certified professional coder

Advantia health

<div>Advantia is seeking a Certified Professional Coder to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a team of Medical Billers. This role is critical in ensuring accurate and efficient coding practices, compliance with regulatory standards, and optimizing revenue cycle processes. The ideal candidate for this role will have subspeciality experience in obstetrics, gynecology, lab billing, genetic testing, cancer screening, and mammography.
Job Responsibilities:
 <ul><li>Review Medical Records to identify diagnoses/procedures.</li><li>
Perform accurate and timely coding of medical records using ICD-10-CM, CPT, and HCPCS codes.</li><li>
Ensure compliance with federal and state regulations, payer guidelines, including Medicare and Medicaid guidelines and company policies.</li><li>
Act as a liaison between the coding team and other departments, such as billing, compliance.</li><li>
Work closely with OBGYN physicians, advanced practice providers, nurses, and administrative staff to ensure accurate coding and billing.</li><li>
Track and request outstanding claims for assigned departments / facilities.</li><li>
Implement best practices and innovative solutions to enhance coding operations.</li></ul>
Qualifications:
<ul><li>High School/GED Education required</li><li>
Prior experience in lab billing, genetic testing, cancer screening, and mammography is preferred.</li><li>
This position requires certification as a Certified Coding Specialist (CCS) or Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA).</li><li>
CPC-P or CPC certification is required (AAPC)</li><li>
Certification in OBGYN coding (COBGC) preferred.</li><li>
Minimum of 2 years of medical coding experience, with a focus on OBGYN coding.</li><li>
In-depth knowledge of ICD-10-CM, CPT, HCPCS coding systems, and medical terminology.</li><li>
Proficiency in electronic health records and billing software preferred.</li></ul>
Benefits &amp; Compensation: 
<ul><li>Health, Dental, and Vision Insurance</li><li>
Health Savings Account (HSA) and Flexible Savings Account (FSA) Option</li><li>
401k Retirement Plan</li><li>
Life and Disability Insurances</li><li>
Paid holidays/PTO</li></ul>
Please note: Advantia Health is dedicated to providing unparalleled healthcare to our customers by employing the most highly-qualified individuals. If you are selected for further consideration, you will be subject to a background investigation. COVID-19 and Flu vaccination or an approved request for accommodation is required as a condition of employment.
Advantia Health is an Equal Opportunity Employer that is committed to global diversity: It is a place where good people want to work, and customers want to continue to engage EOE M/F/D/V.</div>

Certified Professional Coder

Palm Medical Centers

<div>At Palm Primary Care (PPC) our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of.
With more than 24,000 at-risk members, we provide primary care and other services to seniors and families in our medical centers that are comfortable, convenient and staffed with caring professionals. Our activity and wellness facilities are filled with health plan members who know us for our distinct events and programs that cater to the communities we serve.
Every day, we deliver on our promise to bring value based, quality healthcare to our patients. 
Overview
PPC is looking for a CDI/Certified Professional Coder who will demonstrate deep knowledge in Medical Risk Adjustment, HEDIS, CNS Coding guidelines, billing standards and regulations. A teamwork person who will deliver a high standard of quality of work to drive improved business performance.
Duties and Responsibilities<ul><li>
Conduct workflows in Coding and Quality processes, medical record completion and department projects for accuracy in medical record documentation as needed.</li><li>
Ensures proper code selection for compliance with ICD-10-CM Official Guidelines for Coding and Reporting.</li><li>
Educates physicians on proper documentation and compliance standards.</li><li>
Reviews medical record to include consultations (inpatient and outpatient) and hospital discharge summaries to ensure continuity of care and continued coding for accurate risk adjustment.</li><li>
Performs pre-post audits to ensure medical record completeness, consistency, and compliance.</li><li>
Works collaboratively with medical and supporting staff to follow-up on documentation needs to support the diagnosis and quality measures based on patient age and chronic conditions.</li><li>
Uses only pre-approved source documents as validation for recommendations on documentation that meets the technical specifications in support of a measure.</li><li>
Develops and maintains professional skills and knowledge through training programs including education sessions for ICD-10-CM and CPT codes.</li><li>
Demonstrates a thorough understanding of Coding Guidelines.</li><li>
Demonstrates understanding of company policies which impact Coding functions and takes ownership for compliance for own area of responsibility.</li><li>
Collaborates with Supervisor as necessary to clarify and verify information. Reports opportunities identified in concurrent and retrospective clinical documentation to support quality, regulatory compliance, and effective coding.</li><li>
Participates in department meetings. Consistently demonstrates awareness and willingness to fulfill Service Excellence Commitments.</li><li>
Works collaboratively with team members, other departments, and clinical staff consistent with the Mission and Vision of the company.</li><li>
Willingly performs similar or related tasks as assigned.</li><li>
Assists in teaching any office staff and/or providers in proper documentation and coding guidelines as necessary.</li><li>
Reports any issues to Quality, Compliance and Operations as necessary.</li><li>
Accurately enters all identified and validated procedures codes in claims into the practice&rsquo;s EMR.</li><li>
Assists in all RAPS submission projects as they occur if needed.</li><li>
Performs all other coding and documentation reviews and/or projects as asked and assists/coordinates strategies as defined by the department head or assistant.</li></ul>
Education and Experience:<ul><li>
Certified Professional Coder (CPC) through AAPC or AHIMA.</li><li>
2 years of experience as Certified Professional Coder at minimum.</li><li>
Proficient in assigning ICD-10-CM codes according to provider documentation level to comply with federal regulations and insurance requirements.</li><li>
Computer skills, Word, Excel, HER.</li><li>
Ability to travel to medical centers if needed and/or work remotely.</li><li>
Foreign graduate, nurse, or some Medical background is a plus.</li></ul>
Required Skills/Abilities:<ul><li>
Excellent verbal and written communication skills.</li><li>
Excellent customer service skills.</li><li>
Excellent organizational skills and attention to detail.</li><li>
Ability to effectively present information in one-on-one situations to providers, office staff, insurance companies, and other employees.</li><li>
To perform this job successfully, an individual must have knowledge of Microsoft Word, Excel, Internet software, Email software, and insurance web sites.</li><li>
Strong sense of business ethics.</li><li>
Ability to follow company policies and procedures.</li></ul>
Physical Requirements:<ul><li>
Prolonged periods of sitting at a desk and working on a computer.</li><li>
While performing the duties of this job the employee is regularly required to sit, use hands and arms, talk and hear.</li><li>
Must be able to lift up to 10 pounds at times.</li></ul>
Benefits:<ul><li>
Health insurance</li><li>
Dental Insurance</li><li>
Vision insurance</li><li>
Life insurance</li><li>
401(k)</li><li>
Paid time off</li></ul>
Schedule:<ul><li>
8 hour shift</li><li>
Day shift</li><li>
Monday to Friday</li></ul>
Job Type: Remote / Full-time 
 
Palm Primary Care is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. 
 
This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship. Palm Primary Care makes hiring decisions based solely on qualifications, merit, and business needs at the time.
Vm1Iqy531h</div>

Clinical Documentation Improvement/Certified Professional Coder

Columbia University

<div><ul><li>Job Type: Officer of Administration</li>
<li>Regular/Temporary: Regular</li>
<li>Hours Per Week: 35</li>
<li>Standard Work Schedule: Core business hours Monday-Friday, schedules vary</li>
<li>Building: 400 Kelby Street, Fort Lee NJ</li>
<li>Salary Range: $66,300.00 - $75,000.00</li>
</ul>
The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.
<div>
The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.</div> 
<div></div>

Position Summary

The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance with payer regulations, supports denial resolution, and contributes to efficient revenue cycle operations. The CPC plays a vital role in ensuring proper billing and reimbursement while maintaining high standards of compliance and accuracy.

Responsibilities

Accounts Receivable Coding
<ul>
<li>Research root causes of claim denials and apply knowledge of payer policies to determine the appropriate course of action, including appeals.</li>
<li>Manages complex coding-related cases and recommends resolutions while escalating issues when necessary.</li>
<li>Prepares and reviews correspondence with insurance companies, patients, or guarantors to address claim-related inquiries.</li>
<li>Documents all actions and findings in the billing system to maintain accurate and comprehensive account records.</li>
<li>Collaborates with the senior leadership to address unresolved or escalated issues.</li>
</ul>
Coding and Charge Review
<ul>
<li>Reviews charges in work queues for compliance and accuracy, ensuring alignment with Current Procedural Terminology (CPT), ICD-10, and other coding standards.</li>
<li>Performs reconciliation of charges against appointment reports or procedure logs to ensure all patient services are billed appropriately.</li>
<li>Verifies the accuracy of charge header information, including service provider, billing area, CPT codes, modifiers, and diagnosis linkage.</li>
<li>Communicates with providers to resolve discrepancies via Epic or a secure chat.</li>
<li>Reviews charge correction requests and ensures accuracy prior to resubmission.</li>
</ul>
Denials Management
<ul>
<li>Collaborates with Accounts Receivable staff to resolve denied or rejected claims related to coding issues.</li>
<li>Provides expertise in payer-specific coding requirements to facilitate successful appeals and payment recovery.</li>
<li>Tracks trends in denials and recommends process improvements to reduce future errors.</li>
</ul>
Insurance Verification and Compliance
<ul>
<li>Conducts thorough insurance verification to ensure accurate claim submission and timely reimbursement</li>
<li>Updates patient accounts with corrected demographic or insurance information as necessary.</li>
<li>Ensures compliance with organizational and regulatory coding standards, including HIPAA and Medicare/Medicaid guidelines.</li>
</ul>
Continuous Improvement
<ul>
<li>Monitors key performance indicators and participates in performance improvement initiatives.</li>
<li>Provides coding expertise to support department goals and enhance revenue cycle operations.</li>
</ul>
Compliance &amp; Other
<ul>
<li>Performs other tasks and assumes additional responsibilities within the Revenue Cycle Department as assigned.</li>
<li>Represents the FPO Clinical Revenue Office on cross-functional committees, task forces, and work groups as assigned.</li>
<li>Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.</li>
</ul>
This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications
<ul>
<li>Bachelor's Degree or an equivalent combination of education and experience.</li>
<li>A minimum of 3 years of medical coding experience, preferably in a physician billing or third-party payer environment.</li>
<li>An equivalent combination of education and experience may be considered.</li>
<li>CPC certification is required.</li>
<li>Proficiency in CPT, ICD-10, and HCPCS coding, as well as payer-specific billing guidelines.</li>
<li>Strong working knowledge of managed care eligibility, referrals, and authorizations.</li>
<li>Demonstrated ability to interpret clinical documentation and ensure compliance with coding and billing standards.</li>
<li>Excellent organizational skills and attention to detail with the ability to handle multiple tasks effectively.</li>
<li>Proficiency in Microsoft Office (Word, Excel) and electronic health record systems (e.g., Epic).</li>
<li>Must successfully complete systems training requirements.</li>
</ul>
Preferred Qualifications
<ul>
<li>Experience in a physician practice or healthcare setting.</li>
<li>Experience in EPIC.</li>
<li>Familiarity with quantitative and qualitative data analysis related to coding and billing.</li>
</ul>
Competencies
Patient Facing Competencies
Minimum Proficiency Level
Accountability &amp; Self-Management
Level 3 - Intermediate
Adaptability to Change &amp; Learning Agility
Level 2 - Basic
Communication
Level 2 - Basic
Customer Service &amp; Patient Centered
Level 3 - Intermediate
Emotional Intelligence
Level 3 - Intermediate
Problem Solving &amp; Decision Making
Level 3 - Intermediate
Productivity &amp; Time Management
Level 3 - Intermediate
Teamwork &amp; Collaboration
Level 2 - Basic
Quality, Patient &amp; Workplace Safety
Level 3 - Intermediate
Leadership Competencies
Minimum Proficiency Level
Business Acumen &amp; Vision Driver
Level 1 - Introductory
Innovation &amp; Organizational Development
Level 1 - Introductory
Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.</div>

Revenue Cycle Certified Professional Coder (Accounts Receivable)

Adventist Health

<div>Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.
 
 
Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.
Job Summary:
Reviews patient records to identify the diagnosis and procedure codes performed during the patients stay are valid and in accordance with coding conventions and guidelines. Applies substantial knowledge of the job and experience to complete a wide range of activities with varying difficulty. Regularly works with sensitive and confidential information, often involving the interpretation of policies and procedures to guide use.
Job Requirements:
<div>Education and Work Experience:
<ul><li>High School Education/GED or equivalent: Preferred
</li><li>Associate's/Technical Degree or equivalent combination of education/related experience: Preferred
</li><li>Two years' coding experience: Preferred
</li></ul></div><div>Licenses/Certifications:
<ul><li>Certified Coding Specialist (CCS) or Outpatient Certified Professional Coder (CPC) or Radiation Oncology Certified Coder (ROCC) or Certified Interventional Radiology Cardiovascular Coder (CIRC) or Certified Professional Coder (CPC) or Certified Outpatient Coder(COC) or Certified Coding Specialist-Physician Based(CCS-P) or Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT): Required
</li><li>CCS OR CPC OR ROCC OR CIRCC-AAPC OR CCS-Phy OR CC-AAPC OR CCA OR RHIA OR RHIT: Required
</li></ul></div><div>Essential Functions:
<ul><li>Abstracts and assigns diagnosis codes and procedure codes from the patient record to provide information required for billing and reimbursement.
</li><li>Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory agencies. Applies strategies to improve productivity. Identify trends with tasks and provide feedback to leadership. Identifies and reports possible HAC's or adverse events to Quality Department and HIM. Provides departmental or enterprise coverage when needed.
</li><li>Follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
</li><li>Collaborates to provide coding feedback and education to departmental leadership regarding completeness and accurateness of documentation and physician coding practices.
</li><li>Performs other job-related duties as assigned.
</li></ul></div><div>Organizational Requirements:
Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.
 
 
Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.</div></div>

Sr. Certified Coder

HonorHealth

<div>Overview: Looking to be part of something more meaningful? At HonorHealth, you&rsquo;ll be part of a team, creating a multi-dimensional care experience for our patients. You&rsquo;ll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where and how you want to make an impact. HonorHealth offers a diverse benefits portfolio for our full-time and part-time team members designed to help you and your family live your best lives. Visit honorhealth.com/benefits to learn more. Join us. Let&rsquo;s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona&rsquo;s largest nonprofit healthcare systems, serving a population of five million people in the greater Phoenix metropolitan area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With nearly 17,000 team members, 3,700 affiliated providers and close to 2,000 volunteers dedicated to providing high quality care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn more at HonorHealth.com. Responsibilities: Job Summary 
Assigns and sequences ICD-10-CM, ICD-10-PCS, CPT and HCPCS codes through review of inpatient or outpatient clinical documentation and diagnostic results as appropriate for billing, internal and external reporting, research, and regulatory compliance. 
Essential Functions 
<ul><li>
Inpatient: Assigns and sequences ICD-10-CM and ICD-10-PCS diagnostic and procedural codes for inpatient accounts within HonorHealth. Reviews physician documentation &amp; coding for appropriateness &amp; accuracy and makes corrections following Medicare &amp; AMA coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Addresses applicable coding edits. Assigns DRGs as applicable. Outpatient: Assigns and sequences ICD-10-CM, CPT and HCPCs diagnostic and procedural codes for outpatient accounts within HonorHealth. Reviews physician documentation &amp; coding for appropriateness &amp; accuracy and makes corrections following Medicare &amp; AMA coding guidelines. Utilizes electronic medical record and computer-assisted coding (CAC) software. Addresses NCCI, OCE, LCD, and other applicable coding edits.</li><li>
Inpatient: Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate ICD code selection. Outpatient: Complies with system-wide coding practices to meet corporate compliance guidelines and to ensure appropriate and effective reimbursement with Patient Financial Services, medical staff and various departments. Reviews and analyzes medical records for accurate ICD and CPT code selection.</li><li>
Inpatient/Outpatient: Communicates and assists in education with an audience that may include physicians and clinical staff.</li><li>
Inpatient: Assists Patient Financial Services with interpretation and selection of appropriate ICD codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters. Outpatient: Assists Patient Financial Services with interpretation and selection of appropriate ICD, CPT, and HCPCs codes and /or other information requested for accurate billing and reimbursement. Possesses knowledge and understanding of failed bill parameters.</li><li>
Inpatient/Outpatient: Performs outpatient charge validation/reconciliation for outpatient coding to ensure all submitted charges are posted timely and balance with total submitted charges. Assigns charges as applicable.</li><li>
Inpatient/Outpatient: Resolves routine coding issues/problems and appropriately seeks assistance from supervisor.</li><li>
Performs other duties as assigned.</li></ul>
Education 
<ul><li>
Associate's Degree in health related field - Preferred</li><li>
High School Diploma or GED - Required</li></ul>
Experience 
<ul><li>
2 years Inpatient: Hospital inpatient coding. Outpatient: Coding outpatient accounts which may include Emergency department, newborn, obstetrics, day surgery, observation, wound care, radiology, laboratory, series, infusion, oncology, and rehab therapy. - Preferred</li><li>
Other Inpatient: Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD-10-CM and ICD-10-PCS codes. Outpatient: Knowledge of medical terminology, anatomy and physiology, knowledge of medical record requirements, HIPAA privacy rules, and assigning and sequencing ICD-10-CM, CPT, and HCPCs codes. - Required</li><li>
Other Inpatient: Knowledge of pathology, pharmacology, microbiology, radiology, and other clinical specialties. Outpatient: Working knowledge of charging and billing processes. Working knowledge of Medicare, NCCI, OCE, LCD, NCD, and other claim edit guidelines and protocol. - Preferred</li></ul>
Licenses and Certifications 
<ul><li>
CCA (Certified Coding Apprentice) with successful certification of CCS in 6 months OR Inpatient: CCS (Certified Coding Specialist), or CIC (Certified Inpatient Coder), or RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) Outpatient: CPC-H (Certified Professional Coder-Hospital Outpatient), or CPC (Certified Professional Coder), or COC (Certified Outpatient Coder), or CCS (Certified Coding Specialist), or RHIT (Registered Health Information Technician) or RHIA (Registered Health Information Administrator) - Required</li><li>
CCS, CPC-H/COC, CIC, RHIT, or RHIA - Preferred</li></ul>
Facility: HonorHealth Support Services Department: Coding Work Hours: Mon-Fri 40 hrs/week. 8am - 4:30 pm Hours flexible. Shift: Day Position Type: Full-Time</div>

Coder 1 Outpatient

Cincinnati Children's Hospital

**While this position is remote, you must be located in the Cincinnati, Ohio metro area**
 
JOB RESPONSIBILITIES
 
Professional Development - Maintains current understanding of official coding guidelines and applies as appropriate. Identifies and assumes responsibility for learning needs. Integrate new knowledge into practice. Successfully complete continuing education in order to maintain credentials.
 
Coding - Reviews and screens the medical record to abstract designated statistical and clinical data and enters reliable information into Epic, and/or Fastrack, as appropriate. Assigns ICD-10-CM, and/or CPT codes to accounts in an accurate and ethical manner utilizing 3M encoding software and coding manuals. Meets or exceeds all established productivity standards. Submits completed coding activity logs in a timely manner. Effectively manages work responsibilities to meet deadlines, and departmental and organizational bill hold and AR goals.
 
JOB QUALIFICATIONS
 
High school diploma or equivalent
 
No experience required
 
Certification/credentialed as Certified Coding Specialist (CCS) OR Registered Health Information Technician (RHIT) OR Registered Health Information Admin (RHIA) OR Certified Professional Coder (CPC) Certified Coding Associate (CCA) Certified professional Coder Apprentice (CPC-A) Certified Coding Specialist -Physician (CCS-P) OR Eligible to sit for credentials exam. Must obtain credentials within 6 months of employment
 
Primary Location Remote
 
Schedule Full time
 
Shift Day (United States of America)
 
Department Coding Services
 
Employee Status Regular
 
FTE 1
 
Weekly Hours 40
 
<ul>
<li>Expected Starting Pay Range *Annualized pay may vary based on FTE status $22.18 - $27.73</li>
</ul>
About Us
 
At Cincinnati Children’s, we come to work with one goal: to make children’s health better. We believe in a holistic team approach, both in caring for patients and their families, and in advancing science and discovery. We strive to do better and find energy and inspiration in our shared purpose. If you want to be the best you can be, you can do it at Cincinnati Children’s.
 
Cincinnati Children's is: 
Recognized by U.S. News & World Report as a top 10 best Children's Hospitals in the nation for more than 15 years
 
Consistently among the top 3 Children's Hospitals for National Institutes of Health (NIH) Funding
 
Recognized as one of America’s Best Large Employers (2025) , America’s Best Employers for New Grads (2025)
 
One of the nation's America’s Most Innovative Companies as noted by Fortune
 
Consistently certified as great place to work
 
A Leading Disability Employer as noted by the National Organization on Disability
 
Magnet® designated for the fourth consecutive time by the American Nurses Credentialing Center (ANCC)
 
 We Embrace Innovation—Together. We believe in empowering our teams with the tools that help us work smarter and care better. That’s why we support the responsible use of artificial intelligence. By encouraging innovation, we’re creating space for new ideas, better outcomes, and a stronger future—for all of us.
 
Comprehensive job description provided upon request.
 
Cincinnati Children’s is proud to be an Equal Opportunity Employer committed to creating an environment of dignity and respect for all our employees, patients, and families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, genetic information, national origin, sexual orientation, gender identity, disability or protected veteran status. EEO/Veteran/Disability

Coding Rep I

Houston Methodist

<div>At Houston Methodist, the Senior Outpatient Coder position is responsible for ensuring diagnostic and procedure codes are assigned accurately to day surgery and observation encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory guidelines.
<div>FLSA STATUS 
Non-exempt 
 
QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program
</li></ul> 
LICENSES AND CERTIFICATIONS 
Required<ul><li>
Must have one of the following: &bull;RHIT - Certified Health Information Technician (AHIMA) &bull;RHIA - Registered Health Information Administrator (AHIMA) &bull;CCS - Certified Coding Specialist (AHIMA) &bull;CCA &ndash; Certified Coding Associate (AHIMA) &bull;CCS-P &ndash; Certified Coding Specialist Physician-Based (AHIMA) &bull;CPC &ndash; Certified Professional Coder (AAPC)
</li></ul> 
SKILLS AND ABILITIES<ul><li>
Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
</li><li>Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
</li><li>Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
</li><li>Knowledge of coding classification systems, DRG and APC systems, official coding guidelines and coding compliance
</li><li>Knowledge of an electronic medical record and imaging systems
</li><li>Working knowledge of medical terminology, anatomy and physiology
</li><li>Proficiency with electronic encoder application
</li>Extensive PC knowledge - must be able to work effectively in common office software, coding software and abstracting systems 
<li>
</li></ul> 
 
ESSENTIAL FUNCTIONS 
 
PEOPLE ESSENTIAL FUNCTIONS<ul><li>
Interacts and communicates effectively with members of the coding team and the appropriate stakeholders.
</li><li>Participates and provides good feedback during coding section meetings and coding education inservices as well as takes initiative to assist others and shares knowledge with the appropriate stakeholders.
</li></ul> 
SERVICE ESSENTIAL FUNCTIONS<ul><li>
Responds promptly to internal and external customer requests. Responds promptly and appropriately to requests to code or review coded accounts for accuracy.
</li><li>Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process.
</li></ul> 
QUALITY/SAFETY ESSENTIAL FUNCTIONS<ul><li>
Responsible for assigning diagnostic and procedural codes to encounters of high complexity.
</li><li>Maintains and achieves departmental standards of coding quality by assigning accurate ICD-10-CM/ICD-10-PCS and CPT codes and APC assignment utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
</li><li>Maintains and achieves departmental standards of abstracting quality by reviewing the discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data. Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system.
</li><li>Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures. Utilizes all tools/resources for accuracy.
</li><li>Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
</li></ul> 
FINANCE ESSENTIAL FUNCTIONS<ul><li>
Utilizes time effectively. Consistently codes and abstracts at or above departmental standards of productivity while ensuring accuracy of coding.
</li><li>Supports meeting organizational goal for Accounts Receivables (AR) associated with uncoded accounts.
</li><li>Maintains coding timeframes within established departmental standards by ensuring all work items assigned to the coding queues are processed in a timely manner.
</li></ul> 
GROWTH/INNOVATION ESSENTIAL FUNCTIONS<ul><li>
Critically evaluates own performance, accepts constructive criticism, and looks for ways to improve.
</li>Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data. 
<li>
</li></ul> 
 
SUPPLEMENTAL REQUIREMENTS 
<ul>
WORK ATTIRE<li><ul><li>
Uniform: No
</li><li>Scrubs: No
</li><li>Business professional: Yes
</li><li>Other (department approved): No
</li></ul></li> 
ON-CALL* 
<li><ul><li>Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.</li></ul></li><li><ul><li>
On Call* No
</li></ul></li> 
TRAVEL** 
**Travel specifications may vary by department**<li><ul><li>
May require travel within the Houston Metropolitan area Yes
</li><li>May require travel outside Houston Metropolitan area Yes
</li></ul></li></ul></div>QUALIFICATIONS 
 
EDUCATION<ul><li>
Associate&rsquo;s or higher degree in a Comission on Accreditation for Health Informatics and Information Managment accredited program or additional two years of experience (in addition to the minimum experience requirements listed below) in lieu of degree
</li></ul> 
EXPERIENCE<ul><li>
Three years of relevant outpatient coding experience or successful completion of the Houston Methodist Senior Outpatient Coder Transition Program
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LICENSES AND CERTIFICATIONS 
Required
Must have one of the following: &bull; RHIT - Certified Health Information Technician (AHIMA) &bull; RHIA - Registered Health Information Administrator (AHIMA) &bull; CCS - Certified Coding Specialist (AHIMA) &bull; CCA &ndash; Certified Coding Associate (AHIMA) &bull; CCS-P &ndash; Certified Coding Specialist Physician-Based (AHIMA) &bull; CPC &ndash; Certified Professional Coder (AAPC) 
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Company Profile:
Houston Methodist is one of the nation&rsquo;s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!
Houston Methodist is an Equal Opportunity Employer.</div>

Sr Outpatient Coder

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