Physician Billing Certified Coder I Job at Valley Children's Healthcare (Madera)

Coder I - Billing & Audit

Reviews medical record documentation. May assign codes to medical diagnoses, pro...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

High School Diploma or Equivalent
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA)
Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA)
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) - State of Florida (FL)
Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA)
For HIM coder, one (1) year hospital-based outpatient coding experience
For Physician Billing Coder, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System
Critical thinking skills
effective communication skills

Job Responsibility

Reviews medical record documentation
may assign codes to medical diagnoses, procedures and modifiers
enhances and maintains coding knowledge and skills
reviews all appropriate work queues daily to address edits and makes corrections
seeks clarification from healthcare providers or other designated resources
submits daily productivity report to HIM manager
meets and maintains HIM coding quality and productivity standards
attends internal and external educational meetings and seminars
may assign and sequence basic CPT procedure codes and modifiers
reviews Ambulatory Payment Classifications and Enhanced Ambulatory Patient Groups assignments

Fulltime

Coder I - MPG - FT - Days - MSS - Remote Eligible

Memorial is seeking an experienced Medical Coder with a strong background in pro...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

High School Diploma or Equivalent (Required)
Certified Coding Associate (CCA) - American Health Information Management Association (AHIMA), Certified Coding Specialist (CCS) - American Health Information Management Association (AHIMA), Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA), Registered Health Information Technician (RHIT) - State of Florida (FL), Registered Health Information Technician (RHIT AHIMA) - American Health Information Management Association (AHIMA)
For HIM coder, one (1) year hospital-based outpatient coding experience
For Physician Billing Coder, one (1) year diagnostic/procedural office coding experience with surgical coding experience or six (6) months working within the Memorial Health System
Requires critical thinking skills, effective communication skills, decisive judgment, and the ability to work independently with minimal supervision
Must be able to work in a stressful environment and take appropriate action
Proficient in basic computer skills
Ability to perform job duties using an electronic medical record system
Strong knowledge of anatomy, physiology and medical terminology
Knowledge of coding classification systems and procedures

Job Responsibility

Reviews medical record documentation
May assign codes to medical diagnoses, procedures and modifiers, when applicable, using appropriate coding classifications for assigned areas/record types to ensure proper billing and compliance
For physician billing, collaborates with billing department to ensure all bills are satisfied
For hospital, routes to billing charge entry errors and/or account edits preventing completion of coding and/or billing
Makes appropriate coding corrections, when advised, and follows procedure to notify billing
May assign and sequence basic CPT (Current Procedural Terminology) procedure codes (non-complex), and modifiers based on medical record documentation in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP) guidance in encoder software and/or department coding policies and procedures
Using encoder, reviews Ambulatory Payment Classifications (APC) and Enhanced Ambulatory Patient Groups (EAPG) assignments
Reviews Local Coverage Determination (LCD) edits and guidance for codes meeting medical necessity
Researches medical record for any additional diagnoses documented to meet medical necessity
Reviews and validates the accuracy of data in the Admission, Discharge Transfer (ADT) fields following HIM coding procedures and processes

Fulltime

Certified Coder - Neurology

The Certified Coder will be accountable for processing medical claim information...

Location

United States , Phoenix

Salary:

Not provided

Integrated Medical Services, Inc.

Expiration Date

Until further notice

Requirements

High School diploma or GED required
CPC Certification Required
5-7 years minimum experience required, specifically medical office physician coding medical charts review/auditing of documentation
Experience in Neurology Service line coding required
Demonstrated experience in Practice Management Systems
Computer skills in the Microsoft environment: Outlook, Word, Excel
The ability to work in a constant state of alertness and in a safe manner

Job Responsibility

Enters alpha, numeric or symbolic data from source documents into Practice Management (PM) System for patient billing purposes using knowledge of CPT and ICD-10 codes
Responsible for analyzing, researching and correcting data entry errors using PM System, electronic medical record systems, and Microsoft Office applications
Balances daily batches and reports. Researches and corrects discrepancies
Compiles, sorts and prioritizes daily processes based on department and organizational objective
Remains current on the specific billing guidelines, reimbursement rules, and regulations as dictated by various government and private insurance carriers
Ensures strict confidentiality of financial and patient records
Monitoring aging reports to identify issues and trends and contract insurance payers regarding unpaid or outstanding clams
Deep understanding of HIPAA compliance, CMS guidelines, and private insurance policy intricacies
Monitoring missing slips for the service lines
Self-pay accounts receivable follow-up including incoming and outgoing phone calls

What we offer

medical
dental
vision
short-term and long-term disability
life insurance
paid time off
401K plan

Fulltime

Certified Coder - Neurology

IMS Care Center is currently searching for a professional, compassionate and kno...

Location

United States , Phoenix

Salary:

Not provided

Integrated Medical Services, Inc.

Expiration Date

Until further notice

Requirements

High School diploma or GED required
CPC Certification Required
5-7 years minimum experience required, specifically medical office physician coding medical charts review/auditing of documentation
Experience in Neurology Service line coding required
Demonstrated experience in Practice Management Systems
Computer skills in the Microsoft environment: Outlook, Word, Excel.

Job Responsibility

Enters alpha, numeric or symbolic data from source documents into Practice Management (PM) System for patient billing purposes using knowledge of CPT and ICD-10 codes
Responsible for analyzing, researching and correcting data entry errors using PM System, electronic medical record systems, and Microsoft Office applications
Balances daily batches and reports. Researches and corrects discrepancies
Compiles, sorts and prioritizes daily processes based on department and organizational objective
Remains current on the specific billing guidelines, reimbursement rules, and regulations as dictated by various government and private insurance carriers
Ensures strict confidentiality of financial and patient records
Monitoring aging reports to identify issues and trends and contract insurance payers regarding unpaid or outstanding clams
Deep understanding of HIPAA compliance, CMS guidelines, and private insurance policy intricacies
Monitoring missing slips for the service lines
Self-pay accounts receivable follow-up including incoming and outgoing phone calls.

What we offer

medical
dental
vision
short-term and long-term disability
life insurance
paid time off
401K plan

Fulltime

Physician Specialty Coder

At Boston Children’s Hospital, the quality of our care – and our inclusive hospi...

Location

United States , Westwood

Salary:

69888.00 - 111831.20 USD / Year

Boston Children's Hospital

Expiration Date

Until further notice

Requirements

High School diploma or GED required
Associate’s degree preferred
Certified Professional Coder (CPC) certification required
Minimum of 4 years of physician coding experience required
At least 2 years of specialty or multi-specialty coding experience required
Strong knowledge of ICD-10-CM, CPT-4, medical terminology, anatomy, physiology, and payer regulations
Excellent communication, organizational, and problem-solving skills required

Job Responsibility

Perform complex ICD-10, CPT, and/or ASA coding review and validation for assigned specialty departments
Partner with physicians and clinical staff to resolve coding questions and documentation issues
Review and edit physician queries in compliance with hospital policies and coding standards
Collaborate with Billing teams to ensure timely and accurate charge submission and workflow completion
Provide education and training to staff on coding accuracy, documentation requirements, and reimbursement guidelines
Maintain current knowledge of coding regulations, compliance standards, and reimbursement updates
Serve as a resource for complex billing, coding, and payment-related issues
Participate in quality improvement initiatives, operational projects, and process documentation efforts
Maintain CPC certification and continuing education requirements annually

What we offer

flexible schedules
affordable health, vision and dental insurance
child care and student loan subsidies
generous levels of time off
403(b) Retirement Savings plan
Pension
Tuition and certain License and Certification Reimbursement
cell phone plan discounts
discounted rates on T-passes

Fulltime

Medical Coder

We are looking for a Medical Coder to join a healthcare organization in Sacramen...

Location

United States , Sacramento

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

At least 2 years of medical coding experience in a healthcare setting that requires careful attention to detail, or in an outpatient setting
Working knowledge of ICD-10, CPT, and evaluation and management coding principles
Background in outpatient coding with the ability to review provider documentation and assign codes accurately
Certified coding credential or comparable formal coding qualification
Familiarity with electronic health record and coding applications such as Epic, EncoderPro, or similar tools
Strong analytical ability and careful attention to detail when interpreting clinical information
Effective written and verbal communication skills for provider queries and collaboration across teams

Job Responsibility

Examine clinical records and determine the correct diagnosis and procedure codes for charge capture within required turnaround times
Apply ICD-10, CPT, and evaluation and management coding standards to physician and provider documentation with a strong focus on accuracy and compliance
Sequence diagnoses and procedures appropriately to support ethical billing practices and proper reimbursement outcomes
Investigate complex, uncommon, or unclear cases to identify the most accurate coding approach using current industry guidance and reference tools
Recognize services that require billing modifiers, including special reporting situations, and ensure they are reflected correctly on coded encounters
Communicate with physicians and other providers to resolve incomplete, conflicting, or ambiguous documentation before finalizing codes
Monitor accounts with missing documentation and follow through to help move encounters toward accurate coding and billing completion
Support claims follow-up activities by addressing coding edits, denials, audit requests, and other reimbursement-related inquiries
Contribute to compliance reviews, internal audits, and ongoing education efforts while staying current on regulatory and payer guideline updates

What we offer

Medical insurance
Vision insurance
Dental insurance
Life and disability insurance
401(k) plan

Physician Coding Specialist II

Under the direction of the Revenue Cycle Supervisor – Coding the Physician Codin...

Location

United States , Shaker Heights

Salary:

20.11 - 31.44 USD / Hour

University Hospitals

Expiration Date

Until further notice

Requirements

High School Equivalent / GED
2+ years Of medical billing experience
Billing experience in a multi-specialty group is a plus
Excellent interpersonal skills
Ability to recognize, evaluates, and solves problems
Strong verbal and written communication skills
Extensive knowledge of the claims development process
Basic knowledge of ICD-9 and CPT coding
Ability to handle a variety of tasks with speed, attention to detail, and accuracy
Computer literate

Job Responsibility

Analyzes outstanding insurance accounts
Initiates follow-up on identified accounts
Communicates with payors and internal departments
Researches and responds to telephone inquiries
Reviews and corrects coding edits and denials
May code ICD-10 from written documentation
May abstract CPT/HCPCS codes
May perform computer assisted coding functions
Maintains patient/physician confidentiality
Provides information and feedback to personnel

What we offer

Healthcare
Dental
Vision
Retirement plan options
Additional offerings

Fulltime

Clinical Medical Coder

We are seeking a detail-oriented Clinical Medical Coder to join our healthcare t...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
specialty training beyond high school preferred
1–2 years of related experience required
2–4 years of experience preferred
Certified Professional Coder (CPC) certification or Certified Coding Specialist – Physician-based (CCS-P) certification required
Strong knowledge of ICD, CPT, and HCPCS coding systems
Familiarity with electronic health records and medical billing systems
Excellent attention to detail and organizational skills
Strong written and verbal communication abilities
Ability to work independently and manage multiple priorities

Job Responsibility

Review patient medical records and clinical documentation to assign accurate diagnosis and procedure codes
Ensure coding compliance with payer, regulatory, and organizational guidelines
Identify and resolve coding edits, discrepancies, and documentation issues
Work closely with providers and internal departments to clarify documentation when needed
Maintain coding accuracy and productivity standards
Stay current on coding updates, regulations, and industry best practices

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Fulltime

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Physician Billing Certified Coder I

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