Professional Coding Specialist Job at Robert Half (Saint Paul)

Professional Surgical Coding Specialist III

The Pro-Fee Surgical Coding Specialist III will fully abstract, code and release...

Location

United States , West Allis

Salary:

Not provided

Children's Wisconsin

Expiration Date

Until further notice

Requirements

3 years of Surgical coding experience in a healthcare role
Coding Certification – one of the following: CPC or CCS or CCS-P or RHIT
Knowledge of ICD10, CPT and HCPCS coding guidelines
Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance
Specialty Coding knowledge
Excellent communication (oral and written) skills
Ability to work independently, exercise independent judgment and solve problems effectively
High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED)

Job Responsibility

Fully abstract, code and release Inpatient initial, subsequent, discharge, consult services and bedside procedures for multiple specialties in a timely manner to ensure correct coding, billing compliance and complete charge capture
Collaborating with providers and other departmental staff/leaders on coding or charge capture related questions/topics

Fulltime

Professional Surgical Coding Specialist III

The Professional Fee Surgical Coding Specialist III will work in collaboration w...

Location

United States , Milwaukee

Salary:

Not provided

Children's Wisconsin

Expiration Date

Until further notice

Requirements

3 years of Surgical coding experience in a healthcare position
Coding Certification – one of the following: CPC-Certified Professional Coder - American Board of Professional Coders
CCS-P-Certified Coding Specialist Physician Based - American Health Information Management Association
CCS-Certified Coding Specialist - American Health Information Management Association
RHIT-Registered Health Information Technician - American Health Information Management Association
Knowledge of ICD10, CPT and HCPCS coding guidelines
Working knowledge of CCI edits, healthcare insurance guidelines and other regulatory guidance
Specialty Coding knowledge
Prior use of an Electronic Health Record
Excellent communication (oral and written) skills

Job Responsibility

Work in collaboration with Ancillary or specialty departments/locations/providers to code, review and release charges in a timely manner and to ensure correct coding, billing compliance and complete charge capture
Collaborates with providers and other departmental staff/leaders on coding or charge capture related questions/topics

Fulltime

Coding Quality Specialist I - Coding

The Coding Quality Specialist reports to the HIM Coding Education Manager to per...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent years of experience required
Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred
Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting preferred
At least one of the following certifications are required: Registered Health Information Administrator (RHIA) (AHIMA)
Registered Health Information Technician (RHIT) (AHIMA)
Certified Coding Specialist (CCS) (AHIMA)
Certified Outpatient Coder (COC) (AAPC)
Certified Professional Coder (CPC) (AAPC)
Meets or exceeds an accuracy rate of 95%
Has strong written and verbal communication skills

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Facilitate and complete inpatient and outpatient coding reviews
Communicates findings both verbally and in writing in an approved, appropriate format to support training and education such as would be reported in Coding Roundtables or Section Meetings
Assist with development and coordination of review plans, education and training feedback to coding staff that may include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management
Assist with chart sample selection for reviews and randomization to be coordinated with Coding Managers
Assist with finalizing an annual education workplan for targeted chart reviews and pre-bill reviews
Work collaboratively with Coding Integrity Department to recommend and assist with content and examples that may be used to develop Job Aides, Coding Best Practice references and other assisting resources to support and advance coder knowledge and expertise
Reviews results and performs trend analyses to identify patterns and variations in coding practices and/or case-mix index which require education
Ensure coding reviews are appropriate and effective
Assesses effectiveness through associate evaluations

Fulltime

Coding Quality Specialist I - Coding

The Coding Quality Specialist reports to the HIM Coding Education Manager to per...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High school diploma or equivalent years of experience required
Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred
Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting preferred
At least one of the following certifications are required: Registered Health Information Administrator (RHIA) (AHIMA), Registered Health Information Technician (RHIT) (AHIMA), Certified Coding Specialist (CCS) (AHIMA), Certified Outpatient Coder (COC) (AAPC), Certified Professional Coder (CPC) (AAPC)
Meets or exceeds an accuracy rate of 95%
Has strong written and verbal communication skills
Able to work independently in a remote setting, with minimal supervision

Job Responsibility

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Facilitate and complete inpatient and outpatient coding reviews
Communicates findings both verbally and in writing in an approved, appropriate format to support training and education such as would be reported in Coding Roundtables or Section Meetings
Assist with development and coordination of review plans, education and training feedback to coding staff that may include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management
Assist with chart sample selection for reviews and randomization to be coordinated with Coding Managers
Assist with finalizing an annual education workplan for targeted chart reviews and pre-bill reviews
Work collaboratively with Coding Integrity Department to recommend and assist with content and examples that may be used to develop Job Aides, Coding Best Practice references and other assisting resources to support and advance coder knowledge and expertise. Reviews results and performs trend analyses to identify patterns and variations in coding practices and/or case-mix index which require education
Ensure coding reviews are appropriate and effective. Assesses effectiveness through associate evaluations
All other work duties as assigned by the Manager

Fulltime

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

Surgery Medical Coding Specialist

We are seeking a detail-oriented Surgery Medical Coder to join our team. This ro...

Location

United States , Indianapolis

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
1–2 years of related experience required
One of the following certifications is required: Certified Professional Coder (CPC), Certified Coding Specialist – Physician-based (CCS-P), Certified Orthopaedic Surgery Coder (COSC)

Job Responsibility

Review and accurately code surgical procedures, diagnoses, and related services
Ensure coding compliance with payer, regulatory, and organizational guidelines
Analyze medical documentation to assign appropriate CPT, ICD-10, and HCPCS codes
Work closely with providers and staff to clarify documentation as needed
Maintain productivity and accuracy standards in a remote work environment
Support billing and reimbursement processes through precise code assignment
Participate in minimal onsite training sessions and periodic team meetings

What we offer

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

Fulltime

Professional Coding Lead-Oncology

Acts as a resource and role model to team members. Codes routine to complex proc...

Location

United States , Milwaukee

Salary:

30.70 - 46.05 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA)
Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist (or equivalent experience)
Typically requires 7 years of experience in professional coding that includes experiences in revenue cycle processes and health information workflows or related health care leadership experience.
Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines and updated coding clinics. Knowledgeable in researching coding related topics and issues.
Advanced proficiency of ICD, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology.
Excellent computer skills including the use of Microsoft office products, electronic mail, including exposure or experience with electronic coding systems or applications.
Excellent communication (oral and written) and interpersonal skills.
Excellent organization, prioritization, and reading comprehension skills.
Excellent analytical skills, with a high attention to detail.
Ability to work independently and exercise independent judgment and decision making.

Job Responsibility

Acts as a resource and role model to team members, which includes training/orienting, providing day-to-day work direction, and giving input on performance. Assigns, monitors, and reviews progress, quality and accuracy of work, monitors productivity, maintains appropriate staffing levels, directs efforts and provides guidance on more complex issues.
Codes routine to complex procedures and diagnoses including hospital-based or surgery center surgical procedures using ICD, CPT, and HCPCS coding guidelines, procedures and protocols for government and commercial payers. Meets or exceeds department quality and production standards.
Performs informal quality reviews on a monthly basis providing coding education to coding team members for accuracy. May assist with provider education/orientation regarding policy requirements of federal and state government agencies.
Abstracts documentation to choose correct ICD, CPT, HCPCS codes according to standard coding guidelines, procedures and protocols. Detects, reports and acts as a resource to assist in resolving billing compliance issues. Serves as liaison between business office, medical records, patient care and/or coding department by providing feedback to caregivers and leaders.
Responsible for processing denial management claims and addressing patient concerns. Serves as a resource to caregivers regarding pre-authorizations, referrals, and estimating charges prior to a patient's visit. Coordinates payer audit reviews and acts as a resource for coding-related audits.
Participates in various department projects including but not limited to researching new services, claim scrubbing, quality checks/assessing errors, presenting demonstrations, etc. Acts as the system/application administrator
ensures the integrity of the system and recognizes performance issues. Performs calibration and troubleshooting procedures and escalates unresolved issues as needed.
Suggests modifications to current policies and procedures that are needed to coincide with requirements of insurance payers. Serves as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver.
Adhere to organizational and internal department policies and procedures to ensure efficient work processes. Expertise in query guidelines, and coding standards. Follow up and obtain clarification of inaccurate documentation as appropriate.
Reviews complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals and hospitals in order to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. Assigns and ensures correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software.

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
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance

Fulltime

Clinical Coding Specialist

We're looking for a Clinical Coding Specialist with deep expertise in Australian...

Location

Australia , Melbourne

Salary:

Not provided

Heidi

Expiration Date

Until further notice

Requirements

3-5+ years of professional medical coding experience in Australian hospital, clinic, or health system environments
HIMAA certification in Clinical Coding or equivalent qualification (university/TAFE clinical coding certificate)
Expert-level knowledge of ICD-10-AM/ACHI and Australian Coding Standards (ACS) across multiple specialties
Strong understanding of DRG (Diagnosis Related Groups) and AR-DRG classification system
MBS knowledge and understanding of Medicare Australia billing requirements
Multi-specialty coding experience including public/private hospital, GP, emergency department, and specialty clinic coding
Experience with coding audits and quality assurance processes, including accuracy measurement and improvement initiatives
Familiarity with EHR systems such as Epic, Cerner, Best Practice, Medical Director, Genie, or hospital PAS systems
Analytical skills with ability to identify coding patterns, trends, and systematic issues
Adaptability to work in a fast-paced technology environment and translate traditional coding processes into innovative AI-powered solutions

Job Responsibility

Lead medical coding validation for AI-generated documentation, ensuring accurate application of ICD-10-AM, ACHI, and MBS item numbers across diverse clinical scenarios in both public and private settings
Develop coding guidelines and protocols that translate complex Australian Coding Standards (ACS) into systematic processes our AI can learn and apply consistently
Conduct quality audits of AI-coded documentation, identifying patterns, gaps, and opportunities for improvement in coding accuracy, DRG assignment, and compliance
Collaborate with engineering teams to translate medical coding expertise into technical requirements, validation rules, and system improvements
Work directly with Australian clinicians to understand documentation patterns, clinical decision-making, and coding challenges across private hospitals, and public health systems, and GP practices
Ensure regulatory compliance with Department of Health coding standards, Medicare Australia requirements, DVA guidelines, and private health insurer specifications
Analyze coding data and metrics to identify trends, accuracy patterns, and areas for system optimization across our Australian customer base
Stay current with coding updates including annual ICD-10-AM/ACHI releases, MBS schedule changes, and ACCD standards updates
Support customer implementations by providing coding expertise during enterprise client onboarding and troubleshooting

What we offer

Flexible hybrid working environment, with 3 days in the office
A generous personal development budget of $500 per annum
Learn from some of the best engineers and creatives, joining a diverse team
Become an owner, with shares (equity) in the company, if Heidi wins, we all win
The rare chance to create a global impact as you immerse yourself in one of Australia’s leading healthtech startups
If you have an impact quickly, the opportunity to fast track your startup career

Fulltime

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