certified medical coder

Affinia Healthcare

<div>
 
 Position Summary:
 
 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.
 
 
 
 Education:
 
 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.
 
 
 
 Experience
 
 
 
 <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.
 
 
 </li>
 </ul>
 
 Skills And Abilities
 
 
 
 <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)
 
 
 </li>
 </ul>
 
 Transportation Requirement:
 
 None
 
 
 
 License(s)/Certification(s) Required:
 
 HIA, RHIT, CCS or CCS-P certification status required.
 
 
 
 Essential Functions
 
 
 
 <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.
 
 
 </li>
 </ul>
 
 Marginal Functions
 
 
 
 <ul>
 <li>
 Assists in audits.
 </li>
 <li>
 Codes input forms as required.
 </li>
 <li>
 Provides backup support to billing department.
 
 
 </li>
 </ul>
 
 Supervises:
 
 None
 
 
 
 NOTE: SMOKING IS PROHIBITED IN THE WORK ENVIRONMENT
 
 
 
 
 NOTE: ALL APPLICANTS MUST PROVIDE CONTACT INFORMATION FOR THREE REFERENCES
 
 
 
 
 AN EQUAL OPPORTUNITY SERVICES PROVIDED ON A NON-DISCRIMINATORY BASIS
 
</div>

Certified Medical Coder

LaSante Health Center

<div>
 
 LaSante Health Center
 
 is seeking a detail-oriented in-person
 
 Medical Coder
 
 to ensure accurate coding and abstraction of patient encounters. The ideal candidate will possess strong analytical skills, attention to detail, and expertise in coding conventions.
 
 
 
 Responsibilities
 
 :
 
 
 <ul>
 <li>
 Code and abstract patient encounters accurately.
 </li>
 <li>
 Research data for reimbursement needs.
 </li>
 <li>
 Analyze medical records for documentation deficiencies.
 </li>
 <li>
 Review documentation to support diagnoses and procedures.
 </li>
 <li>
 Audit clinical documentation for accuracy.
 </li>
 <li>
 Assign codes for reimbursement and compliance.
 </li>
 <li>
 Provide coding guidance to care providers.
 </li>
 <li>
 Identify and resolve billing issues
 </li>
 <li>
 Complete additional tasks as assigned by supervisor.
 </li>
 <li>
 Ensure compliance with payer guidelines and supports revenue cycle integrity
 
 
 
 </li>
 </ul>
 
 Qualifications
 
 :
 
 
 <ul>
 <li>
 Experience necessary
 </li>
 <li>
 Must be a Certified Medical Coder, CPC / CPC-A
 </li>
 <li>
 Must be capable of working in a fast paced environment
 </li>
 </ul>
</div>

Medical Coder

Billing Nest (Private) Limited

About UsAt Billing Nest, we specialize in delivering elite Revenue Cycle Management (RCM) and medical billing solutions. Our mission is to streamline the financial health of healthcare providers so they can remain focused on patient care. As we continue to expand, we are looking for a precise and dedicated Medical Coder to grow alongside our professional team.Job OverviewWe are seeking a detail-oriented professional with more then 1 year of experience in medical coding. You will play a critical role in reviewing clinical documentation and translating healthcare services into accurate codes. This is an ideal role for a mid-career professional looking to sharpen their expertise in a stable and supportive environment.<ul><li>Shift: 06:00 PM &ndash; 03:00 AM (Night Shift)</li><li>Location: Near Jamia School, Farooq-e-Azam Road, Rawalpindi (On-site)</li></ul>Key Responsibilities<ul><li>Precision Coding: Review medical records and assign appropriate ICD-10-CM, CPT, and HCPCS Level II codes.</li><li>Regulatory Compliance: Ensure all coding adheres to federal regulations, insurance mandates, and internal company policies.</li><li>Data Integrity: Efficiently input coding data into billing systems with a high degree of accuracy.</li><li>Denial Resolution: Collaborate on analyzing and rectifying coding-related denials to maximize reimbursement.</li><li>Clinical Collaboration: Liaise with providers or senior staff to clarify documentation and ensure coding accuracy.</li><li>HIPAA Adherence: Maintain the highest standards of patient confidentiality and data security.</li></ul>Requirements<ul><li>Experience: More then 1 year of hands-on experience in medical coding.</li><li>Education: Bachelor&rsquo;s degree in a related field or a formal Diploma/Certification in Medical Coding.</li><li>Certification: CPC (Certified Professional Coder) or CCS (Certified Coding Specialist) is highly preferred.</li><li>Technical Knowledge: Deep understanding of medical terminology, anatomy, and physiology.</li><li>Systems: Proficiency with Electronic Health Records (EHR) and standard medical billing software.</li><li>Attributes: Exceptional analytical skills, sharp attention to detail, and the ability to thrive under deadlines.</li></ul>Why Join Billing Nest?<ul><li>Market-Competitive Salary</li><li>Biannual Increments</li><li>In-house Meals provided</li><li>Career Advancement: Clear paths for professional growth.</li><li>Culture: A collaborative and supportive team environment.</li></ul>How to ApplyReady to take the next step in your RCM career? Send your CV to hr@billingnest.pk (Subject: CV - Medical Coder - Your name) or apply directly via this platform.#MedicalCoding #MedicalBiller #RCM #HealthcareJobs #BillingNest #Hiring #RawalpindiJobsJob Type: Full-timePay: Rs60,000.00 - Rs80,000.00 per monthWork Location: In person

Urgent Required Medical Coder

Beacon Health System

<div>
 Reports to the Manager of Professional Coding. Under general supervision and in accordance with the policies and procedures established by BMG Professional Coding, reviews and accurately codes office and hospital procedures for reimbursement requiring exercise of initiative and judgement.
 
 
 
 MISSION, VALUES and SERVICE GOALS
 
 
 
 <ul>
 <li>
 MISSION: We deliver outstanding care, inspire health, and connect with heart.
 </li>
 <li>
 VALUES: Trust. Respect. Integrity. Compassion.
 </li>
 <li>
 SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.
 
 
 </li>
 </ul>
 
 Performs routine and non-routine revenue cycle, billing, coding and insurance functions by:
 
 
 
 <ul>
 <li>
 Extracting relevant information from patient records, examining documents for missing information.
 </li>
 <li>
 Liaison with physicians and other parties to clarify information.
 </li>
 <li>
 Analyzing documentation and accurately applies CPT, ICD, and HCPCS codes to support compliant coding.
 </li>
 <li>
 Working rejected and denied claims based on assigned reports, and assists in complex denial resolution.
 </li>
 <li>
 Communicating updates on coding related changes and billing opportunities and guidelines to supervisor and/or providers.
 </li>
 <li>
 Assisting providers with required documentation, compliant coding and reimbursement.
 </li>
 <li>
 Monitoring provider documentation for trends and adherence to documentation standards and regulatory requirements through report and billing analysis. Communicates results to providers and management as needed.
 </li>
 <li>
 Participating in timely review of provider documentation and communication of results to supervisor.
 </li>
 <li>
 Auditing reports as necessary to identify and correct coding related errors.
 </li>
 <li>
 Achieving BMG's coding productivity and accuracy rates within 6 months of hire; maintains rates as evaluated by internal or external review.
 
 
 </li>
 </ul>
 
 Performs other functions to maintain personal competence and contributes to the overall effectiveness and efficiency of the department by:
 
 
 
 <ul>
 <li>
 Working closely with other BMG Central Business Office associates.
 </li>
 <li>
 Presenting coding and compliance related topics to team members.
 </li>
 <li>
 Completing other job-related duties and projects as assigned.
 
 
 </li>
 </ul>
 
 Organizational Responsibilities
 
 
 
 
 Associate complies with the following organizational requirements:
 
 
 
 <ul>
 <li>
 Attends and participates in department meetings and is accountable for all information shared.
 </li>
 <li>
 Completes mandatory education, annual competencies and department specific education within established timeframes.
 </li>
 <li>
 Completes annual employee health requirements within established timeframes.
 </li>
 <li>
 Maintains license/certification, registration in good standing throughout fiscal year.
 </li>
 <li>
 Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
 </li>
 <li>
 Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
 </li>
 <li>
 Adheres to regulatory agency requirements, survey process and compliance.
 </li>
 <li>
 Complies with established organization and department policies.
 </li>
 <li>
 Available to work overtime in addition to working additional or other shifts and schedules when required.
 
 
 </li>
 </ul>
 
 Commitment to Beacon's six-point Operating System, referred to as The Beacon Way:
 
 
 
 <ul>
 <li>
 Leverage innovation everywhere.
 </li>
 <li>
 Cultivate human talent.
 </li>
 <li>
 Embrace performance improvement.
 </li>
 <li>
 Build greatness through accountability.
 </li>
 <li>
 Use information to improve and advance.
 </li>
 <li>
 Communicate clearly and continuously.
 
 
 </li>
 </ul>
 
 Education And Experience
 
 
 
 <ul>
 <li>
 The knowledge, skills, and abilities are normally acquired through a High School diploma, GED or suitable equivalent. Graduate of an accredited medical coding program preferred. Two years physician coding experience in an applicable specialty preferred. Designation as a Certified Coding Specialist-Physician Based, Certified Professional Coder, Certified Medical Coder, or Certified Coding Associated required. Must complete a minimum of 12 hours of coding related education per year to field of concentration.
 
 
 </li>
 </ul>
 
 Knowledge &amp; Skills
 
 
 
 <ul>
 <li>
 Requires accuracy and proficiency with CPT, ICD and HCPCS code assignment.
 </li>
 <li>
 Demonstrates knowledge of regulatory and payer specific coding guidelines.
 </li>
 <li>
 Demonstrates proficiency in knowledge of anatomy, physiology and medical terminology.
 </li>
 <li>
 Demonstrates exceptional organizational skills and attention to detail.
 </li>
 <li>
 Proficient computer skills in data entry, coding, and knowledge of Electronic Medical Record software; Microsoft Office Suite.
 </li>
 <li>
 Ability to work independently and as a member of a team.
 </li>
 <li>
 Requires excellent communication skills, both oral and written, necessary to effectively speak to a diverse audience.
 </li>
 <li>
 Demonstrates working knowledge of HIPAA and ability to maintain confidentiality of all data.
 
 
 </li>
 </ul>
 
 Working Conditions
 
 
 
 <ul>
 <li>
 Works in an office environment.
 </li>
 <li>
 May experience some mental/visual fatigue from careful and constant review of records, code books, and continued use of computer equipment.
 
 
 </li>
 </ul>
 
 Physical Demands
 
 
 
 <ul>
 <li>
 Requires the physical ability and stamina to perform the essential functions of the position.
 </li>
 </ul>
</div>

Coder - Certified (BMG)

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> 
<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> 
</div></div><div><div>Join Community
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. 
Make a Difference
The Certified Coder will be responsible for coding and abstracting for physician billing using software and coding books based on current work assignment. 
Exceptional Skills and Qualifications
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.<ul><li> 
High School Diploma or GED required.</li></ul><ul><li>
Two (2) years of coding experience preferred.</li></ul><ul><li>
Certified Professional Coding (CPC) certification through the American Academy of Professional Coders (AAPC) required.</li></ul><ul><li>
Previous experience with Epic EMR strongly preferred.</li></ul><ul><li>
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.</li></ul></div>
Why Community?
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.</div></div>

Certified Coder - Surgery - CPC

University Physicians' Association, Inc. (UPA)

<div>
 
 Description
 
 
 
 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.
 
 
 
 University Health Networ
 
 k is seeking a
 
 full-time Certified Medical Coder
 
 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.
 
 
 
 Essential Duties and Responsibilities (this list does not include all duties assigned)
 
 
 
 
 Performs coding services while meeting daily production and quality goals
 
 
 
 <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.
 
 
 </li>
 </ul>
 
 Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation
 
 
 
 <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.
 
 
 </li>
 </ul>
 
 Maintains HIPPA Guidelines for privacy
 
 
 
 <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
 
 
 </li>
 </ul>
 
 Remains current on coding rules and guidelines
 
 
 
 <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
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <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

CERIS

<div>
 Job Details
 
 
 
 Description
 
 
 
 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.
 
 
 This is a remote position.
 
 
 
 Essential Functions &amp; Responsibilities
 
 
 
 <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
 
 
 </li>
 </ul>
 
 Knowledge &amp; Skills
 
 
 
 <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
 
 
 </li>
 </ul>
 
 Eduction &amp; Experience
 
 
 
 <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
 
 
 </li>
 </ul>
 
 Pay Range
 
 
 
 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.
 
 
 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.
 
 
 Pay Range: $48,143 &ndash; $71,852
 
 
 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
 
 
 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.
 
 
 
 About Ceris
 
 
 
 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!).
 
 
 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.
 
 
 
 CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
 
 
 
</div>

CERIS Certified Coder II

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