Manager - Coding University Health Services IncManager - CodingWAYNE, PAHealthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, government sponsored and commercial follow-up requirements as well as appeals processes and requirements Thorough understanding of the revenue cycle and how the various components work together Perform ongoing review and feedback on the correct use of CPT-4 and ICD-10 codes and to ensure adherence to established Government and third-party billing guidelines, AMA, AAP, CMS, and coding policies. Prepares well thought-out and meaningful performance appraisals for direct reports summarizing performance as well as focusing on opportunities for improvement and recognizing performance that exceeds expectations AAPC CPC Certification required Mainframe billing software (e.g., Cerner, Epic, IDX) experience highly desirable As an IPM employee you will be part of a first-class organization offering: A Challenging and rewarding work environment.
NewHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coding and DRG Analyst - FT - Day - HIM Facility Coding RemoteNJRemote$64,625.60–$84,448 / yearp>Hospital Coder Inpatient Senior Coder is an expert-level coding professional responsible for accurately reviewing and coding complex inpatient medical records using ICD-10-CM diagnosis codes, ICD-10-PCS procedure codes, and appropriate MS-DRG/APR-DRG grouping methodologies. This role serves as a subject matter expert within the coding department, performing second level reviews, mentoring staff, and collaboration with Clinical Documentation Improvement (CDI), quality, and revenue cycle teams to ensure optimal reimbursement and compliance with regulatory guidelines.
Hospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Lawrenceville NJ Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Lawrenceville NJNJ$28.70–$37.32 / hourp>Assigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
NewHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding Remote Capital HealthHospital Inpatient Coder Certified - FT - Day - HIM Facility Coding RemoteNJRemote$28.70–$37.32 / hourp>Assigns and properly sequences accurate ICD-10-CM diagnosis and ICD-10-PCS procedure codes in accordance with Official Coding Guidelines, UHDDS definitions, Coding Clinic guidance and CMS to a full range of inpatient services including cases with a high complexity level. Ensures accurate capture of Major Comorbid Conditions (MCC)/Comorbid Conditions (CC), Present on Admission (POA) indicators, Hospital-Acquired Conditions (HACs), Patient Safety Indicators (PSIs), Severity of Illness (SOI) and Risk of Mortality (ROM).
HIM Coding Specialist Penn MedicineHIM Coding SpecialistPhiladelphia, PAp>Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Act as a Coding Quality Specialist by referring charts that require clarification of vague or unclear documentation for accurate coding to the physician for the needed documentation.
HIM Inpatient Coding Specialist III Penn MedicineHIM Inpatient Coding Specialist IIIPhiladelphia, PAp>Loading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Specialist III Job ID: 303888 Category: Health Information Management/Coding Work Type: FT Location: Philadelphia, PA, United States Work Schedule: M-F, 8 hr days, hybrid Share: Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: - Missing Operative Notes - Missing Pathology Report - Physician Query Needed - Death Review - Discharge Disposition - Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
Senior Professional Coding and Documentation Improvement Specialist - FT - Day - Physician Professional Coders Remote Capital HealthSenior Professional Coding and Documentation Improvement Specialist - FT - Day - Physician Professional Coders RemoteTelecommuters, NJRemote$31.07–$40.60 / hourFrequent physical demands include: Occasional physical demands include: Standing , Walking , Climbing (e.g., stairs or ladders) , Carry objects , Push/Pull , Twisting , Bending , Reaching forward , Reaching overhead , Squat/kneel/crawl , Wrist position deviation , Pinching/fine motor activities , Keyboard use/repetitive motion , Taste or Smell , Talk or Hear. Assists manager with ongoing monitoring and education process by assuming responsibility for coordination and scheduling, as well as research, design and delivery of large group education sessions to ensure accurate and compliant physician documentation and coding.
OASIS Review and Coding Specialist Non-Clinical Bayada Home Health Care, Inc.OASIS Review and Coding Specialist Non-ClinicalPennsauken, NJRemoteli>Provide customer service/education and act as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues. Responsibilities: Review clinical information for appropriateness, congruency, and accuracy as it relates to the OASIS and ICD 10 coding while using the Medicare PDGM billing model and CMS guidelines.
Professional Coding Supervisor - FT - Day - Physician Professional Coders Remote (NJ, PA, AL) Capital HealthProfessional Coding Supervisor - FT - Day - Physician Professional Coders Remote (NJ, PA, AL)NJRemote$67,225.60–$87,838.40 / yearp>Provides direct supervision, support, education and direction to physician fee coding staff as it relates to time management, delegation of workflow tasks and responsibilities, knowledge of industry guidelines, laws and regulations. Proactively troubleshoots documentation and/or communication issues and communicates directly with members of CHMG to provide feedback and education to accurately capture required documentation to support revenue integrity.
HIM Inpatient Coding Spec II Penn MedicineHIM Inpatient Coding Spec IIBala Cynwyd, PAp>Loading job Back to Search Results Previous Opportunity Next Opportunity Current UPHS employees must apply HERE HIM Inpatient Coding Spec II Job ID: 304173 Category: Health Information Management/Coding Work Type: FT Location: Bala Cynwyd, PA, United States Work Schedule: M-F, 8 hr day shift, remote Share: Apply Now Save Job Saved Description Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. • Promptly and accurately assigns Coding Hold reasons to all records that cannot be completed immediately due to: • Missing Operative Notes • Missing Pathology Report • Physician Query Needed • Mortality Review • Discharge Disposition • Missing Other Reports (Card Cath, EPS, etc) • Is willing to adjust schedule to complete workload and meet pivotal revenue cycle deadlines when requested by management.
Medical Coding Automation Senior Associate athenahealth IncMedical Coding Automation Senior AssociatePA$77,000–$131,000 / yearThe Medical Coding Services team partners closely with Product, Operations, Commercial, Revenue Cycle, and R&D stakeholders to improve coding quality, reduce denials, optimize claim adjudication outcomes, and strengthen service integrity. We offer IT solutions and expert services that eliminate the daily hurdles preventing healthcare providers from focusing entirely on their patients - powered by our vision to create a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all.
Manager Revenue Integrity Christiana Care Health SystemManager Revenue IntegrityWilmington, DE$92,726.40–$148,387.20 / yearPRIMARY FUNCTION: The Manager, Physician Revenue Integrity is responsible for operational management, stabilization, and optimization of Professional Billing (PB) locations as it relates to the professional fee schedule, Epic Charge Generation Tracker (CGT), payer billing rules/regulations, denial prevention, charge capture, and charge reconciliation for all billable professional services. The Manager, Physician Revenue Integrity acts as the primary contact for providers, clinical, and administrative staff to answer coding questions related to evaluation and management services, office-based procedures, and bedside procedures and initiates research related to revenue enhancement and correct coding for Epic PB clinical charge capture.
RN Case Manager - Patient Care Hospice - Part Time UnitedHealth Group IncRN Case Manager - Patient Care Hospice - Part TimeWayne, PAp>Clinical ›Corporate and business operations ›Customer and support services ›Early careers›Sales and account management ›Technology and data›Physicians›Advanced practice clinicians›Pharmacy›Behavioral health›Nursing›Medical coding›Clinical support›U.S. Artificial intelligence Architecture Business systems analysis Data analytics Data engineering Data science Network infrastructure Product management & development Security and risk Software engineering.
Senior Consultant - Clinical Documentation Specialist Deloitte Touche Tohmatsu LtdSenior Consultant - Clinical Documentation SpecialistPA$110,700–$218,300 / yearOther skills include the ability to analyze, act and design action plans upon monthly and quarterly reports related to individual providers, facilities, MS-DRGs, APR, PSIs, severity of illness and risk of mortality, capture rates, quality metrics and can effectively prioritize their work activities. Clinical Payments Optimization: Assisting clients by validating that payments for clinical healthcare services comply with regulatory, clinical based evidence and contractual requirements while also determining that payments are appropriate for the type and level of care provided.
Revenue Cycle Specialist Henry J. Austin Health Center IncRevenue Cycle SpecialistTrenton, NJ$48,500–$85,400 / yearProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. This position collaborates closely with the Director of Finance and Revenue Cycle, as well as the Revenue Cycle Manager and Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.
Revenue Cycle Specialist Henry J Austin Health CenterRevenue Cycle SpecialistTrenton, New JerseyProvider billing experience, preferably in an FQHC or similar setting (3-5 years) with an understanding of medical insurances ie; Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, ie; charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits. Revenue Analysis and Reporting:Generate reports and analyze revenue cycle metrics such as coding accuracy, claim submission timeliness, and denial rates.
Coder University Health Services IncCoderKING OF PRUSSIA, PARemoteTimely communication with providers and market staff to ensure that medical record documentation is completed and signed to avoid coding delays, minimize lag days and meet team goals/objectives Assists in educating providers on clinical documentation requirements to support their coding and ensure all coding (charge) possibilities are being captured. Exercises good judgement in escalating identified coding trends that may negatively impact productivity, quality, or revenue to mitigate claim denials, expedite reprocessing of claims and maximize opportunities to enhance front end, coding-related claim edits to facilitate first pass resolution.
NewRevenue Integrity Analyst Cooper University HospitalRevenue Integrity AnalystCamden, New Jerseyli>Works with institute/department staff, Billing, Coding, Revenue Cycle Analysts, Claims Review Nurses, Clinical Documentation Improvement, and/or other relevant staff to correct conflicting coding, ambiguous documentation, and incorrect charging and charging practices. Short Description: Reporting directly to the Manager of Revenue Integrity and working closely with the CDM Analysts, the Revenue Integrity Analyst position will be responsible for all aspects of revenue integrity for assigned institutes, cost centers, and/or departments, including the following: .