coding specialist

Fred Hutchinson Cancer Center

<div>Overview:
<div>
Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.</div><div></div><div><br>
With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world&rsquo;s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world&rsquo;s deadliest diseases and make life beyond cancer a reality.</div><div></div><div><br>
At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.</div><div></div><div><br>
The Coding Specialist complies with the Official Coding Guidelines in ICD-10-CM and CPT coding conventions to assign for diagnoses and procedure codes for Fred Hutch&rsquo;s outpatient facility services. Clinical judgment and high level analytical skills are utilized to code and abstract the legal medical record to support appropriate reimbursement, physician documentation improvement, clinical effectiveness, outcome studies, and research to meet regulatory accreditation requirements for state and federal reporting and other external reporting purposes. This position offers a combination of remote and on-site coding.</div><div></div><div><br>
This position is a full time remote position. The hours of this position is Monday through Friday 8:00 am to 5:00 pm PST.</div>
Responsibilities:
<ul><li>Understand and apply correct coding, regulatory and compliance guidelines, APCs, ICD10, CPT, E&amp;M, procedure codes and modifiers, and applies documentation guidelines.</li><li>
Maintains 95% coding accuracy while meeting department's productivity standards.</li><li>
Participate in staff discussions and provides valuable input to the team.</li></ul>
Qualifications:
<div><b>
Required:</b></div><ul><li>
High School Degree, GED, or equivalent combination of education and experience from which comparable knowledge and abilities can be acquired is necessary.</li><li>
RHIT, CCS, CPC, COC and/or CCS-P</li><li>
A minimum of 2 years experience in outpatient facility abstracting coding (ICD9,ICD10, HCPCS and CPT) and facility coding modifiers. Experience may be substituted for a Bachelor's degree in Health Informatics or Health Information Management along with required certification. Prior experience working with clinical professionals is preferred.</li><li>
Working knowledge of insurance plans, LCD/NCD&rsquo;s</li><li>
Ability to work with clinical professionals</li><li>
Medical records and EMR/EHR knowledge</li><li>
Medical terminology, Anatomy and Physiology</li></ul><div><b>
Preferred:</b></div><ul><li>
Bachelor&rsquo;s degree</li><li>
Prior oncology or transplant coding, prior training experience with clinicians, E &amp; M, surgical and infusion coding, ICD10 training and/or dual/double coding experience, EPIC HB, 3M encoder ORCA and Mindscape experience.</li><li>
Prior oncology or Transplant coding</li><li>
Prior training experience with clinicians</li><li>
E &amp; M, Surgical and Infusion coding</li><li>
ICD10 training and/or Dual/Double coding experience</li><li>
EPIC HB, 3M encoder ORCA and Mindscape experience</li></ul><p></p><div>
The hourly pay range for this position is from $29.77 to $42.39 and pay offered will be based on experience and qualifications.
<br>
<br>
Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.</div><div></div><div><br>
This position is a full time remote position. The hours of this position is Monday through Friday 8:00 am to 5:00 pm PST.<br>
<br>
Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).</div>
Additional Information: We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.</div>

Coding Specialist

Fred Hutch

<div>
 <strong>
  Overview
  <br/>
  <br/>
 </strong>
 Fred Hutchinson Cancer Center is an independent, nonprofit organization providing adult cancer treatment and groundbreaking research focused on cancer and infectious diseases. Based in Seattle, Fred Hutch is the only National Cancer Institute-designated cancer center in Washington.
 <br/>
 <br/>
 With a track record of global leadership in bone marrow transplantation, HIV/AIDS prevention, immunotherapy and COVID-19 vaccines, Fred Hutch has earned a reputation as one of the world&rsquo;s leading cancer, infectious disease and biomedical research centers. Fred Hutch operates eight clinical care sites that provide medical oncology, infusion, radiation, proton therapy and related services, and network affiliations with hospitals in five states. Together, our fully integrated research and clinical care teams seek to discover new cures to the world&rsquo;s deadliest diseases and make life beyond cancer a reality.
 <br/>
 <br/>
 At Fred Hutch we value collaboration, compassion, determination, excellence, innovation, integrity and respect. Our mission is directly tied to the humanity, dignity and inherent value of each employee, patient, community member and supporter. Our commitment to learning across our differences and similarities make us stronger. We seek employees who bring different and innovative ways of seeing the world and solving problems.
 <br/>
 <br/>
 The Coding Specialist complies with the Official Coding Guidelines in ICD-10-CM and CPT coding conventions to assign for diagnoses and procedure codes for Fred Hutch&rsquo;s outpatient facility services. Clinical judgment and high level analytical skills are utilized to code and abstract the legal medical record to support appropriate reimbursement, physician documentation improvement, clinical effectiveness, outcome studies, and research to meet regulatory accreditation requirements for state and federal reporting and other external reporting purposes. This position offers a combination of remote and on-site coding.
 <br/>
 <br/>
 This position is a full time remote position. The hours of this position is Monday through Friday 8:00 am to 5:00 pm PST.
 <br/>
 <br/>
 <strong>
  Responsibilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Understand and apply correct coding, regulatory and compliance guidelines, APCs, ICD10, CPT, E&amp;M, procedure codes and modifiers, and applies documentation guidelines.
  </li>
  <li>
   Maintains 95% coding accuracy while meeting department's productivity standards.
  </li>
  <li>
   Participate in staff discussions and provides valuable input to the team.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Required
  <br/>
  <br/>
 </strong>
 <strong>
  Qualifications
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   High School Degree, GED, or equivalent combination of education and experience from which comparable knowledge and abilities can be acquired is necessary.
  </li>
  <li>
   RHIT, CCS, CPC, COC and/or CCS-P
  </li>
  <li>
   A minimum of 2 years experience in outpatient facility abstracting coding (ICD9,ICD10, HCPCS and CPT) and facility coding modifiers. Experience may be substituted for a Bachelor's degree in Health Informatics or Health Information Management along with required certification. Prior experience working with clinical professionals is preferred.
  </li>
  <li>
   Working knowledge of insurance plans, LCD/NCD&rsquo;s
  </li>
  <li>
   Ability to work with clinical professionals
  </li>
  <li>
   Medical records and EMR/EHR knowledge
  </li>
  <li>
   Medical terminology, Anatomy and Physiology
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Preferred
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Bachelor&rsquo;s degree
  </li>
  <li>
   Prior oncology or transplant coding, prior training experience with clinicians, E &amp; M, surgical and infusion coding, ICD10 training and/or dual/double coding experience, EPIC HB, 3M encoder ORCA and Mindscape experience.
  </li>
  <li>
   Prior oncology or Transplant coding
  </li>
  <li>
   Prior training experience with clinicians
  </li>
  <li>
   E &amp; M, Surgical and Infusion coding
  </li>
  <li>
   ICD10 training and/or Dual/Double coding experience
  </li>
  <li>
   EPIC HB, 3M encoder ORCA and Mindscape experience
   <br/>
   <br/>
  </li>
 </ul>
 The hourly pay range for this position is from $29.77 to $42.39 and pay offered will be based on experience and qualifications.
 <br/>
 <br/>
 Although Fred Hutch is not sponsoring most H-1B visas at this time, candidates who already hold an H-1B sponsored by another organization and are currently in the U.S. may be eligible for this position.
 <br/>
 <br/>
 This position is a full time remote position. The hours of this position is Monday through Friday 8:00 am to 5:00 pm PST.
 <br/>
 <br/>
 Fred Hutchinson Cancer Center offers employees a comprehensive benefits package designed to enhance health, well-being, and financial security. Benefits include medical/vision, dental, flexible spending accounts, life, disability, retirement, family life support, employee assistance program, onsite health clinic, tuition reimbursement, paid vacation (12-22 days per year), paid sick leave (12-25 days per year), paid holidays (13 days per year), paid parental leave (up to 4 weeks).
 <br/>
 <br/>
 <strong>
  Additional Information
  <br/>
  <br/>
 </strong>
 We are proud to be an Equal Employment Opportunity (EEO) and Vietnam Era Veterans Readjustment Assistance Act (VEVRAA) Employer. We do not discriminate on the basis of race, color, religion, creed, ancestry, national origin, sex, age, disability (physical or mental), marital or veteran status, genetic information, sexual orientation, gender identity, political ideology, or membership in any other legally protected class. We desire priority referrals of protected veterans. If due to a disability you need assistance/and or a reasonable accommodation during the application or recruiting process, please send a request to Human Resources at hrops@fredhutch.org or by calling 206-667-4700.
</div>


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

TEEMA Group

<div><h2 class="jobSectionHeader"><b>Role Summary</b></h2><p>
The Senior Clinical Coder serves as a subject matter expert in medical coding and DRG validation, playing a critical role in ensuring coding accuracy, regulatory compliance, and appropriate reimbursement across inpatient and outpatient services.</p><p>
In this role, you will conduct detailed retrospective claims reviews, provide expert-level coding analysis, and support cross-functional teams including medical directors, claims operations, and quality management. This position is ideal for a highly analytical professional who thrives in a fast-paced, remote environment and is passionate about accuracy, compliance, and continuous improvement in healthcare operations.</p><p></p><h2 class="jobSectionHeader"><b>
Duties &amp; Responsibilities</b></h2><ul><li><p>
Serve as a subject matter expert for ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding</p></li><li><p>
Perform DRG validation and retrospective medical claims reviews</p></li><li><p>
Analyze inpatient and outpatient claims for coding accuracy and reimbursement determinations</p></li><li><p>
Prepare clear, detailed determination letters and written review outcomes</p></li><li><p>
Identify coding discrepancies, potential fraud, and quality concerns</p></li><li><p>
Provide training, mentorship, and guidance to clinical coding staff</p></li><li><p>
Collaborate with cross-functional teams to support coding inquiries and review findings</p></li><li><p>
Research and apply medical policies, benefits, limitations, and current coding guidelines</p></li><li><p>
Ensure timely completion of coding reviews in alignment with performance standards</p></li><li><p>
Maintain accurate and thorough documentation within medical management and claims systems</p></li><li><p>
Escalate complex or high-risk cases to the Medical Director as appropriate</p></li></ul><p></p><h2 class="jobSectionHeader"><b>
Required Qualifications</b></h2><ul><li><p>
High School Diploma or GED</p></li><li><p>
Active credential in one of the following:</p><ul><li><p>
Certified Inpatient Coder (CIC)</p></li><li><p>
Certified Coding Specialist (CCS)</p></li><li><p>
Registered Health Information Technician (RHIT)</p></li></ul></li><li><p>
Minimum of five (5) years of clinical coding experience (facility and/or professional)</p></li><li><p>
Minimum of three (3) years of inpatient and/or outpatient claims processing experience</p></li><li><p>
Experience working in a fast-paced, production-driven environment</p></li><li><p>
Ability to obtain and maintain a favorable background investigation</p></li><li><p>
U.S. Citizenship required</p></li></ul><p></p><h2 class="jobSectionHeader"><b>
Desired Qualifications</b></h2><ul><li><p>
Experience within managed care, health insurance, or private healthcare industry</p></li><li><p>
Familiarity with government healthcare programs and regulatory guidelines</p></li><li><p>
Advanced expertise in inpatient facility coding and DRG validation</p></li><li><p>
Strong analytical, critical thinking, and problem-solving skills</p></li><li><p>
High attention to detail with strong organizational capabilities</p></li><li><p>
Ability to manage large volumes of complex information independently</p></li><li><p>
Effective communication and collaboration across multidisciplinary teams</p></li><li><p>
Proficiency in Microsoft Word, Excel, and multi-system environments</p></li></ul><p></p><h2 class="jobSectionHeader"><b>
Location &amp; Work Type</b></h2><p>
100% Remote (must reside in an approved state)<br>
Full-time position</p><ul><li><p>
Independent home office work environment required</p></li><li><p>
Prolonged computer use and sitting required</p></li><li><p>
Flexibility to support varying work schedules as needed</p></li></ul>
#Workwolf</div>

Sr. Inpatient Clinical Coder

BILLING & CODING COMPLIANCE ANALYST

Wholistic Health and Wellness LLC

<p><b>Job Overview</b><br/>We are seeking a Medical Billing Specialist familiar with Waystar Clearing House to join our healthcare team. In this vital role, you will be responsible for managing the full cycle of medical billing processes, ensuring accurate and timely submission of claims, and optimizing revenue flow. Your expertise will support the financial health of our practice while providing exceptional service to patients and providers alike. This position offers an exciting opportunity to apply your medical coding knowledge and billing skills in a fast-paced, collaborative environment dedicated to quality care.</p><p>This position will not require much of your time and will allow you to apply your billing knowledge from the comfort of your home.</p><p>You must be familiar with Waystar!</p><p>Access to computer/laptop and printer is also recommended!</p><p>We need your expertise today! Call us now (614)429-8731</p><p><b>Responsibilities</b></p><ul><li>Prepare and submit insurance claims accurately using CPT (Current Procedural Terminology), ICD-9, and ICD-10 coding systems, ensuring compliance with payer guidelines, and ERA complianc.</li><li>Review medical records and documentation to verify the accuracy of diagnoses, procedures, and billing codes.</li><li>Follow up on unpaid or denied claims through effective communication with insurance companies and patients to facilitate prompt resolution.</li><li>Maintain detailed records of billing activities, payment histories, and correspondence within Electronic Medical Record (EMR) or Electronic Health Record (EHR) systems.</li><li>Collaborate with healthcare providers to clarify documentation requirements and ensure proper coding for DRG (Diagnosis-Related Group) assignments when applicable.</li><li>Monitor accounts receivable and perform collections for outstanding balances through professional outreach to patients or third-party payers.</li><li>Stay current with evolving healthcare regulations, coding updates, and billing best practices to ensure compliance and maximize reimbursement.</li></ul><p><b>Skills</b></p><ul><li>Strong understanding of medical terminology, medical records management, and healthcare documentation standards.</li><li>Proficiency in medical coding including CPT, ICD-9, ICD-10, DRG, and ICD coding systems.</li><li>Experience with medical billing processes, insurance claim submission, and medical collections.</li><li>Familiarity with EMR/EHR systems used for recording patient information and billing data.</li><li>Excellent attention to detail with the ability to analyze complex medical information accurately.</li><li>Effective communication skills for interacting with insurance companies, healthcare providers, and patients.</li><li>Knowledge of healthcare regulations related to billing practices and patient confidentiality. Join us as a Medical Billing Specialist to make a meaningful impact by ensuring smooth financial operations in a supportive healthcare environment!</li></ul><p>Pay: $50.00 - $100.00 per day</p><p>Benefits:</p><ul><li>Employee discount</li><li>Flexible schedule</li></ul><p>Work Location: Remote</p>

Medical Billing Specialist

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