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Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Responsible for accurately transposing and reconciling clinical documentation from the EMR into the payer specific systems to provide information for proper risk adjustment of patients and increase revenue to the health plans and internal organization.

Temple Health

Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.)

Temple Health Jobs

FEED

Department: QUALITY | Reports to: CHIEF COMPLIANCE & QUALITY OFFICER | Supervision Exercised: QUALITY STAFF OVERSIGHT Job Purpose: Director of Quality and Risk Adjustment The Director of Quality and Risk Adjustment provides strategic leadership for the development, implementation, oversight, and continuous improvement of organizational quality, risk adjustment, population health, and performance improvement programs. The Director collaborates with leadership, providers, and cross-functional teams to improve member outcomes, support value-based care initiatives, enhance revenue integrity, and drive organizational performance through data-informed decision making.

Advanced Health

Director of Medicaid Risk Adjustment & Quality

Demonstrated ability to effectively work within a team environment, using excellent written, verbal, and presentation skills to share audit findings, risk areas, and compliance issues with coders, office managers, physicians, etc. Educate and support physicians and PB coders in accurate, complete, and compliant clinical documentation and coding practices by interpreting patient medical records, provide targeted feedback, and promote adherence to regulatory guidelines resulting in appropriate reimbursement.

The Christ Hospital Health Network

TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days

The Christ Hospital

The Facility Biller & AR Specialist will review coding, correct and submit front-end rejections from the clearing house, review rejections from third party payers, along with analyzing and monitoring any aged accounts receivables through identifying areas of concern by age, category, payer, provider specialty, and facility to order to resolve claim issues and resubmit in a timely manner. We are seeking a motivated individual who is detail oriented and takes a collaborative team approach to problem solving, the Facility Biller & AR Specialist performs the day-to-day billing and follow-up activities concerning facility claims for multiple locations, and specialties.

Insight

Facility Biller

FULL_TIME

The Pre-Certification Specialist is responsible for obtaining prior authorizations and pre-certification approvals from insurance carriers to ensure timely access to medically necessary services, procedures, medications, diagnostic testing, and specialty treatments. Maintain working knowledge of CPT, ICD-10, and HCPCS coding , with preferred experience interpreting CPT codes related to spinal and joint injection procedures .

Rehabilitation and Neurological Service, LLC

Pre-Certification Specialist

Responsible for overseeing the coding and analysis of the diseases and surgical procedures after discharge for statistical and reimbursement purposes for services, evaluation, and management codes, as well as analysis of data from the medical record for challenges to insurance reviewers and payers, and patients to resolve low payments and offer appeals to overturn payment denials. Utilizes multiple coding and payer regulations, directions, and guidelines to ensure and facilitate accurate coding and sequencing of diagnoses and procedures by following the fiscal intermediary guidelines to ensure maximum reimbursement for services rendered.

HOUR

Billings Clinic

Coding Resources Coordinator

PART_TIME

Verifies patient coverage and demographic information, draws conclusions, and corrects billing errors or other Claim issues. Post charges into billing system within 24-48 hours and completes other billing functions under direction of supervisor.

0635-Big Bend Medical Group

Certified Professional Coder

Our offices in South San Francisco and Indianapolis have been awarded with Top Workplaces honors by The Bay Area News Group and the Indy Star, since 2016 (the Top Workplaces honors are based solely on the results of an employee feedback survey by a leading research firm that specializes in organizational health and workplace improvement). Join the healthcare information technology team that's turning drug and medical device data into knowledge used by thousands of hospitals; the majority of U.S. health plans, retail pharmacies, and pharmacy benefit managers; and millions of healthcare decision makers throughout the world.

YEAR

Hearst Communications Inc

Medical Device Coder

Work with the Clinical Documentation Specialists on concurrent coding to generate the working Diagnosis Related Group (DRG), Geometric Mean Length of Stay (GMLOS), and provide information to the Coding Sequence (CDS) when a query needs to be generated from a coding or clinical clarity perspective. Work with the Clinical Documentation Specialists to generate compliant queries to send to the physicians when documentation needs further clarification to ensure clear compliant documentation and maximum reimbursement.

Nebraska Methodist Health System

Hospital Inpatient Coder

Maintain a working knowledge, and stay abreast of, CPT-4, ICD-10, HCPCS coding principles, modifier usage, medical terminology, governmental regulations, protocols and third party payer requirements pertaining to billing, coding and documentation. Impact - TOA's team members use our careers — whether in our clinics or our business office to make a positive difference in the community by building relationships and helping patients live their best life.

TOA Middle

Certified Coder

Work Experience 3 years of professional coding experience across multiple physician specialties, including but not limited to Radiology, Surgery, Cardiology, Orthopedics, Neurology, Hospital Medicine, Internal Medicine, Behavioral Health, Pediatrics, Women's Services, Oncology, Gastroenterology, Urology, and other specialty practices Required. Responsibilities: Reviews, analyzes, and codes medical record documentation to include, but not limited to, medical diagnostic and complex procedural information for various medical and surgical subspecialties for the correct ICD-10, CPT, Modifiers and/or HCPCS codes to the greatest specificity.

Piedmont Healthcare Inc.

Specialty Coder - PHYS

[AW]-iCims

Principal Duties and Responsibilities: Provides anesthesiology services within the Hospital, including pre-operative review of patients and provision of anesthetics in all procedural areas (including operative rooms, interventional radiology, endoscopy units, and Labor and Delivery) in a care team model. Monitors patients' responses including skin color, pupil dilation, pulse, heart rate, blood pressure, respiration, ventilation, or urine output using invasive and noninvasive techniques.

Greater Baltimore Medical Center

Certified Registered Nurse Anesthetist

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The University of California, San Francisco (UCSF) is a leading university dedicated to promoting health worldwide through advanced biomedical research, graduate-level education in the life sciences and health professions, and excellence in patient care. Ability to successfully complete required UCSF Medical Center computer systems training and UCSF coding and billing application training, which may include off-site billing systems from partner hospitals.

UCSF Medical Center

Senior Professional Fee Coding Specialist

Interpret medical documentation ensure accuracy of billed services IE: CPT, HCPCs codes. Qualifications and Experience: 3-5 years experience conducting code reviews; specifically NJ / NY PIP fee schedules.

CirrusLabs

Remote Certified Professional Coder/ PIP Adjuster

At NorthBay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. Specialty Requirement: While experience across all specialties is ideal, candidates must have experience in a minimum of two of the following: Podiatry, Otolaryngology, OB-GYN, Orthopedics, Neurosurgery, Urology, Vascular, Cardiology, Interventional Radiology, Gastroenterology/GI Endoscopies, or Cardiothoracic Surgery.

Northbay Healthcare

Professional Surgical Coder II (Onsite, Hybrid, Remote)

Ongoing Training & Support: Weekly team meetings, regular feedback, and tools like Encoder Pro ensure you have everything you need to succeed. Ogden Clinic offers a competitive pay and benefits package for full-time employees, including: Medical (with a partially company-funded HSA and in-house discount plan).

Ogden Clinic Professional Corp

Certified Coder -Administrative Services East

Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels). The Professional Physician Coder II accurately and efficiently accesses wide range primary care and specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.

Cone Health

Professional Coder II

Codes diagnosis, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs with International Classification of Diseases (ICD-10), Current Procedural Terminology (CPT), Heath Care Financing Administration Common Procedure Coding Systems (HCPCS–all levels). The Professional Physician Coder III accurately and efficiently accesses wide range complex, specialty physician billing and Health Information Systems to secure and gather all necessary records to accurately code and bill professional physician and/or physician extender (mid-level) services.

Professional Physician Coder III

At Northbay, the Professional Surgical Coder will play a crucial role in accurately translating medical procedures and diagnoses into ICD 10, CPT and HCPCS codes in an accurate and timely manner for professional surgery charges in the outpatient and inpatient settings. Demonstrated knowledge of anatomy and physiology, medical terminology, disease process, reimbursement methodologies (DRGs, HCCs, APCs), and the conventions, rules and guidelines for current coding classification (ICD10-CM, CPT and HCPCS).

Professional Surgical Coder (On-Site/Hybrid/Remote)

Ansible Government Solutions, LLC (Ansible) is seeking multiple Medical Records Technicians (Coders) to work with us in support of the VA Northeast Ohio Healthcare System (Cleveland VA Medical Center, Wade Park Campus) located at 10701 East Blvd, Cleveland, OH 44106. Perform coding of inpatient, outpatient, surgery, prosthetics, diagnostic testing, endoscopy, and professional services encounters.

Certified Professional Coder Jobs in the United States

Clinical Documentation Specialist (40 hrs/Temple Physicians Inc.) Temple Health

Director of Medicaid Risk Adjustment & Quality Advanced Health

TCHP Coding Educator - CBO Phys Div Coding - Full Time - Days The Christ Hospital Health Network

Facility Biller Insight

Pre-Certification Specialist Rehabilitation and Neurological Service, LLC

Coding Resources Coordinator Billings Clinic

Certified Professional Coder 0635-Big Bend Medical Group

Medical Device Coder Hearst Communications Inc

Hospital Inpatient Coder Nebraska Methodist Health System

Certified Coder TOA Middle

Specialty Coder - PHYS Piedmont Healthcare Inc.

Certified Registered Nurse Anesthetist Greater Baltimore Medical Center

Senior Professional Fee Coding Specialist UCSF Medical Center

Remote Certified Professional Coder/ PIP Adjuster CirrusLabs

Professional Surgical Coder II (Onsite, Hybrid, Remote) Northbay Healthcare

Certified Coder -Administrative Services East Ogden Clinic Professional Corp

Professional Coder II Cone Health

Professional Physician Coder III Cone Health

Professional Surgical Coder (On-Site/Hybrid/Remote) Northbay Healthcare

Medical Records Technician (Coder) Ansible Government Solutions

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