certified medical records 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

Mohawk Valley Health System

<div><div><div><h2 class="jobSectionHeader">Job Summary</h2></div><div>
Under the general direction of the Director CDI/Coding or designee, the Medical Records Coder I will improve documentation, data quality and revenue cycle operations. The coder assigns International Classification of Disease system- 10 (ICD), CM, and PCS codes according to AHA &ndash; AMA Guidelines, CMS and NGS.
</div></div><div><div><h2 class="jobSectionHeader">Core Job Responsibilities</h2></div><div><ul><li>
Assign diagnosis and procedure codes, for accurate and timely billing of most appropriate payer
</li><li>Audit charges and establish proper coding in collaboration with providers</li><li>
Initiate and follow up on queries with providers</li><li>
Assist departments with diagnostic and procedural coding</li><li>
Respond to Insurance, compliance and RAC denials</li><li>
Review and assist in the maintenance of coding related policies and procedures
</li><li>Perform other duties as required.</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Education/Experience Requirements</h2></div><div>
REQUIRED:
<ul><li>AS in Health Information Management , a related degree or equivalent experience</li><li>
Knowledge of EMR, Coding Software, and Microsoft Office</li><li>
Knowledge/understanding of modifiers, medical necessity &amp; CCI edits
</li><li>Good Oral and Written Communication</li></ul>
PREFERRED:
<ul><li>BS in Health Information Management</li><li>
Knowledge of Epic and 3M software</li></ul></div></div><div><div><h2 class="jobSectionHeader">
Licensure/Certification Requirements</h2></div><div>
PREFERRED:
<ul><li>RHIA, RHIT, CCS, CCA, CPC, CIC Certification
</li></ul></div></div><div><div><h2 class="jobSectionHeader">Disclaimer</h2></div><div>
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.</div></div><div><div><h2 class="jobSectionHeader">
Job Details</h2></div><div> 
Req Id 97125 
Department CODING 
Shift Days 
Shift Hours Worked 7.50 
FTE 0.94 
Work Schedule HRLY NON-UNION 
Employee Status A1 - Full-Time 
Union Non-Union 
Pay Range 22.50 - $28 hourly</div></div></div>

Medical Records - Coder I - Full Time - Days

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

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

BayCare Health System

<div>
 BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
 
 
 
 Position Details
 
 
 
 <ul>
 <li>
 Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina)
 </li>
 <li>
 Status: PRN (as needed, non-benefit eligible)
 </li>
 <li>
 Shift: Flexible
 </li>
 <li>
 Days: Tuesday - Saturday OR Sunday - Thursday
 
 
 </li>
 </ul>
 The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis.
 
 
 
 Responsibilities
 
 
 
 <ul>
 <li>
 The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems.
 </li>
 <li>
 Works in conjunction with various departments for missing documentation and monitors bill hold reports.
 </li>
 <li>
 Strong utilization of medical terminology and anatomy.
 </li>
 <li>
 Assists Manager/Director with mentoring/training of Coder I and Coder II team members and clinical practice students from various colleges.
 </li>
 <li>
 Performs other duties as assigned.
 
 
 </li>
 </ul>
 
 Required
 
 
 
 Coding Experience:
 
 
 <ul>
 <li>
 Emergency room (ED)
 </li>
 <li>
 Same day surgery (ambulatory)
 </li>
 <li>
 Observation cases
 
 
 </li>
 </ul>
 Why BayCare?
 
 
 Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
 
 
 
 Certifications And Licensures
 
 
 
 <ul>
 <li>
 Required : Certified Coding Specialist (CCS)
 </li>
 <li>
 Preferred : RHIT (Health Information)
 
 
 </li>
 </ul>
 
 Education
 
 
 
 <ul>
 <li>
 Required : high school or equivalent
 </li>
 <li>
 Preferred : associate degree in Health Information Management
 
 
 </li>
 </ul>
 
 Experience
 
 
 
 <ul>
 <li>
 Required 5 years of Outpatient Facility Coding
 </li>
 <li>
 Strong CPT coding
 
 
 </li>
 </ul>
 Equal Opportunity Employer Veterans/Disabled
</div>

Medical Records Coder III Outpatient (PRN/ REMOTE)

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

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