certified professional coder

Caban Resources

<div><p>Starts out onsite, then transitions to REMOTE 4 days/week.</p><p>
Job Summary:</p><p>
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.</p><p>
Duties:</p><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><p>
Qualifications:</p><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)

NKC Health

<div>
 <strong>
  Summary
  <br/>
  <br/>
 </strong>
 Here at
 <strong>
  NKC Health
 </strong>
 our mission is to
 <strong>
  <em>
   empower hope and healing in every life we touch
  </em>
 </strong>
 . Whether you are serving patients at a primary care clinic, specialty clinic, or in a support capacity, every team member works together to complete this mission.
 <br/>
 <br/>
 <strong>
  NKC Health Coding and Denial
 </strong>
 team is hiring a
 <strong>
  Non-Certified Coder
 </strong>
 ! If you&rsquo;re looking for a great opportunity to impact our communities, join our NKC Health team!
 <br/>
 <br/>
 <strong>
  Why NKC Health Medical Group?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Comprehensive Benefits (Medical, Dental, Vision, Life, FSA)
  </li>
  <li>
   Employer matched retirement plan
  </li>
  <li>
   Competitive wages
  </li>
  <li>
   Paid time off for personal/vacation/sick
  </li>
  <li>
   Six paid holidays per year
  </li>
  <li>
   Educational assistance
  </li>
  <li>
   Day shift schedules
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What does a Non-Certified Coder do?
  <br/>
  <br/>
 </strong>
 As part of the coding team, you will have the opportunity to focus solely on coding processes. Your daily mission would be to review medical records for the correct ICD/CPT codes, posting charges and having meaningful communication with the practice team.
 <br/>
 <br/>
 <strong>
  What does a typical day on the job look like?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Review procedures, HCPCS, and diagnosis coding for accuracy.
  </li>
  <li>
   Assigns proper codes based upon medical record documentation.
  </li>
  <li>
   Works with denials team and central billing office to resolve claims denials, and billing issues.
  </li>
  <li>
   Posts charges accurately and timely.
  </li>
  <li>
   Work with providers to ensure coding accuracy.
  </li>
  <li>
   Knowledge of risk adjustment processes and coding is a plus, but not required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  What are the requirements for the job?
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High school graduate or GED equivalent
  </li>
  <li>
   Minimum 2 years&rsquo; of experience in physician coding and billing
  </li>
  <li>
   Knowledge of CPT and ICD-10 coding and medical terminology
  </li>
  <li>
   Proficient computer skills
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Our North Star
  <br/>
  <br/>
 </strong>
 Here at NKC Health, we believe in
 <strong>
  <em>
   care empowered.
  </em>
 </strong>
 Our actions are the concrete things we do to differentiate ourselves: we lead with heart, we always move forward, and we connect to more.
 <br/>
 <br/>
 <em>
  NKC Health is an Equal Opportunity Employer and values diversity in our organization. We do not discriminate against any applicant for employment or employee on the basis of race, color, religion, gender, age, marital status, sexual orientation, national origin, disability, veteran status or any other classification protected by applicable discrimination laws.
 </em>
</div>


Coder Non-Certified

Bayhealth

<div>
 <strong>
  Location: Kent Campus Hospital
  <br/>
  <br/>
 </strong>
 <strong>
  Status:
 </strong>
 Full Time 80 Hours
 <br/>
 <br/>
 <strong>
  Shift:
 </strong>
 Days
 <br/>
 <br/>
 <strong>
  SALARY RANGE:
 </strong>
 22.09 - 33.47HOURLY
 <br/>
 <br/>
 <strong>
  General Summary:
  <br/>
  <br/>
 </strong>
 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.
 <br/>
 <br/>
 <strong>
  Responsibilities:
  <br/>
  <br/>
 </strong>
 <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.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required Education, Credential(s) and Experience:
  <br/>
  <br/>
 </strong>
 <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
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred Education, Credential(s) and Experience:
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Education:
  </li>
  <li>
   Credential(s):
  </li>
  <li>
   Experience: Preferred: 3-6 years&rsquo; experience with full medical billing functions
   <br/>
   <br/>
  </li>
 </ul>
 To view a full list of all open position at Bayhealth, please visit:
 <br/>
 <br/>
 https://apply.bayhealth.org/join/
</div>


Medical Biller/Certified Coder

Mineral Community Hospital

<div><p>Job Summary
</p><p><b><i>*Applicants must be a Certified Professional Coder (CPC) and have 1 year of relevant work experience*
</i></b></p><p>The focus of this position is to enhance patient care and safety while working and collaborating positively as a member of the MCH team.
</p><p>Responsible for coding clinic and hospital claims, inpatient and outpatient encounters or a mixture as assigned by Business Office Manager. These records include emergency room, short stays, endoscopy, physical therapy, inpatient, outpatient surgery, diagnostic services, and clinic encounters. Communicate appropriately with coworkers to ensure all documentation requirements are being met for services billed. Help with chart analysis for physician or nursing deficiencies or missing reports.
</p><p>Responsibilities
</p><ul><li>Review and analyze patient medical records to assign appropriate codes for diagnoses and procedures.
</li><li>Utilize coding systems such as ICD-9 and DRG to ensure accurate documentation.
</li><li>Collaborate with healthcare providers to clarify any discrepancies in medical records.
</li><li>Maintain up-to-date knowledge of coding guidelines and regulations to ensure compliance.
</li><li>Assist in the management of medical billing processes and collections as needed.
</li><li>Ensure the confidentiality and security of patient information in accordance with HIPAA regulations.
</li><li>Generate reports related to coding accuracy and billing efficiency for management review.
</li></ul><p>Skills
</p><ul><li>Ability to process work using both alphabetical and numerical filing systems.
</li><li>Fluent in English.
</li><li>Possess basic clerical background including computer skills, basic filing skills and general knowledge of office procedures.
</li><li>Able to organize and prioritize workload.
</li><li>Able to work under pressure and perform multitasking duties under pressure with accuracy.
</li><li>Must have manual dexterity.
</li><li>Able to complete tasks within a given time frame.
</li><li>Able to work with minimal supervision.
</li><li>Must be able to code ambulatory, inpatient, emergency and or surgery encounters or a mix there of.
</li></ul><p>We invite qualified candidates who are passionate about healthcare coding to apply for this vital role within our organization. Join us at MCH in creating an inviting atmosphere that enhances the experience of every guest! Submit a resume today and/or fill out our application here: https://mineralcommunityhospital.com/career-search/</p></div>

Medical Records Coder

CarolinaEast Health System

<div></div><div><b>Job ID</b> 6550 <b>Salary Min</b> $33.69 <b>Salary Max</b> $21.74
<div><p><b>*****Position is for: Physician Based Coding***** Status of PRN&hellip;..as needed***</b></p>
<p><b>***Must live in NC and be NC resident*****</b></p>
<p><b>Job Summary:</b> The Certified Coder will provide coding and abstracting services necessary for compilation of accurate medical information/administrative statistical reports. This position will be responsible in applying guidelines for appropriate accurate fiscal reimbursement and comply with Federal Regulatory, Intermediary, PRO, and other reviewing organizational requirement.</p>
<p><b>Physicians Update:</b></p>
<p>CarolinaEast Physicians is made up of over 150 physicians, and mid-level providers who provide care to patients spanning four eastern North Carolina Counties. We have specialties including Primary Care, Pediatrics, Rheumatology, Cardiology, Pulmonology, Neurology, Podiatry, Endocrinology, Cardiovascular Surgery, Otolaryngology, General Surgery, Oncology, Urology, Physical Medicine and Rehab, Orthopedics, Psychiatry, and Gastroenterology.</p>
<p><b>About CarolinaEast Health System</b></p>
<p>CarolinaEast Health System is committed to providing high quality, compassionate care across the Coastal Carolina region. At the heart of our system is a 350-bed, full-service medical center equipped with a comprehensive range of inpatient and outpatient services, utilizing the latest medical technologies. We employ over 3,200 dedicated team members and operate physician practices across various specialties in four counties. Our employees foster a culture of excellence that ensures our patients receive the same high level of care found at larger medical centers, all while maintaining a friendly, community-centered atmosphere throughout our facilities. CarolinaEast offers a robust benefits package to all full-time employees, as well as benefits for part-time plus and part-time staff. We are proud to be the first medical center in North Carolina recognized as a Cardiovascular Center of Excellence by the American College of Cardiology and the American Heart Association. Additionally, we are honored to be named one of America&rsquo;s Best-In-State Hospitals by <i>Newsweek</i>, among numerous other prestigious accolades.</p>
<p><b>Minimum Requirements:</b></p>
<ul><li>CPC preferred; will also accept RHIA, RHIT, and/or CCS. Computer data entry required.</li>
<li>Credential eligible or equivalent courses in Medical Terminology, Anatomy and Physiology, and Medical Office Practice or three to five years of experience in ICD-10-CM/PCS and CPT/HCPCS coding.</li>
<li>Knowledge of coding rules and guidelines, Coding Clinic, and CPT Assistant.</li>
<li>Deliver outstanding customer service that upholds CarolinaEast's Standards of Excellence.</li>
</ul></div>Schedule: PRN Shift: Day Salary Min: $33.69 Salary Max: $21.74 Primary Work Location: New Bern, North Carolina Department Name: Health Information Services</div>

Credentialed Coder PRN

Mass General Brigham

<div>Site: Mass General Brigham Incorporated<p></p><p><br>
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.</p><p></p><p><b><br>
Job Summary</b></p>
Summary:<br>
<br>
<ul><li>Responsible for ensuring proper coding compliance, documentation accuracy, and adherence to coding guidelines and regulations.</li></ul><br>
Does this position require Patient Care? No<br>
<br>
Essential Functions:
<br>
Assign appropriate diagnosis codes (ICD-10) and procedure codes (CPT/HCPCS) to patient encounters based on medical documentation, physician notes, and other relevant information.
<br>
<ul><li>Ensure compliance with coding guidelines, including those outlined by the American Medical Association (AMA), Centers for Medicare and Medicaid Services (CMS), and other regulatory bodies.
</li><li>Analyze medical records, including physician notes, laboratory results, radiology reports, and operative reports, to extract pertinent information for coding purposes.</li><li>Maintain a high level of accuracy and quality in coding assignments to ensure proper reimbursement and minimize claim denials.
</li><li>Utilize coding software, encoders, and electronic health record systems to facilitate the coding process.</li><li>Support coding compliance efforts by participating in coding audits, internal or external coding reviews, and documentation improvement initiatives.
</li><li>Maintain accurate records of coding activities, including tracking productivity, coding accuracy rates, and any coding-related issues or challenges.</li></ul><p></p><div><div><div><div><div><div><div><p><b><br>
Qualifications</b></p></div></div></div></div></div></div></div><div>
Education<br>
High School Diploma or Equivalent required or Associate's Degree Medical Billing and Coding preferred<br>
<br>
Can this role accept experience in lieu of a degree?<br>
No<br>
<br>
Certified Professional Coder - American Academy of Professional Coders (AAPC) preferred<br>
<br>
Experience<br>
Medical Coding Experience 2-3 Years Required<br>
<br>
Knowledge, Skills and Abilities<br>
<ul><li>In-depth knowledge of medical coding systems, including ICD-10, CPT, and HCPCS, and their application in hospital billing.</li><li>Familiar with coding guidelines and regulations, including those set by the AMA, CMS, and other relevant organizations.</li><li>Strong analytical skills and attention to detail to accurately interpret medical documentation and assign appropriate codes.</li><li>Excellent understanding of anatomy, physiology, medical terminology, and disease processes to support accurate coding.</li><li>Excellent communication skills, both written and verbal, to interact effectively with healthcare providers and billing staff.</li><li>Ability to work independently, prioritize tasks, and meet deadlines in a fast-paced environment.</li></ul></div><p></p><div><div><div><div><div><div><div><p><b><br>
Additional Job Details (if applicable)</b></p></div></div></div></div></div></div></div><p></p><div><div><div><div><div><div><div><p><b><br>
Remote Type</b></p></div></div></div></div></div></div></div>
Remote<p></p><div><div><div><div><div><div><div><p><b><br>
Work Location</b></p></div></div></div></div></div></div></div>
399 Revolution Drive<p></p><div><div><div><div><div><div><div><p><b><br>
Scheduled Weekly Hours</b></p></div></div></div></div></div></div></div>
0<p></p><div><div><div><div><div><div><div><p><b><br>
Employee Type</b></p></div></div></div></div></div></div></div>
Per Diem<p></p><div><div><div><div><div><div><div><p><b><br>
Work Shift</b></p></div></div></div></div></div></div></div>
Day (United States of America)<p></p><p><b><br>
Pay Range</b></p><ul><li>/</li></ul><p></p><p><b><br>
Grade</b></p>
4<br>
<p></p>
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.<p></p><div><div><div><div><div><div><div><p><b><br>
EEO Statement:</b></p></div></div></div></div></div></div></div>
0100 Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran&rsquo;s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.<p></p><h2 class="jobSectionHeader"><b><br>
Mass General Brigham Competency Framework</b></h2><div><div><p>
At Mass General Brigham, our competency framework defines what effective leadership &ldquo;looks like&rdquo; by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.</p></div></div></div>

Coding Specialist II, Radiology

Al Taie Center for Laparoscopic and Bariatric Surgery

<p>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.</p><p>Role Overview</p><p>We 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.</p><p>Key Responsibilities</p><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><p>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 preferred</p><p>Application Question(s):</p><ul><li>Do you have your own Visa?</li></ul><p>Experience:</p><ul><li>Insurance coder: 2 years (Required)</li></ul><p>Work Location: In person</p>

Insurance Coder

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