medical coding analyst

LanceSoft, Inc.

<div>
 
 Job Title: Clinical Data Analyst
 
 
 Job Location: Candidate must be a current resident of South Carolina
 
 
 Job Duration: 12+ Months Contract
 
 
 Pay rate: $84/hrs. on W2 (All inclusive)
 
 
 
 
 
 Job Responsibilities:
 
 
 
 
 
 The principal duties of this position are to assist with the CPT/HCPCS and ICD-10 code maintenance.
 
 
 
 
 
 Specific duties include, but are not limited to:
 
 <ul>
 <li>
 Collaborates with internal recipient and owner of initial review of codes to determine scope of changes for planning and timely completion.
 </li>
 <li>
 Receives listings of codes changes distributed to the Reference Administration and Medicaid Program staff for review and analysis.
 </li>
 <li>
 Serves as an approver within the code change / update process following the internal initiation of annual (and quarterly) updates from CMS of all ICD-10, CPT/HCPCS coding changes.
 </li>
 <li>
 Serves as lead for meetings with Agency personnel, stakeholders, and process owners.
 </li>
 <li>
 Serves as an agency subject matter expert (SME) for medical coding methodologies, Medicaid policy, and related topics.
 </li>
 <li>
 Researches business rules, requirements, and models to complete initial analysis and recommendations.
 </li>
 <li>
 Maintains business rules, requirements, and models in a repository.
 </li>
 <li>
 Collaborates with team to ensure process documentation is complete, owner and stakeholder, as needed, training content is complete and routinely updated.
 </li>
 <li>
 Participates in agency projects and related initiatives requiring subject matter expertise.
 </li>
 </ul>
 
 Other duties, as assigned or required.
 
 
 
 
 
 
 Required Skills (rank in order of Importance):
 
 
 
 
 
 <ul>
 <li>
 5 years&rsquo; experience in healthcare insurance; medical review, program integrity, or appeals.
 </li>
 <li>
 5 years&rsquo; experience working with IT developers/programmers in a payor environment.
 </li>
 <li>
 5 years&rsquo; experience Medical Coding in payer environment.
 </li>
 <li>
 3 years&rsquo; clinical experience in a healthcare environment (Strong clinical assessment and critical thinking skills.)
 </li>
 <li>
 5 years&rsquo; strong knowledge of ICD/CPT/HCPCS translation and coding methodologies.
 </li>
 </ul>
 
 
 
 
 
 Preferred Skills (rank in order of Importance):
 
 
 
 
 
 <ul>
 <li>
 5 years&rsquo; experience in policy remediation.
 </li>
 <li>
 5 years&rsquo; Medical Claim processing systems experience.
 </li>
 <li>
 Knowledge of Microsoft Office (Word, Excel, PowerPoint, Optum Encoder and / or other medical coding software programs).
 </li>
 </ul>
 
 
</div>

Clinical Data Analyst

Solventum

<div>Thank you for your interest in joining Solventum. Solventum is a new healthcare company with a long legacy of solving big challenges that improve lives and help healthcare professionals perform at their best. At Solventum, people are at the heart of every innovation we pursue. Guided by empathy, insight, and clinical intelligence, we collaborate with the best minds in healthcare to address our customers&rsquo; toughest challenges. While we continue updating the Solventum Careers Page and applicant materials, some documents may still reflect legacy branding. Please note that all listed roles are Solventum positions, and our Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/applicant-privacy/ applies to any personal information you submit. As it was with 3M, at Solventum all qualified applicants will receive consideration for employment without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Job Description:
3M Health Care is now Solventum
At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers&rsquo; toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.
We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.
The Impact You&rsquo;ll Make in this Role
At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers&rsquo; toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.
We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.
As an Analyst, Clinical Content Development, you will be responsible for developing, enhancing, and incorporating CPT-4, HCPCS and /or ICD-10-CM Computer Assisted Coding medical coding rules into the 360 Encompass and CodeAssist Solventum products. This role plays a critical part in ensuring compliance, accuracy, and value for our customers.<ul><li>
Fielding escalations from the Coding Analyst team with requests for Computer Assisted Coding (CAC) development or improvement</li><li>
Analyzing documentation from our customers to determine language patterns for CAC rules</li><li>
Deciding on the required elements for each coding rule and adding language evidence for these rules</li><li>
Using internal web tools to create and edit rules</li><li>
Following rigorous regression testing procedures</li><li>
Collaborate with other Computer Assisted Coding teams to ensure consistency of rules and approaches</li></ul>
Your Skills and Expertise
To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:
Bachelor&rsquo;s Degree or higher (completed and verified prior to start) from an accredited institution AND five (5) years of experience in Outpatient and ProFee coding or auditing (CPT-4, HCPCS, ICD-10-CM) in a private, public, government or military environment
 OR
High School Diploma/GED AND nine (9) years of experience in Outpatient and ProFee coding or auditing (CPT-4, HCPCS, ICD-10-CM) in a private, public, government or military environment 
AND
One of the following certifications: CPC, CCS, RHIA, RHIT, CHDA 
Additional qualifications that could help you succeed even further in this role include:<ul><li>
Experience writing Computer Assisted Coding rules for CPT-4, HCPCS or ICD-10-CM</li><li>
Bachelor&rsquo;s degree in Health Information Management or Nursing</li><li>
Extensive experience with coding audits</li><li>
Experience with outpatient coding (CPT/HCPCS)</li><li>
Working knowledge and understanding of compliant coding</li><li>
Excellent attention to detail, time management and organizational skills</li><li>
Proficiency in Microsoft Office applications (Excel, Teams, Word, PowerPoint) with strong analytical skills</li><li>
Capacity for effective collaboration both within the organization and with external customers</li></ul>
Travel: May include up to 5% domestic
Relocation Assistance: May be authorized 
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status). 
Supporting Your Well-being
Solventum offers many programs to help you live your best life &ndash; both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.
Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.
Applicable to US Applicants Only:The expected compensation range for this position is $96,000 - $132,000, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate&rsquo;s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental &amp; Vision, Health Savings Accounts, Health Care &amp; Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards 
Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.
Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.
Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.
Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.
Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.
Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.
Solventum Global Terms of Use and Privacy Statement 
Carefully read these Terms of Use before using this website. Your access to and use of this website and application for a job at Solventum are conditioned on your acceptance and compliance with these terms.
Please access the linked document by clicking here. Before submitting your application you will be asked to confirm your agreement with the 
terms.</div>

Computer Assisted Medical Coding Content Developer (Remote)

Arthur Lawrence

&quot;Medical Coder&quot; &ndash; Freestanding Emergency Room (FSER) RequiredDepartment: Precision Hub Industry: Revenue Cycle Management (RCM) Employment Type: Full-TimePosition Overview We are seeking detail-oriented and experienced &quot;Medical Coders&quot; with Freestanding Emergency Room (ER) experience to join our growing team. The ideal candidate will be responsible for reviewing and analyzing medical documentation, assigning accurate codes, and ensuring compliance with CMS regulations and payer guidelines.Key Responsibilities Review medical records and documentation for completeness and accuracy Assign appropriate ICD-10-CM, CPT, and HCPCS codes for FSER services Ensure compliance with CMS regulations and payer-specific guidelines Identify, investigate, and resolve coding discrepancies Support billing accuracy and optimal reimbursement Maintain productivity and quality standards Stay updated on coding regulations, industry changes, and compliance requirement.Qualifications Proven experience in Medical Coding, specifically Freestanding Emergency Room (ER) coding Strong understanding of CMS guidelines, payer policies, and audit/compliance processes Proficiency in ICD-10-CM, CPT, and HCPCS coding systems Excellent attention to detail and analytical skills Strong communication and problem-solving abilities Professional coding certification required (CPC, CCS, or equivalent preferred)Preferred Skills Experience working in an RCM environment Ability to manage high-volume coding tasks while maintaining accuracy Familiarity with coding audits and denial management.Benefits &amp; Perks IPD, OPD Health Coverage &amp; Life Insurance Monthly Performance Bonus Provident Fund &amp; EOBI Gym &amp; Transportation Allowance Casual, Sick &amp; U.S. Holidays Annual &amp; Paternity LeavesHow to Apply Interested candidates are encouraged to apply through Indeed or submit their CV to: sibgha.munis@arthurlawrence.netJob Type: Full-timeWork Location: In person

Medical Coder - Freestanding ER

Revmed

Job Title: Medical Coding Positions (Multiple Openings) Company: RevMed Location: 5th Road, Rawalpindi Job Type: Full-timeJob Description:RevMed is actively hiring experienced and skilled professionals for multiple positions in the Medical Coding department. We are looking for motivated individuals who can contribute to a fast-paced and performance-driven environment.Open Positions:<ul><li>Medical Coding Manager</li><li>Medical Coding Assistant Manager</li><li>Medical Coding Supervisor</li><li>Medical Coding Specialists</li></ul>Requirements:<ul><li>Relevant degree in Medical/Healthcare field</li><li>Minimum 3+ years of relevant experience (role-specific)</li><li>Strong knowledge of medical coding practices</li><li>Experience in multiple specialties will be preferred</li><li>Good communication and team management skills (for senior roles)</li></ul>What We Offer:<ul><li>Competitive salary package</li><li>Post-probation increment</li><li>Annual increment</li><li>Promotion-based increments</li><li>Monthly performance bonus</li><li>Family health insurance</li><li>Paid leaves &amp; leave encashment</li><li>Pick &amp; Drop facility (for female staff)</li></ul>Location:5th Road, RawalpindiHow to Apply:Interested candidates can send their CV via WhatsApp at: +92 311 0733046Note: Only shortlisted candidates will be contacted.Job Type: Full-timePay: Rs100,000.00 - Rs250,000.00 per monthWork Location: In person

Medical Coder

Henry Ford Health

<div><div>GENERAL SUMMARY:
Using established coding principles and procedures reviews analyzes and codes diagnostic and/or procedural information from the patient's medical record for reimbursement/billing purposes. Accurately abstracts information from the medical record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. 

<div>EDUCATION/EXPERIENCE REQUIRED:<ul><li>
High School Diploma or G.E.D. equivalent required.</li><li>
Additional specialty coding certification required or five (5) years coding experience.</li><li>
One to two (1-2) years college or additional coursework in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.</li><li>
Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.</li><li>
Minimum of two (2) years coding experience required. Specialty coding experience preferred.</li></ul>
CERTIFICATIONS/LICENSURES REQUIRED:<ul><li>
Certification as a Registered Health Information Technician (RHIT), CPC, or CCS certification required.</li></ul>
 </div></div><div><div><div><div><h4 class="jobSectionHeader">Additional Details</h4>
<div>
This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.</div>
</div>
</div></div><div><div><div><h4 class="jobSectionHeader">Overview</h4>
<div>
Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services &ndash; from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford&rsquo;s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation&rsquo;s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.</div>
</div>
</div></div><div><div><div><h4 class="jobSectionHeader">Benefits</h4><div> 
The health and overall well-being of our team members is our priority. That&rsquo;s why we offer support in the various components of our team&rsquo;s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.
</div></div></div></div><div><div><div><h4 class="jobSectionHeader">Equal Employment Opportunity/Affirmative Action Employer</h4>
<div>
 Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

 committed to the hiring, advancement and fair treatment of all individuals without regard to

 race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

 weight, marital status, family status, gender identity, sexual orientation, and genetic information,

 or any other protected status in accordance with applicable federal and state laws.</div></div></div></div></div></div>

Outpatient Complex Coder - Full Time Days - Remote - Michigan Residents

MyMichigan Health

<div>
 
 Summary
 
 
 
 The coding specialist, utilizing the clinical documentation management program and clinical knowledge, analyzes inpatient and outpatient medical records for completeness of documentation, contacting the appropriate provider for additional documentation if needed. Accurate diagnosis and procedure codes are then assigned based on the documentation in the medical record, which directly impacts the appropriate DRG assignment for reimbursement. Critical data elements are abstracted by the Coding specialist on all inpatient discharges. This information is used by the organization for decision making.
 
 
 
 Responsibilities
 
 
 
 
 (60%)*
 
 Assigns accurate ICD-CM diagnosis and procedure codes and CPT codes in a timely manner for all appropriate encounters and ensures appropriate DRG assignment based on the clinical documentation within the medical record by using CMS and American Hospital Guidelines and following AHIMA code of ethics.
 
 
 
 (30%)*
 
 Utilizes clinical knowledge to interact with the Clinical Documentation Specialists and physicians/providers on a daily basis to assist in improving documentation within the medical record; to accurately reflect the severity of illness and level of care provided.
 
 
 
 (10%)*
 
 Demonstrates willingness to participate in continuing education to enhance coding knowledge.
 
 
 
 Other Duties And Responsibilities
 
 
 
 Meets established productivity guidelines.
 
 
 Other duties as assigned.
 
 
 MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows.
 
 
 An employee may be required to participate in further learning opportunities offered by MyMichigan Health.
 
 
 Certifications and Licensures
 
 
 E/M CODER: CPC, CCS, CCSP, RHIT, OR RHIA
 
 
 Effective October 1, 2013, new hires must be RHIA or RHIT eligible and successfully complete the certification exam within six (6) months of hire and maintain the certification to meet the requirements of the position.
 
 
 FINGERPRIN: Fingerprinting
 
 
 Required Education
 
 
 Associates degree is required
 
 
 Other Information
 
 
 
 Experience, Training And Skills
 
 
 
 Coding experience from an AHIMA approved internship required or successfully completed an independent study program offered by AHIMA.
 
 
 Knowledge of medical terminology and anatomy.
 
 
 Written, oral, organizational and interpersonal skills needed to communicate successfully.
 
 
 
 Physical/Mental Requirements And Typical Working Conditions
 
 
 
 Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death.
 
 
 Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position.
 
 
 Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description.
 
 
 Overall vision and hearing is necessary with or without assisted device(s).
 
 
 Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching.
 
 
 Some exposure to blood borne pathogens and other potentially infectious material
 
 
 Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake.
 
 
 Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis.
 
 
 Physical Demand Level:
 
 Sedentary.
 
 Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.
</div>

Coder II

Seneca Nation Health System

<div>
 
 Benefits Include
 
 
 
 <ul>
 <li>
 Monday - Friday (No weekends and no holidays)
 </li>
 <li>
 Health, dental, and vision full coverage for individual
 </li>
 <li>
 Short term/long term disability options
 </li>
 <li>
 Vacation (annual) + PTO (accrued weekly)
 </li>
 <li>
 16 paid holidays in the calendar year
 </li>
 <li>
 401K - 5% matching
 </li>
 <li>
 Parental, medical, education, bereavement leaves and so much more!
 
 
 </li>
 </ul>
 
 Basic Function
 
 
 
 Incumbent reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid, and private insurance payments. Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines.
 
 
 
 General Responsibilities
 
 
 
 <ul>
 <li>
 Abstracts all necessary information and sequences and assigns codes (ICD-10, CPT, and HCPCS), which most accurately describe each documented diagnosis, surgical procedure and special therapy/procedure according to established guidelines, and to identify secondary complications and co-morbid conditions.
 </li>
 <li>
 Determines the final diagnoses and procedures as stated by the provider are valid and complete. Ensures documentation is complete to justify treatment and diagnoses.
 </li>
 <li>
 Quantitative analysis &ndash; Performs a comprehensive review for the record to ensure the presence of all component parts such as: patient and record identification, signatures and dates where required.
 </li>
 <li>
 Quantitative analysis &ndash; Evaluates the record for documentation consistency and adequacy. Ensures that final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established third party reimbursement agencies and special screening criteria.
 </li>
 <li>
 Analyzes documentation to ensure the appropriate evaluation and management (ER&amp;M) levels are assigned using the correct CPT code.
 </li>
 <li>
 Processes and accurately data enters assigned codes into the electronic health record and billing system; generates reports as needed to ensure completion. Follows up routinely on outstanding encounters that need to be coded.
 </li>
 <li>
 Conducts chart reviews and audits for documentation reviews and provides feedback and education to clinical providers and other staff.
 </li>
 <li>
 Serves as a coding subject-matter expert and provides answers to questions regarding coding and documentation.
 </li>
 <li>
 Queries providers when documentation and diagnoses need clarification.
 </li>
 <li>
 Attends mandatory staff meetings and in-services, including training to stay current in position and/or department.
 </li>
 <li>
 Participates in quality assurance/improvement/control activities.
 </li>
 <li>
 Follows all policies and procedures of the department, Seneca Nation, and Seneca Nation Health System.
 
 
 </li>
 </ul>
 
 Knowledge, Skills, &amp; Abilities
 
 
 
 <ul>
 <li>
 Advanced knowledge of diagnostic and procedural coding systems, medical terminology, abbreviations, minor medical procedures, anatomy and physiology, major disease processes, pharmacology, and the metric system.
 </li>
 <li>
 Knowledge of official coding conventions and rules established by American Medical Association (AMA), and Center for Medicare and Medicaid Services (CMS) for assignment of diagnostic and procedural codes.
 </li>
 <li>
 Knowledge of electronic health records systems.
 </li>
 <li>
 Knowledge of Microsoft Office Suite, specifically Word, Excel, and Power Point.
 </li>
 <li>
 Must have data entry skills.
 </li>
 <li>
 Excellent verbal and written communication skills.
 </li>
 <li>
 Knowledge of fiscal requirements, policy and procedures of federal, state, and tribal programs.
 </li>
 <li>
 Recognize and respect cultural diversity.
 </li>
 <li>
 Ability to prioritize and perform tasks.
 </li>
 <li>
 Ability to maintain confidentiality of all patient protected information.
 
 
 </li>
 </ul>
 
 Qualifications
 
 
 
 <ul>
 <li>
 Associate&rsquo;s Degree in Health Information Technology or Medical Coding.
 </li>
 <li>
 Two years&rsquo; experience using ICD-10, HCPCS, and CPT is required.
 </li>
 <li>
 Must possess and maintain current CPC, COC, CCS, CCS-P, CCA, RHIA, OR RHIT certification.
 </li>
 <li>
 Must possess and maintain a valid NYS driver&rsquo;s license.
 </li>
 <li>
 Experience in a large hospital, academic medical center, outpatient health care setting, or Indian Health Service (IHS)/tribal health, preferred.
 </li>
 </ul>
</div>

Certified Professional Coder

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