Professional Coder I Job at Tucson Medical Center (Tucson)

Compliance Coordinator

This position is accountable for collaborating with and assisting the Valley Chi...

Location

United States , Madera

Salary:

38.25 - 56.60 USD / Hour

Valley Children's Healthcare

Expiration Date

Until further notice

Requirements

High School Diploma/G.E.D. (required)
College Degree - 4 year Healthcare related field (preferred)
CPC - Certified Professional Coder - AAPC - American Academy of Professional Coders (required)
CPMA - Certified Professional Medical Auditor - AAPC - American Academy of Professional Coders within 18 months of hire or transfer into position (required)
Minimum four (4) years Experience in a healthcare environment (required)
Experience with researching, evaluating, interpreting and tracking changes in laws, regulations and guidelines and implementing changes in policies and procedures. (required)
Experience with Medi-Cal and commercial payer guidelines preferred, particularly Evaluation and Management. (preferred)
Experience with hospital (facility) coding and billing (preferred)
Public speaking skills highly recommended.
Must have excellent verbal and written communication skills and able to communicate effectively providing verbal feedback in a professional manner.

Job Responsibility

Collaborating with and assisting the Valley Children's Healthcare Corporate Compliance Officer and the Compliance Manager with the development, implementation and facilitation of comprehensive healthcare corporate compliance, risk management and creating and performing improvement programs and compliance training for Valley Children's Healthcare professional service providers.
Provides content expertise with organization of projects and teams, statistical reports, and analyzing medical records for completeness, timeliness and accuracy.
Plans, organizes and implements the monitoring, evaluation and continuous improvement activities and works collaboratively to facilitate the organizational goals, mission and corporate culture of Valley Children's Healthcare.

Fulltime

Physician Coding Review Specialist

Location

United States

Salary:

26.55 - 39.85 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA)
Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA)
Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA)
Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA)
Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC)
Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC)
Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC)
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist
Typically requires 5 years of experience in expert-level professional coding and at least 3 years of experience in the education of clinicians in physician revenue cycle processes, health information workflows, and medical record auditing experience
Advanced knowledge of ICD, CPT, and HCPCS coding guidelines

Job Responsibility

Review assigned codes, which most accurately describe each documented diagnosis and/ or procedure according to established CPT, HCPCS, and ICD-10-CM coding guidelines along with modifier usage and medical terminology
Monitor all coding accuracy at various levels of detail and maintain coding quality as needed
Track coding issues and review coding inaccuracies to highlight areas of improvement
Report or resolve escalated issues as necessary
Responsible for reviewing Clinician documentation and billed codes for Medical Group physicians and non-physician clinicians
Review of medical records in collaboration with key stakeholders such as Internal Audit, Compliance, and Clinic Operations
Responsible for completing all certified coder quality reviews
Working in collaboration with Coding Production Leads and Supervisors
Follows the prospective and/or retrospective review plan to sample employed Clinician's medical record documentation in comparison to services selected for billing, based on best practice methodologies which will be presented and reviewed with Clinicians to provide feedback on proper coding and documentation practices
Follows the necessary schedules for team assignments of documentation/coding accuracy

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Med Records Coder III

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Albany

Salary:

21.36 - 29.90 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

HS Diploma
Associates degree in Health Information Technology or health related field (preferred)
1 years’ experience as Medical Coder
Additional coding experience in area of assignment (preferred)
or equivalent combination of education and experience
Knowledge of ICD-10CM, CPT and HCPSC required
Working knowledge of medical terminology and anatomy required
Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) (preferred)
Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute (preferred)

Job Responsibility

Functions as an advanced coder in the abstraction and in-depth analysis of a variety of medical documentation and assigns appropriate procedural terminology and medical codes in accordance with applicable coding rules and policies (e.g. ICD-10, CPT-4, HCPCS, DRG)
Analyzes, enters and manipulates database
Responds to or clarifies internal requests for medical information
Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution

Fulltime

Medical Records Coder II

As a community, the University of Rochester is defined by a deep commitment to M...

Location

United States of America , Albany

Salary:

19.96 - 27.94 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

High School diploma or equivalent and less than 1 year of relevant experience required
Or equivalent combination of education and experience
Knowledge of ICD-10CM, CPT and HCPSC preferred
Working knowledge of medical terminology and anatomy preferred
American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) preferred
Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute preferred

Job Responsibility

Reviews system edits and assigns appropriate codes from appropriate coding classification system to ensure the production of quality healthcare data and accurate professional payment
Prepares reports for designated leader(s)
Uses knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign appropriate codes through medical record documentation as per designated workflow
Completes system edit reviews to make corrections before transmittal
Ensures work queue and responsibilities are handled within established guidelines and timeframes
Troubleshoots problems that prevent claims from being released
Identifies cause of edit and independently resolves issue by reviewing the patient encounter to understand the nature of the problem
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete
Prepares reports for designated leader to document recurring problems and identifies the source of reimbursement delays
Works closely with designated leader to ensure effective communication to resolve invoice payment delays

Fulltime

Med Records Coder III

The Med Records Coder III functions as an advanced coder in the abstraction and ...

Location

United States of America , Rochester

Salary:

21.36 - 29.90 USD / Hour

University of Rochester

Expiration Date

Until further notice

Requirements

HS Diploma Required
1 years’ experience as Medical Coder Required
Knowledge of ICD-10CM, CPT and HCPSC Required
Working knowledge of medical terminology and anatomy Required
Associates degree in Health Information Technology or health related field Preferred
Additional coding experience in area of assignment Preferred
Successful completion of American Health Information Management Association (AHIMA) accreditation examination for Registered Health Information Administrator (RHIA) or (Registered Health Information Technician) RHIT or Certified Coding Specialist (CCS) Preferred
Or Certified Professional Coder (CPC) from American Academy of Professional Coders (AAPC) or Certified Medical Coder (CMC) from Practice Management Institute Preferred

Job Responsibility

Uses thorough knowledge of coding systems and system logic to review codes created by electronic charge capture and/or assign codes (ICD-10-CM, E/M, CPT, HCPCS and modifiers) through medical record documentation in accordance with universally recognized coding guidelines
Reviews and resolves coding denials
Resolves problems with claims having errors related to improper coding and provides feedback for correction and follow-up
Abstracts data and reviews codes for accuracy
Performs system edit checks and corrects errors as needed
Responds to coding information requests from various sources
Communicates document improvement opportunities and coding issues to providers, department, and/or designated leader for follow up and resolution
Consults with internal customers and external vendors to obtain greater specificity and/or clarification when documentation appears inconsistent or incomplete

Fulltime

HCC Coding Auditor

The HCC Coding Auditor will perform code audits and abstractions using the Offic...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School diploma or equivalent is required
Excellent verbal and written communication skills
Minimum of 1 year of experience in hospital inpatient/outpatient settings, medical office coding, or risk adjustment coding OR 3+ years of experience in one or more of the following areas: Claims Processing, Insurance Verification, Provider Credentialing, Member Services, Member Enrollment, Medical Records Management, Health Information Management, Medical Assisting, Nursing, Billing, Benefits and Eligibility, or Provider Education
Coding certification from AAPC or AHIMA is required within six (6) months of hire: Certified Professional Coder (CPC)
Certified Professional Coder-Apprentice (CPC-A)
Certified Risk Adjustment Coder (CRC)
Certified Risk Adjustment Coder-Apprentice (CRC-A)
Certified Coding Associate (CCA)
Certified Coding Specialist (CCS)
Registered Health Information Management Technician (RHIT)

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment
Performs code abstraction and/or coding quality audits of medical records to ensure ICD-10CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS (HCC) Risk Adjustment guidelines
Performs coding quality audits within multiple EMRs, databases, and/or vendor platforms to support employed and independent clinic risk adjustment strategies
Identifies revenue, reimbursement, and provider educational opportunities while complying with state and federal regulations
Prepares and/or performs auditing analysis and provides feedback on noncompliance issues detected through auditing
Complies with all aspects of coding, abides by all ethical standards, and adheres to official coding guidelines
Provides measurable, actionable solutions to providers that will result in improved accuracy for documentation and coding practices to ensure chronic conditions are recaptured annually
Ensures that rendered physician services for claim submission and any subsequent payments are as accurate as possible while complying with regulatory guidelines, including CMS, DHS, and OIG
Assist coding leadership by making recommendations for process improvements to enhance coding quality goals and outcomes further

Fulltime

Supervisor, Medical Coding

The Assistant Coding Manager serves as a key support leader within the assigned ...

Location

United States of America , Rochester

Salary:

60431.00 - 84603.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree and 2 years of coding experience required, or equivalent combination of education and experience
Knowledge of ICD-10-CM, CPT and HCPCS required
Working knowledge of medical terminology and anatomy required
Certification in one of the following: RHIA - Registered Health Information Administrator Successful completion of American Health Information Management Association (AHIMA) accreditation examination upon hire required or RHIT - Registered Health Information Technician upon hire required or CCS-Certified Coding Specialist upon hire required or Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or Certified Medical Coder (CMC) from the Practice upon hire required

Job Responsibility

Provides assistance to the Manager by driving revenue cycle results through effective oversight of activities that impact professional charging and receivables
Ensures proper training and supervision of assigned staff members, while implementing and upholding URMFG best practice standards
May prepare reports and analyze data for presentation purposes
Acts as a subject matter expert on team functions and underlying processes
Uses knowledge and experience to review and trend analytic and reporting data identifying problem areas and directing actions to resolve deficiencies
Provides first-line management of assigned teams
Provides supervision, leadership, coaching and counseling
Ensures hands-on training is provided to assigned team
May serve as department liaison on matters related to business functions

Fulltime

Supervisor, medical coding

The Assistant Coding Manager serves as a key support leader within the assigned ...

Location

United States of America , Rochester

Salary:

60431.00 - 84603.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor's degree and 2 years of coding experience required, or equivalent combination of education and experience
Knowledge of ICD-10-CM, CPT and HCPCS required
Working knowledge of medical terminology and anatomy required
Certification in one of the following: RHIA - Registered Health Information Administrator Successful completion of American Health Information Management Association (AHIMA) accreditation examination upon hire required or RHIT - Registered Health Information Technician upon hire required or CCS-Certified Coding Specialist upon hire required or Certified Professional Coder (CPC) from American Academy of Professional Coders upon hire required or Certified Medical Coder (CMC) from the Practice upon hire required

Job Responsibility

Serves as a key support leader within the assigned functional area(s)
Provides assistance to the Manager by driving revenue cycle results through effective oversight of activities that impact professional charging and receivables
Activities include coding abstraction, pre-bill coding edits, claims resolution functions, and providing recommendations to enhance coding acuity, quality, productivity, and provider relationships across all departments
Responsible for ensuring proper training and supervision of assigned staff members
Implementing and upholding URMFG best practice standards
May prepare reports and analyze data for presentation purposes
Provides first-line management of assigned teams
Provides supervision, leadership, coaching and counseling
Services as a role model and facilitator to staff
Ensures a positive working environment

Fulltime

Professional Coder I

Tucson Medical Center

Location:
United States , Tucson

Category:
IT - Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
February 14, 2026

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