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FEED

Together, we deliver superior patient care, advance new discoveries and treatments through pediatric research, and serve as the pediatric and adolescent, academic medical center for Washington, Alaska, Montana and Idaho - the largest region of any children's hospital in the country. Seattle Children's welcomes people of all experiences, backgrounds, and thoughts as this is what drives our spirit of inquiry and allows us to better connect with our patients and families.

HOUR

Seattle Children's Hospital Research and Foundation

Professional Fee Coder

GS-9 Experience Requirement: In addition to the basic requirements, you must possess the following: One year of creditable experience equivalent to the journey grade level (GS-8) of a MRT (Coder-Outpatient and Inpatient); OR, An associates degree or higher and three years of experience in clinical documentation improvement (candidates must also have successfully completed coursework in medical terminology, anatomy and physiology, medical coding, and introduction to health records); OR, Mastery level certification through AHIMA or AAPC and two years of experience in clinical documentation improvement; OR, Clinical experience, such as Registered Nurse (RN), Medical Doctor (M.D.), or Doctor of Osteopathy (DO), and one year of experience in clinical documentation improvement. The Medical Records Technician (Clinical Documentation Improvement Specialist) (CDIS) is located within the Health Information Management Section (HIMS) of the Business Operations Service (BOS) at the Kansas City VA Medical Center (KCVAMC).Incumbent provides quantitative and qualitative review and analysis of medical records and encounter forms of both inpatient and outpatient encounters to ensure all diagnoses and conditions for which care is being rendered are documented by the provider in the proper sequence, and procedures have been documented and/or evaluation and management services.

YEAR

U.S. Department of Veterans Affairs

Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient))

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

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

REQUIRED LICENSES, CERTIFICATES, REGISTRATIONS: CERTIFIED PROFESSIONAL CODER (CPC), CERTIFIED OUTPATIENT CODER (COC), CERTIFIED CODING SPECIALIST (CCS) OR CERTIFIED CODING ASSOCIATE (CCA). Under the direction of the Revenue Integrity Manager, the Revenue Integrity Analyst will assist with chargemaster (CDM) integrity, code assignment, claim editing, the development, training and education of process flows that reflect best practices and supports our vision.

Sinai Health System Inc

SINAI CHICAGO REVENUE INTEGRITY ANALYST

Standing: Continuous, Sitting: Continuous, Walking: Continuous, climbing stairs: Infrequent, working indoors: Continuous, working outdoors (temperature extremes): Infrequent, working from elevated areas: Frequent, working in confined/cramped spaces: Frequent, Kneeling: Infrequent, bending at the waist: Continuous, Twisting at the waist: Frequent, Squatting: Frequent. Pinching operations: Frequent, Gross motor use (fingers/hands): Continuous, Firm grasping (fingers/hands): Continuous, Fine manipulation (fingers/hands): Continuous, reaching overhead: Frequent, Reaching in all directions: Continuous, Repetitive motion (hands/wrists/elbows/shoulders): Continuous, Full use of both legs: Continuous, Balance & coordination (lower extremities): Frequent.

MUSC

Outpatient (RN) CDI Specialist

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FULL_TIME

You will work as part of the BerryDunn Program Integrity team, and work closely with MQD Program Integrity staff, audit and TPL specialists, data analysts, compliance staff, vendor partners, and other workstream members to help identify risks, interpret policy, improve internal controls, escalate issues for leadership, and support recovery efforts. You Will: Conduct detailed reviews of Medicaid claims and related provider, member, eligibility, financial, and operational data to identify, document, and escalate potential fraud, waste, abuse, improper payments, compliance issues, and operational risks.

BerryDunn

Medicaid Program Integrity Senior Consultant

[AW]-iCims

The Risk Adjustment Coding Auditor is responsible for conducting retrospective and prospective coding audits, diagnosis validation reviews, provider documentation assessments, and compliance monitoring activities to support accurate Medicare Advantage risk adjustment reporting and CMS audit readiness. The position supports enterprise risk adjustment initiatives through audit activities, RADV preparedness, chart review validation, vendor oversight, provider education, and continuous quality improvement efforts aimed at enhancing coding accuracy, documentation integrity, and risk score accuracy.

Clever Care Health Plan Inc

Risk Adjustment Coding Auditor

You will work as a part of the BerryDunn Program Integrity team, and work closely with the MQD Program Integrity staff, audit and TPL specialists, data analysts, compliance staff, vendor partners, and other workstream members to help identify risks, interpret policy, improve internal controls, escalate issues for leadership, and support recovery efforts. Overview: BerryDunn is seeking an experienced Senior Consultant with subject matter expertise in Medicaid payment integrity to support Hawaii Med-QUEST's (MQD) Fraud, Waste, and Abuse (FWA), program integrity, audit, third party liability (TPL), payment integrity, and claims review initiatives.

Medicaid Payment Integrity SME

Worker Subtype: Regular Time Type: Full time Scheduled Weekly Hours: 40 Department: 910503 United Business Office Coding Work Shift: UR - Day (United States of America) Range: UR URG 110 Compensation Range: $61,000.00 - $85,400.00 The referenced pay range represents the minimum and maximum compensation for this job. With general direction of the Manager, with latitude for independent judgment: 30% In collaboration with the Manager, the Assistant Manager plays a key role in driving revenue cycle results by effectively managing the assigned functional area and serving as the team’s coding specialist.

University of Rochester

Supervisor, Medical Coding

OTHER

At least one (1) of the following certifications is required: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Certified Coding Specialist Physician-Based (CCS-P), Registered Health Information Admin (RHIA), Registered Health Info Tech (RHIT), Certified Clin Doc Spec (CCDS), Certified Doc Improvement Practitioner (CDIP) required. Effectively use coding and clinical documentation knowledge management, the electronic medical record functionality and technology to streamline and support staff in their coding, clinical documentation and revenue protection.

University of Wisconsin Medical Foundation

Coding & Revenue Integrity Education Specialist

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Updates the CDM annually based on changes published by the AMA (American Medical Association) via CPT guidelines; updates quarterly based on CMS (Centers for Medicare and Medicaid) guidelines for HCPCS codes (Healthcare Common Procedure Coding System). Performs job functions adhering to service principles with customer service focus of innovation, service excellence and teamwork to provide the highest quality care and service to our patients, families, co-workers and others.

Ann & Robert H. Lurie Children's Hospital of Chicago

Revenue Integrity Chargemaster Analyst

The trainer handles all on-the-job training for new coding graduates, coders transitioning to another level, experienced coders for any special educational needs and annual and/or ongoing educational updates. Prepares coders for Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Risk Adjustment Coder and/or specialty certification exams.

Saint Francis Health System

Health Information Coding Trainer

As the Revenue Integrity QC Auditor, you will conduct pre-billing and retrospective claim audits, evaluate coding, charging, billing, denial, and reimbursement activity, and identify financial risks, root causes, and revenue recovery opportunities. As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer.

UCLA Health System

Revenue Integrity QC Auditor

A successful Auditor assists in the organization and presentation of educational workshops and seminars for Avera, including non-Avera facilities A successful Auditor also assists leadership with monitoring and dissemination of information related to state and federal regulations as they apply to a health information management (coding) in acute, long term, and ambulatory care facilities. Keeps apprised of Federal contractor requirements for the various regions of Avera which include the following Medicare Contractors for Avera facilities: Noridian Healthcare Solutions, National Government Services (NGS), Novitas Solutions, Wisconsin Physician Service (WPS), and CGS Administrators at the present time.

Avera Health

Coding & Reimbursement Auditor

The Onsite DRG Reviewer is responsible for providing MS-DRG and APR-DRG audits services at provider locations on behalf of our clients This role requires expertise in healthcare payment methodologies and audit and review criteria to target key claims for review and recovery. Requires the ability to sit or stand for long periods of time, occasional stooping, and reaching; May require lifting up to 25 pounds; Requires a normal range of vision and hearing with or without accommodations; Position is not substantially exposed to adverse environmental conditions.

Machinify

DRG Reviewer Onsite - Hendersonville, TN

Minimum certification requirement is one of the following: CCS (Certified Coding Specialist/AHIMA), CPC (Certified Professional Coder/AAPC), CIC (Certified Inpatient Coder/AAPC), or COC (Certified Outpatient Coder/AAPC). Performs compliance monitoring and auditing of billing, coding, and documentation related to inpatient, outpatient surgery, observation, emergency department, urgent care, and professional services for all payers to ensure compliance with regulatory requirements.

ThedaCare

Coding Auditor

DRG Reviewer (Onsite - Hendersonville, TN)

Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.

Certified Professional Coder Jobs in the United States

Professional Fee Coder Seattle Children's Hospital Research and Foundation

Medical Records Technician (Clinical Documentation Improvement Specialist (Out/Inpatient)) U.S. Department of Veterans Affairs

Certified Professional Coder 0635-Big Bend Medical Group

Hospital Inpatient Coder Nebraska Methodist Health System

Certified Coder TOA Middle

SINAI CHICAGO REVENUE INTEGRITY ANALYST Sinai Health System Inc

Outpatient (RN) CDI Specialist MUSC

Medicaid Program Integrity Senior Consultant BerryDunn

Risk Adjustment Coding Auditor Clever Care Health Plan Inc

Medicaid Payment Integrity SME BerryDunn

Supervisor, Medical Coding University of Rochester

Coding & Revenue Integrity Education Specialist University of Wisconsin Medical Foundation

Revenue Integrity Chargemaster Analyst Ann & Robert H. Lurie Children's Hospital of Chicago

Health Information Coding Trainer Saint Francis Health System

Revenue Integrity QC Auditor UCLA Health System

Coding & Reimbursement Auditor Avera Health

DRG Reviewer Onsite - Hendersonville, TN Machinify

Coding Auditor ThedaCare

DRG Reviewer (Onsite - Hendersonville, TN) Machinify

Remote Medicare HCC Coding Analyst | CRC Certification Alignment Healthcare

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