certified procedural coder

Caban Resources

<div>Starts out onsite, then transitions to REMOTE 4 days/week.
Job Summary:
Required Services provide single path medical coding services and related medical records functions. Single path coding combines facility coding and professional coding and allows one coder to code facility and professional codes for the same patient utilizing a single coding platform. perform technically complex professional services coding for medical conditions and assign the correct International Classification of Diseases, ICD-10-CM, Procedure Coding System (PCS) Current Procedural Terminology (CPT), Health Care Financing Administration Common Procedure Coding System (HCPCS), and Evaluation and Management (E&amp;M) codes for diagnosis, acuity of care and procedures for a wide range of medical specialties to include coding of complicated cases identified as difficult to classify such as treatment of burn injuries, combat related injuries, orthopedic surgery, cardiothoracic surgery, interventional radiology, new diseases, new and experimental treatments or therapies and infections, etc.
Duties:<ul><li>
Accurately assigns Evaluation and Management (E&amp;M) codes, International Classification of Diseases, Clinical Modification (ICD-CM) diagnoses, ICD-10 Procedure Coding System (ICD-10-PCS), Current Procedural Terminology (CPT), Healthcare Common Procedure Coding System (HCPCS), modifiers, and quantities derived from medical record documentation (paper or electronic) for the professional and institutional (facility) components of inpatient facility discharges (stays); inpatient professional services to include attending (also known as &quot;Rounds&quot;), consultations, and concurrent services, and inpatient surgical and anesthesia procedures; and inpatient External Resource Sharing Agreement (ERSA) encounters. May also code ambulatory (i.e. Coder II) or outpatient (i.e. Coder I) encounters as directed.</li><li>
Reviews encounter and/or record documentation to identify and resolve inconsistencies, ambiguities, or discrepancies that may cause inaccurate coding, medico-legal repercussions or impacts quality patient care.</li><li>
Educates and provides feedback to providers and clinical staff to resolve documentation issues to support coding compliance.</li><li>
Assigns accurate codes to encounters based upon provider responses to coding queries.</li><li>
Acts as a source of reference to medical staff having questions, issues, or concerns related to coding. Responds to provider questions and provides examples of appropriate coding and documentation reference(s) to provide clarity and understanding. Collaborates with and supports medical coding auditors, trainers, and compliance specialists in providing education and feedback to providers and staff.</li><li>
Supports DHA coding compliance by performing due diligence in ethically and appropriately researching and/or interpreting existing guidance, including seeking clarification through appropriate channels.</li><li>
Upon DHA-MCPB direction, utilizes MHS computer systems to remotely access patient records and assign codes for patient encounters in support of other MTFs.</li><li>
Achieve and maintain DHA coding productivity and accuracy standards for the position.</li></ul>
Qualifications:<ul><li>
Education: Post-high school education through a university or technical school program resulting in completion of ONE of the following: 1) An Associate's degree or higher in Health Information Management, Healthcare Administration, or a biological science; OR 2) A university certificate in medical coding; OR 3) At least 30 semester hours' university/college credit that includes relevant coursework such as anatomy/physiology, medical terminology, health information management, and/or pharmacology; OR 4) Successful completion of an American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA) coding certification preparation course for professional services or facility coding that includes medical terminology, anatomy and physiology, health information management concepts, and pharmacology; OR 5) Successful completion of a training course beyond apprentice level for medical technicians, hospital corpsmen, medical service specialists, or hospital training, obtained in a training program given by the Armed Forces or the U.S. Maritime Service under close medical and professional supervision. General medical ethics, telephone etiquette, and excellent communication and customer service skills.</li><li>
Certification: ONE of the following recognized professional coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist &ndash; Physician (CCS-P); AND ONE of the following recognized institutional coding certifications: Certified Inpatient Coder (CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS).</li></ul></div>

Medical Coder III (Inpatient Coder)

K M C

Job Description<ul><li>Account for coding and abstracting of patient encounters</li><li>Research and analyze data needs for reimbursement</li><li>Make sure that codes are sequenced according to government and insurance regulations</li><li>Ensure all medical records are filed and processed correctly</li><li>Analyze medical records and identify documentation deficiencies</li><li>Review and verify documentation for diagnoses, procedures and treatment results</li><li>Identify diagnostic and procedural information</li></ul>Requirements<ul><li>Proven work experience as a Medical/ Dental Coder or similar role</li><li>2+ years of work experience as a Medical Coder</li><li>Proficient computer skills</li><li>Excellent communication skills, both verbal and written</li><li>Outstanding organizational skills</li><li>Ability to maintain the confidentiality of information</li></ul>Job Type: Full-timeExperience:<ul><li>Medical/Dental: 1 year (Preferred)</li></ul>Work Location: In person

DENTAL / MEDICAL CODER

Bayhealth

<div>
 
 Location: Kent Campus Hospital
 
 
 
 
 Status:
 
 Full Time 80 Hours
 
 
 
 Shift:
 
 Days
 
 
 
 SALARY RANGE:
 
 22.09 - 33.47HOURLY
 
 
 
 General Summary:
 
 
 
 Position is responsible all aspects of the medical billing process from generating completed medical claims submissions to a completed and paid A/R. Receive encounters from EMR or other means of encounters information and prepare the encounter for submission. Abstract clinical information from a variety of medical records charts and documents and assigns appropriate DX and/or CPT-4 codes. Work with WQ or per supervisor instructions. Correct errors and denials from WQ or from other sources. Maintain AR processes to achieve organization&rsquo;s goals.
 
 
 
 Responsibilities:
 
 
 
 <ul>
 <li>
 Review and analyze records to identify and correct errors.
 </li>
 <li>
 Prepare encounter and code correct medical billing claims generated from the EMR to bill insurance carriers or other parties.
 </li>
 <li>
 Submit the claims correctly from the first time.
 </li>
 <li>
 Determine the correct encounters code from patient records. Codes data from patient records. Manage detailed, specifically coded information. When needed, abstracts data from patients&rsquo; medical records to maintain full diagnosis coding and charges capture.
 </li>
 <li>
 Interact with physicians and assistants to ensure accuracy. As needed, responds to physician inquiries that concern the proper documentation of diagnostic procedural information and questions regarding coding assignments.
 </li>
 <li>
 Track patient data over multiple visits.
 </li>
 <li>
 Maintain line of communication with your providers, auditing and providing training as needed.
 </li>
 <li>
 Identifies and verifies documentation and coding complacencies.
 </li>
 <li>
 Inform the responsible channels of all issues that create loss of reimbursement, constant errors and other issues pertaining to management issues.
 </li>
 <li>
 Maintain A/R goals and daily A/R functions. Responsible for any revenue cycle issues due to medical billing issues.
 </li>
 <li>
 Correct error and denials from designated WQ.
 </li>
 <li>
 Participate in department meetings. Participate in training sessions or webinars per supervisor request.
 </li>
 <li>
 All other duties as assigned, within the scope and range of job responsibilities.
 
 
 </li>
 </ul>
 
 Required Education, Credential(s) and Experience:
 
 
 
 <ul>
 <li>
 Education: High School Diploma or GED
 </li>
 <li>
 Credential(s): Certified Professional Coder; Or equivalent (Certified Coding Specialist certification, Registered Health Information Technician, or Registered Health Information Administrator)
 </li>
 <li>
 Experience: Required: 2 years&rsquo; experience in medical billing at EMR and PM environment from billing to A/R
 
 
 </li>
 </ul>
 
 Preferred Education, Credential(s) and Experience:
 
 
 
 <ul>
 <li>
 Education:
 </li>
 <li>
 Credential(s):
 </li>
 <li>
 Experience: Preferred: 3-6 years&rsquo; experience with full medical billing functions
 
 
 </li>
 </ul>
 To view a full list of all open position at Bayhealth, please visit:
 
 
 https://apply.bayhealth.org/join/
</div>

Medical Biller/Certified Coder

ECLARO

<div>
 
 Job Number: 26-00718
 
 
 
 Progress on your journey to success! ECLARO is currently recruiting for an
 
 Outpatient Coder
 
 in the
 
 Chicago, IL
 
 area for one of our clients.
 
 
 ECLARO&rsquo;s client is a leading provider of healthcare workforce software and solutions. If you&rsquo;re up to the challenge, then take a chance at this rewarding opportunity!
 
 
 
 Position Overview:
 
 
 
 <ul>
 <li>
 Outpatient Coder - specifically ED coding and strong hospital charge related ED.
 </li>
 <li>
 AHIMA Certification required - RHIA, RHIT, or CCS. Strong academic and regional medical center coding experience required.
 
 
 </li>
 </ul>
 
 Responsibilities:
 
 
 
 <ul>
 <li>
 Review clinical documentation in order to assign diagnostic and procedural codes for outpatient medical records according to the appropriate classification system
 </li>
 <li>
 Ensures accurate, timely, and appropriate assignment of ICD-10, CPT/HCPCS, and modifiers for the purposes of billing, internal and external reporting, research, and compliance with regulatory and payer guidelines
 </li>
 <li>
 Monitors documentation turnaround time and productivity, and follows up on deferred accounts or with physicians and other clinical staff as needed
 </li>
 <li>
 May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials, reimbursement per contracted terms, etc.
 </li>
 <li>
 Provides coding feedback to providers, clinical department leadership, and revenue cycle team
 </li>
 <li>
 Assist coding educators with education regarding documentation improvement
 </li>
 <li>
 Escalate coding and documentation issues to revenue cycle leadership, and assist facilitating corrective action plans
 </li>
 <li>
 Assists with design and implementation of workflow updates and coding tools
 </li>
 <li>
 Support denial team on coding related denials
 </li>
 <li>
 Special projects as assigned
 
 
 </li>
 </ul>
 
 Pay Rate:
 
 $33.00-$36.00/Hour
 
 
 
 Shift:
 
 Day 5x8-Hour (08:00 - 16:30);
 
 Job Duration:
 
 26 weeks
 
 
 
 If hired, you will enjoy the following ECLARO Benefits:
 
 
 
 <ul>
 <li>
 401k Retirement Savings Plan administered by Merrill Lynch
 </li>
 <li>
 Commuter Check Pretax Commuter Benefits
 </li>
 <li>
 Eligibility to purchase Medical, Dental &amp; Vision Insurance through ECLARO
 
 
 </li>
 </ul>
 If interested, you may contact:
 
 
 
 Sofia Dela Torre
 
 
 
 
 Sofia.DelaTorre@eclaro.com
 
 
 
 
 (332) 206-0779
 
 
 
 
 Sofia Dela Torre | LinkedIn
 
 
 
 
 Equal Opportunity Employer:
 
 ECLARO values diversity and does not discriminate based on Race, Color, Religion, Sex, Sexual Orientation, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status, in compliance with all applicable laws.
</div>

Outpatient Coder

Savista

<div>Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE).
The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder II may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder II performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder II may interact with client staff and providers.
DUTIES AND RESPONSIBILITIES:<ul><li>
Select and sequence ICD-10, and/or CPT/HCPCS codes for designated patient types which may include but not limited to: Ancillary (Diagnostic)/ Recurring; Hospital, Clinic; Physician Pro Fee; Technical Fee or Evaluation and Management, any associated chart capturing with any patient type.</li><li>
Review and analyze facility records to ensure that APC assignments and/or Evaluation and Management codes accurately reflect the diagnoses/procedures documented in the clinical record.</li><li>
Abstract clinical data from the record after documentation review to ensure that it is adequate and appropriate to support diagnoses, procedures and discharge disposition is selected.</li><li>
Complete assigned work functions utilizing appropriate resources. May act as a resource with client staff for data integrity, clarification and assistance in understanding and determining appropriate and compliant coding practices including provider queries.</li><li>
Maintain strict patient and provider confidentiality in compliance with all HIPAA Guidelines.</li><li>
Participate in client and Savista staff meetings, trainings, and conference calls as requested and/or required.</li><li>
Maintain current working knowledge of ICD-10 and/or CPT/HCPCS and coding guidelines, government regulations, protocols and third-party requirements regarding coding and/or billing.</li><li>
Participate in continuing education activities to enhance knowledge, skills, and maintain current credentials.</li></ul>
SKILLS AND QUALIFICATIONS:<ul><li>
Candidates must successfully pass pre-employment skills assessment. Required:</li><li>
An active AHIMA (American Health Information Association) credential including but not limited to RHIA, RHIT, CCS, CCA, or an active AAPC (American Academy of Professional Coders) credentials COC (formerly CPC-H), CCS-P, or CPC or related specialty credential.</li><li>
Two years of recent and relevant hands-on coding experience</li><li>
Knowledge of medical terminology, anatomy and physiology, pharmacology, pathophysiology, as well as ICD-10 and CPT/HCPCS code sets</li><li>
Ability to consistently code at 95% threshold for quality while maintaining client-specific and/or Savista production and/or quality standards</li><li>
Proficient computer knowledge including MS Office including the ability to enter data, sort and filter excel files, (Outlook, Word, Excel)</li><li>
Must display excellent interpersonal and problem-solving skills with all levels of internal and external customers</li></ul>
PREFFERED SKILLS:<ul><li>
Recent and relevant experience in an active production coding environment strongly preferred</li><li>
Associates degree in HIM or healthcare-related field, or combination of equivalent education and experience</li><li>
Experience using RCx, Cerner, NextGen (a plus)</li><li>
Academic and Split-Share experience</li></ul>
Note: Savista is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $22.08 - $34.69 an hour. However, specific compensation for the role will vary within the above range based on many factors including but not limited to geographic location, candidate experience, applicable certifications, and skills.
SAVISTA is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race, color, age, veteran status, disability, national origin, sex, sexual orientation, religion, gender identity or any other federal, state or local protected class.
California Job Candidate Notice</div>

Profee Coder - Hospitalist

Al Taie Center for Laparoscopic and Bariatric Surgery

Al Taie Center is a premier healthcare facility specializing in laparoscopic and obesity surgery, led by Dr. Abdulsalam Al Taie, Consultant General, Bariatric &amp; Laparoscopic Surgeon. With locations in Dubai and Abu Dhabi, we are committed to delivering exceptional patient care using the latest medical technologies. We are currently looking for a skilled and experienced Insurance Coder to join our Abu Dhabi team.Role OverviewWe are seeking a detail-oriented Insurance Coder who is experienced in UAE healthcare insurance practices and holds their own valid UAE visa. The ideal candidate will have a minimum of 2 years of hands-on experience in medical coding and insurance claims processing within the UAE.Key Responsibilities<ul><li>Accurately assign ICD-10-CM, CPT, and HCPCS codes for diagnoses, procedures, and medical services.</li><li>Review medical records and documentation to ensure coding accuracy and completeness.</li><li>Process and follow up on insurance claims (pre-authorizations, submissions, rejections, and resubmissions).</li><li>Liaise with insurance companies and HAAD/DOH authorities to resolve claim discrepancies.</li><li>Ensure compliance with UAE healthcare regulations, DOH standards, and payer-specific guidelines.</li><li>Maintain patient confidentiality and adhere to medical ethics and data privacy standards.</li><li>Coordinate with physicians and clinical staff to clarify documentation and coding details.</li><li>Prepare coding and billing reports for management review.</li><li>Stay updated on coding guidelines, payer policy changes, and regulatory updates.</li></ul>Qualifications &amp; RequirementsRequirementDetailsEducationDiploma or Bachelor's degree in Medical Coding, Health Information Management, or a related fieldCertificationCertified Professional Coder (CPC) or Certified Coding Specialist (CCS) &ndash; mandatoryExperienceMinimum 2 years of experience as a Medical/Insurance Coder in the UAEVisa StatusMust have own valid UAE visa (Family/Sponsored visa) &ndash; mandatoryKnowledgeIn-depth knowledge of ICD-10-CM, CPT, HCPCS, DOH/HAAD regulations, and UAE insurance claim processesLanguagesEnglish (fluent) &ndash; Arabic is a plusSkillsStrong attention to detail, analytical thinking, proficiency in medical billing software and EHR systemsAvailabilityImmediate joiners preferredApplication Question(s):<ul><li>Do you have your own Visa?</li></ul>Experience:<ul><li>Insurance coder: 2 years (Required)</li></ul>Work Location: In person

Insurance 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

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