your area of residency</li><li>Have you completed your CPC certification?</li></ul><p>Work Location: In person</p>

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8265 certified coder jobs Near Me

Certified Coder (66022)

CERIS Certified Coder II

Certified Coder - Surgery - CPC

Risk Adjustment Certified Coder

Certified Medical Coder

Certified Professional Coder (CPC)

Certified Professional Coder (CPC)