coding specialist

Fairview Health Services

<div>Responsibilities/Job Description:
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The Coder 2 analyzes clinical documentation; assign appropriate diagnosis, procedure, and levels of service codes; abstract the codes and other clinical data. Performs a variety of technical functions within the Outpatient coding area, codes outpatient visits, sent-in-labs, consolidated funding accounts, utilizing ICD-10-CM, CPT-4, and HCPCs Coding Classification systems. Utilizes an electronic coding software to code to the highest level of specificity, ensuring optimal and appropriate reimbursement for the services provided. Responsibility includes resolving medical necessity edits and extracting and entering data into the medical record. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, and meet regulatory and payer reporting requirements. Coder 2's also resolves clinical documentation and charge capture discrepancies and provides feedback to providers on the quality of their documentation and charging.
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<b>Responsibilities</b></div><ul><li>
Maintains knowledge of, and complies with, all relevant laws, regulations, policies, procedures, and standards.</li><li>
Actively participates in creating and implementing improvements.</li><li>
Assigns ICD-10, CPT-4, and HCPCs codes to all diagnoses, treatments, and procedures, according to official coding guidelines.</li><li>
Knowledge of relationship of disease management, medications and ancillary test results on diagnoses assigned.</li><li>
Extracts required information from electronic medical record and enters encoder and abstracting system.</li><li>
Follows-up on unabstracted accounts to assure timely billing and reimbursement.</li><li>
Resolves any questions concerning diagnosis, procedures, clinical content of the chart or code selection through research and communication. May query physicians on documentation according to established procedures and guidelines.</li><li>
Meets departmental productivity and quality standards</li><li>
Complete projects as assigned.</li><li>
Timely and accurate work</li><li>
Contributes to the process or enablement of collecting expected payment</li><li>
Understands and adheres to Revenue Cycle&rsquo;s Escalation Policy.</li></ul><div><b><br>
Required Qualifications</b></div><ul><li>
Certificate program in Coding or A.A./A.S. in HIM or Certificate with 1-3 years of healthcare experience (MA, HUC, Revenue Cycle)</li><li>
1 year of coding experience</li><li>
Basic knowledge of Windows-based computer software. Epic and Microsoft Teams.</li><li>
Due to differences in scope of care, practice, or service across settings, the specific experience required for this position may vary.</li><li>
Registered Health Info Admin (RHIA) or</li><li>
Registered Health Info Tech (RHIT) or</li><li>
Certified Coding Specialist (CCS) or</li><li>
Professional Coder Cert (CPC) or</li><li>
Certified Coding Specialist &ndash; Professional (CCS-P) or</li><li>
Professional Coder- Hospital (CPC-H) or</li><li>
Certified Outpatient Coding (COC) or</li><li>
AAPC specialty certifications</li></ul><div><b>
Preferred Qualifications</b></div><ul><li>
B.S./B.A. in HIM</li><li>
2 years of coding experience</li></ul><br>
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Qualifications:
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$26.06- $36.79 Hourly</div></div>

Coder 2

EvergreenHealth

<div><p>Wage Range: $33.89 - $54.23 per hour</p><div>
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.</div><div>
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Job Summary:</b></div><div>
Responsible for evaluating the effectiveness of coding processes, tracking coding performance over time, and identifying trends and opportunities to positively impact revenue cycle performance across the organization. Supports internal documentation and coding review activities, builds and strengthens relationships with operational department leaders, monitors dashboards, prepares and interprets reports, and recommends process improvements that optimize Epic functionality to management. Acts as subject matter expert on complex professional coding topics. Leads or facilitates process improvement projects for identified areas of improvement. Supports other large scale system implementations and projects with a focus on charge reconciliation and capture.</div><div>
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Primary Duties:</b></div><ul><li>Analyzes Professional Coding denial data. Identifies trends by performing trend analysis. Prevents future denials by developing and recommending new and innovative methods or solutions to identified issues.</li><li>Analyzes and identifies trends within coding change data. Researches and identifies opportunities for coder education or process automation.
</li><li>Reviews charge capture audit reports to verify appropriate charges are captured.</li><li>Monitors the professional coding WQs to identify patterns/trends and investigate potential issues.</li><li>Develops and monitors PB dashboards, Key Performance Indicators (KPI) data, and coordinates Professional Coding analytics.</li><li>Collaborates with IT to leverage Epic technology to improve efficiency and foster automation within the Professional Coding Department.</li><li>Collaborates with clinical areas, Professional Billing, and IT to develop and implement new coding and charge capture workflows.</li><li>Builds strong relationships and facilitates effective communication with clinical areas and operational leadership.</li><li>Creates and distributes Epic reports to key stakeholders at scheduled intervals.</li><li>Develops presentations, reports, and educational materials that effectively communicate information to support Professional Coding revenue cycle optimization.</li><li>Monitors Epic build for CPT charges to optimize revenue and collaborate across clinical operations, finance, and IT to facilitate resolution.
</li><li>Evaluates annual coding changes to determine Epic build. Works with IT to implement identified changes.</li><li>Performs other duties as assigned.</li></ul><div><br>
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License, Certification, Education or Experience:</b><br>
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REQUIRED</b> for the position:</div><ul><li>High school diploma or G.E.D</li><li>Current professional coding credential: AAPC (Certified Professional Coder [CPC], Certified Outpatient Coder [COC]), PMI (Certified Medical Coder [CMC]), or AHIMA (Certified Coding Specialist-Physician [CCS-P], Certified Coding Associate [CCA], Certified Coding Specialist [CCS], Registered Health Information Administrator [RHIA], Registered Health Information Technician [RHIT])</li><li>3 years of professional coding experience in a multi-specialty medical group setting.</li><li>Possess advanced skills in Microsoft Office with emphasis on Excel advanced functions and PowerPoint.</li><li>Extensive knowledge in ICD-10, CPT and HCPCS coding for professional services with emphasis on major surgical procedures for multiple specialties.</li><li>Proficient understanding of Epic functionality related to professional coding charge review, denials, and claim edits.</li><li>Proficient knowledge in medical terminology, coding and sequencing guidelines.</li><li>Comprehensive understanding of anatomy, physiology and disease processes.</li><li>Expanded understanding of payer billing requirements, managing denials, payer policies, and navigating payer platforms.</li><li>Excellent written and verbal communication skills.</li></ul><div><br>
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DESIRED</b> for the position:</div><ul><li>5 years of professional coding experience in a multi-specialty medical group setting.</li><li>AAPC specialty surgical certification(s): Certified Cardiology Coder [CCC], Certified Cardiovascular and Thoracic Surgery Coder [CCVTC], Certified Gastroenterology Coder [CGIC], Certified General Surgery Coder [CGSC], Certified Interventional Radiology Cardiovascular Coder [CIRCC], Certified Obstetrics Gynecology Coder [COBGC], Certified Ophthalmology Coder [COPC], Certified Orthopedic Surgery Coder [COSC], Certified Urology Coder [CUC]).</li><li>Experience with Excel Power Queries</li><li>Experience using Epic SlicerDicer</li></ul><div>
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Benefit Information:</b></div><div>
Choices that care for you and your family</div><div>
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At EvergreenHealth, we appreciate our employees&rsquo; commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.</div><div>
</div><ul><li>Medical, vision and dental insurance</li><li>On-demand virtual health care</li><li>Health Savings Account</li><li>Flexible Spending Account</li><li>Life and disability insurance</li><li>Retirement plans (457(b) and 401(a) with employer contribution)</li><li>Tuition assistance for undergraduate and graduate degrees</li><li>Federal Public Service Loan Forgiveness program</li><li>Paid Time Off/Vacation</li><li>Extended Illness Bank/Sick Leave</li><li>Paid holidays</li><li>Voluntary hospital indemnity insurance</li><li>Voluntary identity theft protection</li><li>Voluntary legal insurance</li><li>Pay in lieu of benefits premium program</li><li>Free parking</li><li>Commuter benefits</li></ul><div>
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View a summary of our total rewards available to you as an EvergreenHealth team member by clicking on the link below.</div><div><div>
EvergreenHealth Benefits Guide</div></div></div>

Professional Coding Analyst

Healthrix

<p><b>Overview</b><br/>As an RCM Specialist, you will play a pivotal role in the revenue cycle management process, ensuring that our healthcare operations run smoothly and efficiently. You will be responsible for managing medical billing, coding, and collections to optimize revenue flow while maintaining compliance with industry standards. Your expertise in medical terminology and coding systems will be essential in facilitating accurate documentation and processing of medical records.</p><p><b>What you&rsquo;ll do</b></p><ul><li>Review and analyze patient records to ensure accurate coding using ICD-9, ICD-10, CPT coding, and DRG (Diagnosis-Related Group) methodologies.</li><li>Process medical billing and collections efficiently to maximize revenue recovery.</li><li>Collaborate with healthcare providers to clarify documentation and coding discrepancies.</li><li>Utilize EMR (Electronic Medical Records) and EHR (Electronic Health Records) systems for data entry and retrieval of patient information.</li><li>Maintain up-to-date knowledge of medical terminology, coding guidelines, and billing regulations.</li><li>Conduct audits of medical records to ensure compliance with legal and regulatory requirements.</li><li>Provide support in resolving billing inquiries from patients or insurance companies promptly.</li><li>Assist in training staff on best practices related to medical coding and billing processes.</li></ul><p><b>Basic qualifications</b></p><ul><li>Proven experience in medical office settings with a focus on RCM processes.</li></ul><p><b>Preferred qualifications</b></p><ul><li>Proficiency in DRG, CPT coding, ICD-9, ICD-10, and general medical coding practices.</li><li>Familiarity with EMR and EHR systems for effective patient data management.</li><li>Strong understanding of medical terminology and documentation standards.</li><li>Excellent communication skills for effective collaboration with healthcare teams and patients.</li></ul><p><b>Why you&rsquo;ll love it here</b><br/>We are dedicated to fostering an environment where our employees can thrive both professionally and personally. Our commitment extends beyond just the workplace; we offer a range of benefits designed to support your overall well-being.</p><p><b>Our benefits include:</b></p><ul><li>Comprehensive health coverage options that cater to your needs.</li><li>Opportunities for professional development and continuous learning.</li><li>A supportive workplace culture that values teamwork and collaboration.</li><li>Resources aimed at enhancing your physical and mental health. Join us as we strive to enhance the quality of care through effective revenue cycle management! Your contributions as an RCM Specialist will directly impact our mission to provide exceptional healthcare services while ensuring financial sustainability.</li></ul><p>Job Type: Full-time</p><p>Work Location: In person</p>

RCM Specialist

Decipher Health Records LLP

<p><b>Key Responsibilities</b></p><ul><li>Review and analyze medical records to identify relevant diagnoses, procedures, and services.</li><li>Assign accurate ICD-10-CM, CPT&reg;, and HCPCS Level II codes based on clinical documentation.</li><li>Ensure coding compliance with federal, state, and payer-specific regulations.</li><li>Verify that coded data supports medical necessity and adheres to coding conventions.</li><li>Work closely with physicians, nurses, and other healthcare staff to clarify documentation and resolve coding discrepancies.</li><li>Submit coding information for billing and reimbursement processes.</li><li>Assist with denials management by correcting coding errors and providing supporting documentation.</li><li>Maintain updated knowledge of coding guidelines, regulatory changes, and industry updates.</li><li>Participate in internal audits and quality improvement initiatives.</li><li>Protect patient confidentiality in accordance with HIPAA requirements</li></ul><p>*</p><ul><li>.<b>Required Qualifications</b></li><li>Certification such as <b>CPC</b>, <b>CCS</b>, <b>CCS-P</b>, <b>CCA</b>, or equivalent.</li><li>High school diploma or equivalent (Associate degree in Health Information Management preferred).</li><li>Strong understanding of medical terminology, anatomy, physiology, and disease processes.</li><li>Proficiency in ICD-10-CM, CPT&reg;, and HCPCS Level II coding systems.</li><li>Experience with Electronic Health Records (EHR) and coding/billing software.</li></ul><p>Job Type: Full-time</p><p>Pay: ₹9,149.38 - ₹31,352.25 per month</p><p>Benefits:</p><ul><li>Paid time off</li><li>Provident Fund</li></ul><p>Work Location: In person</p>

Medical Coding

CPA CLINICS

<p>We are seeking a detail-oriented and compliance-driven Medical Coder to join our team in Lahore DHA, working in alignment with U.S. clinic hours. This role is critical to ensuring accurate documentation and coding of patient encounters, supporting both clinical excellence and financial integrity for our U.S. healthcare operations.</p><p><b>Responsibilities</b></p><ul><li>Review patient records and documentation to assign accurate ICD-10-CM and CPT codes.</li><li>Collaborate with doctors, billers, and compliance staff to maintain audit-safe records and streamline reimbursement processes.</li><li>Ensure coding accuracy to minimize claim denials and maximize compliance with U.S. healthcare regulations.</li><li>Monitor updates to ICD and CPT coding standards and integrate them into daily practice.</li><li>Uphold ethical standards and compliance with HIPAA requirements.</li><li>Work independently while maintaining strong communication with cross-functional teams.</li></ul><p><b>Qualifications</b></p><ul><li>Medical degree (MBBS/MD or equivalent) / certification in medical coding.</li><li>Strong knowledge of ICD-10-CM and CPT coding systems.</li><li>Experience in outpatient or urgent care settings preferred.</li><li>Excellent communication and documentation skills.</li><li>Ability to balance accuracy, compliance, and productivity in a fast-paced environment.</li></ul><p><b>Compensation &amp; Career Development</b></p><ul><li>Monthly Salary: PKR 80,000 - 140,000, based on experience and certifications.</li><li>Performance-based bonuses tied to accuracy and compliance.</li><li>Opportunities for advanced compliance training and career growth.</li><li>Potential placements or internships in our U.S. office.</li></ul><p>Job Type: Full-time</p><p>Pay: Rs80,000.00 - Rs140,000.00 per month</p><p>Application Question(s):</p><ul><li>How many years of clinical practice do you have, and have you previously worked with ICD-10-CM and CPT coding?</li><li>Do you have experience in outpatient or urgent care settings, and if so, please describe your role.</li><li>Are you familiar with HIPAA requirements and U.S. healthcare documentation standards?</li><li>What is your expected monthly salary range for this role (PKR)?</li><li>Are you able to work full-time in Lahore DHA, aligned with U.S. clinic hours (EST/PST)?</li></ul><p>Work Location: In person</p>

Medical Coder

Orthocure Medical Center -Mirdif

<p>Key Responsibilities</p><ul><li>Accurately assign <b>ICD-10, CPT, and HCPCS</b> codes to diagnoses and procedures</li><li>Prepare and submit insurance claims in line with <b>DHA Smart Claims</b> and <b>eClaimLink</b> standards</li><li>Review clinical documentation to ensure coding accuracy and medical necessity</li><li>Collaborate with physicians and billing teams to resolve coding discrepancies</li><li>Stay updated with <b>DHA</b> coding circulars and regulatory changes</li><li>Support audit readiness and insurance reconciliation processes</li></ul><p>Qualifications</p><ul><li>Certified Professional Coder (CPC) or equivalent</li><li>Minimum 2 years of UAE medical coding experience</li><li>Strong knowledge of UAE insurance protocols and RCM workflows</li><li>Proficiency in EMR systems and coding software</li><li>Excellent communication and documentation skills</li></ul><p>Job Type: Full-time</p>

Insurance Clerk

MEDFAR Solutions Cliniques

<div><b>Company Description</b><br>
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We are a reputable software company specializing in the healthcare industry. Since 1988 we have been servicing the healthcare industry by providing various products to laboratories, hospitals and doctors. As a member of our organization you will be joining a smart and driven team that shares your passion for exploration and discovery in the Healthcare Software vertical. Our significant investment in people, processes, and technology equips our employees with the resources and opportunities to drive substantial value for all our client partners.</li></ul><br>
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Job Description</b><p><br>
The Medical Coding Team Lead will oversee a team of medical coders, ensuring accurate and timely coding of medical diagnoses, procedures, and services for healthcare facilities. The role involves managing day-to-day operations, ensuring compliance with industry standards (e.g., ICD-10, CPT, and HCPCS coding), and acting as the primary point of contact between the coding team and other departments. The Team Lead will also mentor and train coding staff, monitor performance metrics, and ensure the department meets organizational goals and regulatory requirements</p><p><b>
Key Responsibilities:</b></p><p><b>
1. Team Management:</b></p><ul><li>
Supervise a team of medical coders, ensuring workload distribution and deadlines are met.</li><li>
Conduct regular performance evaluations and provide feedback to team members.</li><li>
Serve as the primary point of escalation for coding-related issues or complex cases.</li><li>
Foster a collaborative and productive team environment by providing guidance, support, and training opportunities.</li></ul><p><b>
2. Quality Assurance:</b></p><ul><li>
Ensure coding accuracy and compliance with industry standards such as ICD-10, CPT, and HCPCS codes.</li><li>
Perform random audits of coded claims to ensure accuracy and adherence to organizational and regulatory guidelines.</li><li>
Implement corrective actions and training plans when discrepancies are identified during audits.</li></ul><p><b>
3. Training and Development:</b></p><ul><li>
Organize and conduct regular training sessions on updates to coding standards, regulations, and software tools.</li><li>
Mentor junior coders and help develop their skills to improve performance.</li><li>
Keep the team updated on regulatory changes and best practices in medical coding.</li></ul><p><b>
4. Operational Oversight:</b></p><ul><li>
Manage day-to-day operations of the coding team, ensuring tasks are completed on time and meet quality standards.</li><li>
Track and report team performance metrics, including coding accuracy, productivity, and turnaround times.</li><li>
Collaborate with other departments such as billing, compliance, and healthcare providers to resolve coding and reimbursement issues.</li></ul><p><b>
5. Compliance and Documentation:</b></p><ul><li>
Ensure that coding practices are in compliance with HIPAA regulations, organizational policies, and state/federal guidelines.</li><li>
Maintain accurate documentation of all coding processes and updates for auditing purposes.</li><li>
Assist in preparing the department for internal and external audits.</li></ul><p><b>
6. Process Improvement:</b></p><ul><li>
Identify areas of inefficiency in the coding process and recommend improvements.</li><li>
Implement new processes, tools, or systems to enhance the efficiency and accuracy of medical coding operations.</li></ul><p><b>
7. Client/Stakeholder Relations:</b></p><ul><li>
Act as a liaison between the coding team and other internal and external stakeholders, including physicians, administrative staff, and external auditors.</li><li>
Address and resolve any queries related to coding from insurance companies, providers, or billing departments.</li></ul><br>
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Qualifications</b><p><b><br>
Education:</b></p><ul><li>
Bachelor&rsquo;s degree in Health Information Management, Medical Coding, or a related field preferred.</li><li>
Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or similar certification required.</li></ul><p><b>
Experience:</b></p><ul><li>
6+ years of experience in medical coding, with at least 2 years in a supervisory or leadership role.</li><li>
Extensive knowledge of ICD-10, CPT, and HCPCS coding systems with E&amp;M coding.</li><li>
Experience with healthcare billing processes and Electronic Health Record (EHR) systems.</li></ul><p><b>
Skills:</b></p><ul><li>
Strong leadership, communication, and interpersonal skills.</li><li>
High level of accuracy and attention to detail in coding and documentation.</li><li>
Ability to work under pressure and manage multiple tasks simultaneously.</li><li>
Proficiency in coding software and MS Office tools (Excel, Word, etc.).</li></ul><p></p><b><br>
Additional Information</b><br>
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Fixed Night Shifts</li><li>
Transportation Faciity</li><li>
Health Insurance and Other Benefits</li></ul></div><p></p>

Team Lead-Medical Coding

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