The CERIS Certified Coder reverse codes previously coded medical bills to determine coding accuracy. This role is responsible for making claim-related recommendations and communicating status of the claim to involved stakeholders. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES
Overview Join our dynamic OB- GYN Team as a Certified Billing & Coder, where your expertise will drive accurate medical billing and coding processes that ensure seamless reimbursement and compliance. In this vital role, you'll leverage your knowledge of medical terminology, coding systems, and b
At Palm Primary Care (PPC) our patients have the peace of mind knowing that their health and well-being are our primary concerns. We give our health plan clients the confidence that their members are well taken care of. With more than 24,000 at-risk members, we provide primary care and other service
A company is looking for a Certified Coder CPC, CSS (Remote). Key Responsibilities Conducts ongoing member medical chart reviews and accurately abstracts ICD-10 and CPT codes Documents findings from chart reviews and provides feedback to leadership and providers Facilitates training and education fo
A company is looking for a Certified Coder (Remote) - Orthopedic Surgery. Key Responsibilities Review medical records to identify relevant facts for coding diagnoses and procedures Code evaluation and management using appropriate CPT and ICD-10 codes Assist coders and physicians with documentation r
A company is looking for a Hospital Surgery/Observation Coder. Key Responsibilities Code and abstract outpatient records for data retrieval, analysis, reimbursement, and research Utilize the 3M encoder to enter diagnostic and procedure codes into a designated coding system Meet quality and productiv
A company is looking for a Medical Coder II/III. Key Responsibilities Serve as a Subject Matter Expert on medical coding and billing across assigned service lines Analyze and document customers' coding practices and workflows to facilitate optimal use of the product Assist with Coding Quality Assess
A company is looking for an IT Surgical Coder II for an initial 6-month contract. Key Responsibilities Codes major surgeries, focusing on complex cases Compiles and maintains medical records to document patient conditions and treatments Checks medical records for completeness and abstracts clinical
A company is looking for a Senior Cardiology Coder (Remote). Key Responsibilities Code procedures and enter charges in compliance with regulations and policies Coordinate with Practice Coordinator and Revenue Integrity to ensure proper documentation for coding Participate in audits to evaluate codin
A company is looking for a Senior Cardiology Coder (Remote). Key Responsibilities Code procedures and enter charges in compliance with regulations and policies Coordinate with Practice Coordinator and Revenue Integrity to ensure proper documentation for coding Participate in audits to evaluate codin
A company is looking for a Professional Coder III - Pediatric Hospitalist. Key Responsibilities Timely and accurate coding of hospital-based professional services by reading medical record documentation Maintain current knowledge of coding guidelines and regulations through professional literature a
A company is looking for an IT Surgical Coder II for an initial 6-month contract. Key Responsibilities Codes major surgeries, focusing on complex cases Compiles and maintains medical records to document patient conditions and treatments Checks medical records for completeness and abstracts clinical
A company is looking for a HIM Facility Outpatient Coder III - PRN. Key Responsibilities Reviews work queue assignments and prioritizes coding tasks to meet revenue cycle goals Assigns and sequences diagnosis and procedure codes according to official coding guidelines Initiates physician queries and
A company is looking for a National Director, Risk Adjustment. Key Responsibilities Collaborate with Market and Provider Leadership to identify and implement initiatives for improving coding performance Manage projects related to complete and accurate coding, including vendor assessment and clinicia
A company is looking for an Ambulatory Coder Denials III, FT, Days, - Remote. Key Responsibilities Validate coding and facilitate the appeals process for denied professional service claims Communicate with providers regarding coding denial issues and ensure documentation supports coding for appeals
A company is looking for a Medical Policy & Coding Support Coordinator. Key Responsibilities Support Medical Policy Team operations, including managing production timelines and filing external appeals Perform coding analyses and generate reports to recommend updates to medical policies Participate i
A company is looking for a Coding Specialist III. Key Responsibilities Assigns ICD-10-CM and PCS codes for inpatient visits and codes for physician visits at high quality levels Validates MS-DRG or APC assignments and abstracts clinical data Mitigates coding-related claims scrubber edits and partici
A company is looking for an Inpatient Coder, responsible for accurately coding inpatient accounts and maintaining coding standards. Key Responsibilities Assign appropriate ICD-10-CM/PCS codes to inpatient accounts following established guidelines Abstract and enter coded data for hospital statistica
A company is looking for an Inpatient Coder, responsible for accurately coding inpatient accounts and maintaining coding standards. Key Responsibilities Assign appropriate ICD-10-CM/PCS codes to inpatient accounts following established guidelines Abstract and enter coded data for hospital statistica
A company is looking for a Cardiothoracic Surgery Coder-Physician Charges. Key Responsibilities Code Cardiothoracic Surgery physician charges Communicate coding rationale to physicians Code inpatient and outpatient Cardiothoracic charges Required Qualifications 3+ years of surgical coding with E/M e
We are hiring a part-time Medical Coder to assign procedure and diagnosis codes for insurance billing, review claims data, research and correspond with insurance companies in an effort to obtain accurate reimbursement for healthcare claims. Responsibilities Utilize specialized medical classification
Advantia is seeking a Certified Professional Coder to join our team! The ideal candidate will have a strong background in medical coding, attention to detail, and the ability to lead and mentor a team of Medical Billers. This role is critical in ensuring accurate and efficient coding practices, comp
Submission Requirements AAPC certificate required; MUST be CPC, CPC-H and/or COC - REQUIRED Must have graduated from an approved coding program or health information management program - REQUIRED Proficiency in AT LEAST 3 of the following: Specialty Clinics (Med Spec Inject, Anticoag Management, Nut
A company is looking for a Medical Records Technician (Coder-Inpatient). Key Responsibilities Assign codes to patient care encounters and select from various coding systems Identify principal diagnoses and procedures for inpatient discharges and ensure accurate coding for reimbursement Conduct revie
Job Description REMOTE position WebEx video interview will be conducted prior to an offer MUST be able to work 40 hrs/week without issue Applicant must have the necessary equipment for the contract; 2 monitors, keyboard, mouse, web camera. If not, Agency must supply ahead of start date. Knowledge an
A company is looking for an Inpatient Clinical Coder to ensure accurate claims processing and compliance within the healthcare system. Key Responsibilities Review claims for DRG related issues to drive accurate payments to providers Identify overpayments to ensure correct claims payments on inpatien
A company is looking for an Outpatient Facility Coder (Same Day Surgeries). Key Responsibilities Accurately assign ICD-10-CM and PCS codes for inpatient visits and DRG assignments Assign modifiers and CPT codes for outpatient coding and procedures Create compliant physician queries and review claims
A company is looking for a Coder to manage chart abstraction, vendor auditing, and reporting in compliance with regulations. Key Responsibilities Perform code abstraction and coding quality audits to ensure accurate ICD-10-CM code assignment Maintain knowledge of coding guidelines and regulations wh
A company is looking for a Medical Records Technician (Coder-Inpatient). Key Responsibilities Assign codes to patient care encounters and select from various coding systems Identify principal diagnoses and procedures for inpatient discharges and ensure accurate coding for reimbursement Conduct revie