physician coder

ProMedica

<div>Location:
Remote - Ohio
Department:
HIM Revenue Cycle
Weekly Hours:
40
Status:
Full time
Shift:
Days (United States of America)
Job Summary:<div>
As a Coder at ProMedica, you are responsible for accurately coding diagnoses, procedures and other services to ensure medical records and billing are accurate.</div><div>
You will work with providers to ensure documentation is clear and complete and result in accurate coding. You will also review all claim edits and correct errors in a timely fashion.</div><div>
This role will code for practice and hospital charges for all departments supported by the Professional Billing Office.</div><div>
The above summary is intended to describe the general nature and level of work performed in this role. It should not be considered exhaustive.</div><div> 
REQUIREMENTS</div><div><ul><li>
High School diploma or equivalent</li><li>
Must be able to pass internal coding test. Proficient in ICD-10-CM, CPT and HCPCS coding.</li><li>
Minimum of 1 year of physician/professional coding experience in a health care system or medical office setting; or equivalent combination of education and experience.</li><li>
CPC, CCS-P, RHIT or RHIA certification required, or must obtain within 90-day probationary period.</li></ul></div><div> 
PREFERRED REQUIREMENTS</div><div><ul><li>
Knowledge of professional billing revenue cycle processes.</li><li>
Knowledge and experience with Epic and other coding applications.</li><li>
2+ years of physician/professional coding experience in a health care system or medical office setting.</li></ul>
Salary Range: $31,200 - $68,536
We offer a competitive benefits package with coverage effective day one of employment which includes medical, dental, vision, company paid life insurance, paid time off, a 401k retirement plan, an employee assistance program and other voluntary coverage options and employee discounts.</div>
ProMedica is a mission-driven, not-for-profit health care organization headquartered in Toledo, Ohio. It serves communities across nine states and provides a range of services, including acute and ambulatory care, a dental plan, and academic business lines. ProMedica owns and operates 10 hospitals and has an affiliated interest in one additional hospital. The organization employs over 1,300 health care providers through ProMedica Physicians and has more than 2,300 physicians and advanced practice providers with privileges. Committed to its mission of improving health and well-being, ProMedica has received national recognition for its clinical excellence and its initiatives to address social determinants of health. For more information about ProMedica, please visit promedica.org/aboutus.
Benefits:
We provide flexible benefits that include compensation and programs to help you take care of your family, your finances and your personal well-being. It&rsquo;s what makes us one of the best places to work, and helps our employees live and work to their fullest potential.
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org 
Equal Opportunity Employer/Drug-Free Workplace</div>

Coder - Remote

NMC Health plc

<div>Ensures proper coding of documents in accordance with the regulator&rsquo; coding guidelines and regulations.</div>
 <div><ul><li>Assigns accurate ICD-9 / ICD-10-CM / CPT / HCPCS / DRG codes for diagnoses and procedures based on documented clinical information.
</li><li>Ensures final diagnoses and operative procedures documented by physicians are valid and complete.
</li><li>Abstracts relevant information from health records to identify secondary complications and co-morbidities .
</li><li>Reviews medical records for documentation consistency and adequacy , ensuring diagnoses reflect the care provided.
</li><li>Computes and assigns correct DRG coding for all inpatient cases .
</li><li>Provides training and guidance to coders and Medical Records Technicians, including updates on coding standards and regulations.
</li><li>Analyzes physician documentation to ensure correct Evaluation &amp; Management (E&amp;M) level assignment using appropriate CPT codes.
</li><li>Ensures coding compliance with HAAD guidelines and regulatory requirements .
</li><li>Provides constructive feedback to physicians on coding discrepancies or documentation gaps.
</li><li>Keeps up to date with the latest coding systems, versions, and HAAD directives .
</li><li>Performs additional job-related duties as assigned.
</li><li>Undertakes any other responsibilities assigned by the Head of Department (HOD) within the job scope.
</li></ul>OSH &amp; Compliance Responsibilities:
<ul><li>Complies with all Occupational Safety &amp; Health (OSH) and infection control policies and procedures.
</li><li>Works in accordance with established OSH procedures and responsibilities .
</li><li>Maintains familiarity with emergency and evacuation procedures .
</li><li>Reports hazards, incidents, and near misses , and assists in risk assessments and incident reporting.
</li><li>Adheres to waste management policies and procedures .
</li><li>Participates in OSH and infection control training, mock drills, and awareness programs .
</li><li>Utilizes appropriate personal protective equipment (PPE) and safety systems.</li></ul></div>
 <div><ul><li>Bachelor&rsquo;s Degree in Allied Health Sciences or a related field.
</li><li>Minimum 2 years of coding experience .
</li><li>Valid certification:
<ul><li>Certified Coding Associate (CCA) &ndash; AHIMA, or
</li><li>Certified Professional Coder (CPC) &ndash; AAPC.
</li></ul></li><li>Proficient in computer applications , including MS Office.
</li><li>Excellent oral and written communication skills in English.
</li></ul>Performance Criteria:
<ul><li>Achieves core objectives aligned with management and stakeholder expectations .
</li><li>Demonstrates ability to work collaboratively and maintain professional interactions .
</li><li>Effectively manages multiple tasks , adapts to changing priorities, and meets deadlines.</li></ul></div>

IP Medical Coder

<div>Ensures proper coding of documents in accordance with the regulator&rsquo; coding guidelines and regulations.</div>
 <div><ul><li>The incumbent checks and sequences the most accurate ICD-9/ ICD10-CM/CPT/HCPCS/DRG/Other codes for diagnoses and procedures for documented information. Assures the final diagnoses and operative procedures as stated by the physician are valid and complete.
</li><li>Abstracts all necessary information from health records to identify secondary complications and co-morbid conditions.
</li><li>Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Computes and gives the correct DRG coding all inpatients cases.
</li><li>Providing training and guiding other coders / Medical Records Technicians in coding, updating them with new coding rules and regulations as and when it is necessary.
</li><li>Analyzes doctors&rsquo; documentation to assure the appropriate Evaluation and Management (E&amp;M) levels are assigned using the correct CPT code.
</li><li>Ensures coding is as per HAAD guidelines and regulations.
</li><li>Provides feedback to Doctors regarding coding errors or oversights.
</li><li>Constantly updates to the latest coding versions and HAAD coding directives.
</li><li>Performs miscellaneous job-related duties as assigned.
</li><li>Performs any other jobs or duties assigned by the HOD from time to time within the scope of job title.
</li><li>Comply with all OSH and infection control policies, standards and procedures and cooperate with hospital management to comply those requirements.
</li><li>Work accordance with the documented OSH procedures and instructions, specific responsibilities.
</li><li>Be familiar with emergency and evacuation procedures.
</li><li>Notifying OSH Hazards, incidents, Near misses and issues and assistance with the preparation of risk assessments, incident reports.
</li><li>Comply with Waste management procedures and policies.
</li><li>Attend applicable OSH/Infection control training programs, mock drills and awareness programs.
</li><li>Use of appropriate personal protective equipment and safety systems.</li></ul></div>
 <div><ul><li>A graduate of Bachelor&rsquo;s Degree in Allied Health Sciences or related areas with at least two (2) years of coding experience with valid Certified Coding Associate (CCA) certification from American Health Information Management Association (AHIMA) or Certified Professional Coder (CPC) certification from American Academy of Professional Coders (AAPC).
</li><li>Computer Literacy, MS Office.
</li><li>Excellent command of oral and written English.
</li></ul>Performance Criteria:
<ul><li>Achievement of Core objectives in line with the expectations of the Management and stakeholders.
</li><li>Ability to work constructively and interact professionally with others.
</li><li>Ability to coordinate multiple task, adjust to changing priorities and work within deadlines.</li></ul></div>

OP Medical Coder

Trinity Health

Employment Type: 
Full time
 
Shift: 
Day Shift
 
Description: 
Highlights: 
<ul>
<li>Full-time role in a fast-paced professional central billing environment.</li>
<li>Remote position</li>
</ul>
The Professional Office coder will review all assigned charge review errors and claim edits, ensuring correct charge capture and coding with proper ICD-10,CPT, HCPCS codes, as well as proper modifiers, adhering to local ministry and Trinity practices and policies. May require analyzing medical documentation to verify principle and secondary diagnoses and procedures; assigning diagnostic codes, procedural codes and modifiers using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS); performing data entry to capture charges not submitted by provider. and performing discrepancy resolution. Serves as a liaison between Centralized Coding/Revenue Site Operations and clinical sites/departments. Assists in orienting and training new employees in the coding and charge capture area as well as cross-training established coders innew specialties.
 
Minimum qualifications: 
<ul>
<li>CPC, CPC-A , CCS, or CCS-P Certified</li>
<li>One to three years of experience in a medical office coding setting</li>
</ul>
What the professional office coder will do: 
<ul>
<li>Reviews encounter forms or EHR for completion and accuracy, including ICD-10, ICD9CM, CPT and HCPCS modifier assignment.</li>
<li>Understands Nextgen EHR for charge passing position, reviews chart for missing items. Uses tasking for missing information.</li>
<li>Researches all information needed to complete billing process.</li>
<li>Reads and understands operative reports and other medical records, assigns codes from review of these records procedures from notes.</li>
<li>Performs accurate data entry from encounter form.</li>
<li>Performs claim correction process and properly submits per payer request.</li>
<li>Follows daily, weekly& monthly audit reports - charge review, edits, missing charges.</li>
<li>Resolves coding discrepancies related to coding and revenue capture.</li>
</ul>
Our Commitment
 
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Professional Office Coder

Sturdy Health

<div>
 Responsible for collecting, coding and recording accurate and complete patient care data from outpatient accounts to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines.
 
 
 Responsible for collecting, coding and recording accurate and complete patient care data from outpatient accounts to assure optimum and timely financial reimbursement and statistical reporting. Applies knowledge of specialized information specific to coding, medical terminology according to all coding guidelines.
 
 
 
 Required Skills/Qualifications/Training/Experience
 
 
 
 <ul>
 <li>
 Self-starter with a strong sense of ownership and the ability to work independently on assigned tasks as warranted and appropriate
 </li>
 <li>
 Proficiency in technology usage, experience in Cerner and 3M 360 a plus.
 </li>
 <li>
 Knowledge of anatomy, physiology, and pathology of disease processes and medical terminology.
 </li>
 <li>
 Knowledge of ICD-10CM and ICD-10-PCS, CPT coding systems, guidelines, and conventions; familiarity with UHDDS definitions and Coding Clinic
 </li>
 <li>
 Organized, flexible, highly motivated, current with changing regulations and guidelines, insurance billing requirements, annual coding updates and internal data needs; general knowledge of medical record department functions, organization of the medical record as a clinical, legal and financial document; ability to interact with co-workers and physicians to resolve coding, documentation and work-flow issues.
 </li>
 <li>
 Responsible for safeguarding patient records and ensuring compliance with HIPAA standards.
 </li>
 <li>
 Coding Certification is required.
 
 
 </li>
 </ul>
 
 Preferred Skills/Qualifications/Training/Experience
 
 
 
 <ul>
 <li>
 Experience in Cerner and 3M 360 a plus.
 </li>
 <li>
 Entry-level position, some experience desirable but not necessary.
 </li>
 <li>
 </li>
 <li>
 This position offers the opportunity for growth.
 
 
 </li>
 </ul>
 
 Educational Requirements
 
 
 
 Associates or Bachelor&rsquo;s Degree preferred. Approved Coding Course completion.
 
 
 
 License/Certification
 
 
 
 <ul>
 <li>
 CCS ( Certified Coding Specialist)
 </li>
 <li>
 CCA (Certified Coding Associate)
 </li>
 <li>
 CPC (Certified Professional Coder)
 </li>
 <li>
 RHIA (Registered Health Information Administrator)
 </li>
 <li>
 RHIT (Registered Health Information Technician)
 
 
 </li>
 </ul>
 
 Age Specific Criteria:
 
 Ability to effectively communicate to all age levels served within the scope of the position/assigned areas.
 
 
 
 Ability to Meet Job Performance Expectations:
 
 Must have the ability to perform the essential functions of the position without posing a direct threat to the health and safety of themselves or other individuals in the workplace, with or without a reasonable accommodation.
 
 
 Salary Range:$25.16-$38.42
 
 
 Sturdy Memorial Hospital is an equal employment opportunity employer. There is no discrimination because of race, color, creed, age, gender, sexual orientation, national origin, veteran status or disability.
</div>

Coder Abstractor-Outpatient/Entry Level

Atrium Health

<div>Department:
13376 Enterprise Revenue Cycle - Individualized Clinician Services Primary Care and Medical Specialties 
Status:
Full time 
Benefits Eligible:
Yes 
Hours Per Week:
40 
Schedule Details/Additional Information:
Will support:
<ul><li>Primary Care Southeast region</li></ul>
Schedule:
<ul><li>Monday - Friday 1st shift 40 hours a week EST .</li></ul>
Certification Required:
<ul><li>AHIMA RHIA or</li><li>
AHIMA RHIT, or</li><li>
AHIMA CCS or</li><li>
AHIMA CCS-P or</li><li>
AAPC (CPC)</li><li>
Additional specialty credential preferred.</li></ul>
Remote opportunity:
Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY
Pay Range
$35.50 - $53.25 
Major Responsibilities:<ul><li>
Deliver proactive coding education through newsletters, scorecards, and presentations, covering CPT (E&amp;M, modifiers), ICD-10-CM, HCPCS, Risk Adjustment, payer requirements, and rejection resolutions.</li><li>
Lead onboarding and compliance training for all employed Physicians/APPs, including Locum Tenens, residents, and students, ensuring documentation accuracy from the start.</li><li>
Provide individualized documentation feedback by reviewing new clinician records and conducting spot checks, escalating non-coding issues to appropriate teams.</li><li>
Serve as the primary contact for coding inquiries, coordinating with internal teams to resolve complex issues such as NCCI bundling and high-complexity charge edits.</li><li>
Monitor Epic work queues (charge review, follow-up, claim edit) to ensure timely and accurate charge submissions and reduce claim denials.</li><li>
Collaborate across departments&mdash;including CMOs, Clinical Informatics, Risk Adjustment, and Population Health&mdash;to enhance documentation practices and system optimization.</li><li>
Participate in specialty and department meetings, identifying trends and delivering targeted education to improve coding and documentation accuracy.</li><li>
Refine Epic documentation tools, including templates, order entries, diagnosis lists, and SmartSets/SmartPhrases, to improve efficiency and accuracy.</li><li>
Ensure compliance with regulatory standards, including Medicare, Medicaid, and AHIMA&rsquo;s Standards of Ethical Coding, while maintaining expert knowledge of evolving policies.</li><li>
Promote a culture of ethical coding and continuous improvement, supporting clinicians with timely updates, feedback, and education to ensure accurate reimbursement and compliance.</li></ul>
Licensure, Registration, and/or Certification Required:<ul><li>
Registered Health Information Administrator (RHIA) or</li><li>
Registered Health Information Technician (RHIT) certification, or</li><li>
Coding Specialist (CCS) certification, or Coding Specialist &ndash;Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA) or</li><li>
Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC).</li><li>
Additional specialty credential preferred.</li></ul>
Education Required:<ul><li>
Completion of advanced training through a recognized or accredited program, equivalent in scope and rigor to post-secondary education or equivalent knowledge. High school diploma or GED required.</li></ul>
Experience Required:<ul><li>
Typically requires 4 years of experience in expert-level professional coding.</li></ul>
Knowledge, Skills &amp; Abilities Required:<ul><li>
Advanced Coding Expertise: In-depth knowledge of ICD, CPT, and HCPCS coding guidelines, ensuring accurate and compliant coding practices.</li><li>
Medical Terminology &amp; Anatomy: Strong understanding of medical terminology, anatomy, and physiology to support precise code assignment.</li><li>
Epic &amp; Reporting Solutions: Advanced knowledge of Epic and other reporting tools to analyze data, generate reports, and optimize workflow efficiencies.</li><li>
Critical Thinking &amp; Analytical Skills: Highly proficient in problem-solving and analytical thinking with strong attention to detail.</li><li>
Interpersonal Communication: Excellent verbal and written communication skills, with the ability to educate and collaborate effectively with physicians, APCs, clinical leadership, and coding teams.</li><li>
Advanced Computer Skills: Proficiency in Microsoft Office Suite, electronic coding applications, and email communication.</li><li>
Organizational &amp; Prioritization Skills: Ability to efficiently manage multiple tasks, set priorities, and meet deadlines in a fast-paced environment.</li><li>
Independent Decision-Making: Ability to work independently, exercise sound judgment, and make informed decisions regarding coding and compliance.</li><li>
Collaboration &amp; Initiative: Strong ability to take initiative, contribute to process improvements, and work collaboratively within a team environment.</li></ul>
Physical Requirements and Working Conditions:<ul><li>
Follow organizational and divisional remote work policy and guidelines.</li><li>
Operates all equipment necessary to perform the job.
</li><li>Handles a fast paced and creative work environment moving independently from one task to another.</li><li>
Makes sound decisions within limited time frames and always conducts business in a professional manner and has demonstrates ability to work cooperatively and effectively with others on an individual and team basis.</li></ul>
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
#REMOTE
#LI-REMOTE
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:
Compensation<ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul>
Benefits and more<ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul> 
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
The Clinician Coding Liaison is a remote role serving as a key resource for clinicians in their coding and documentation education, trend analysis, and issue resolution. This position collaborates with Chief Medical Officers (CMOs), operational leaders, and Physician Billing (PB) coding leadership to address coding challenges, identify payer-specific trends, and ensure compliance with evolving regulations. Responsibilities include providing proactive education and feedback to Advocate Health (AH) employed Physicians, Advanced Practice Professionals (APPs), and Medical Group and Clinic Leadership to enhance documentation accuracy, charge capture, and compliance. Acting as the primary point of contact for coding and documentation inquiries, this role triages issues, identifies root causes, and facilitates problem resolution in partnership with relevant teams. Additionally, the liaison works closely with Clinician Coding Liaison team members, Production Coding, and Coding Support teams to improve coding accuracy, documentation specificity, and overall billing practices while monitoring payer-specific rules and coverage trends. For the purposes of this role, the term &quot;Clinicians&quot; refers to all billing providers</div>

Clinician Coding Liaison - Primary Care

Adventist Health

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

Sr. Certified Coder

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