<h3>Job Description</h3>
Job Description
South Los Angeles based FQHC looking for onsite Certified HCC coder .
*This is not a remote position
Conduct the necessary audits of medical record to verify the physicians have appropriately documented the diagnoses then code these diagnoses in ICD-10 for Medicare Risk
Adjustments/Medicare Advantage. Evaluate medical information (Outpatient/Inpatient) documentation from a clinical standpoint for evidence of the possibility of additional medical conditions that may not have been documented in the past, and ensure accurate coding of the encounter data and recommend processes for accurate coding practices. This process involves a very strong understanding of medical coding.
<ul>
<li>Ascertain that medical record documentations have accurate diagnoses and conditions to assure not to up-code, fraudulently or misrepresent the patient condition and ensure compliance to prepare for random CMS medical records audit</li>
<li>HEDIS coding and record collection</li>
<li>Report Coding discrepancies patterns identified within the chart review process to the Coding Project Manager and identify corrective measures regarding compliance problems, and suggests corrective measure to the physician in understanding of what is needed regarding documentation compliance</li>
</ul>
Provider Education
<ul>
<li>Provide detailed summary to make adjustments to correct improperly paid claims and document the correct coding to be utilized</li>
</ul>
Management Feedback:
<ul>
<li>Communicate quality issues to direct supervisor &amp; COO, Team Leaders and other Managers.</li>
<li>Provide recommendations to management based on audit findings</li>
</ul>
Management reports:
<ul>
<li>Prepare management summary reports of audit findings</li>
</ul>
Additional Responsibilities:
<ul>
<li>Provide support to the Management as required.</li>
<li>Maintains detailed knowledge of coding guidelines and regulations</li>
</ul>
Qualification Experience and Skills Required Experience:
<ul>
<li>Must have CPC or CCS certification</li>
<li>Five (5) years coding experience.</li>
<li>Multi-Specialty coding experienced required.</li>
<li>Outpatient/Clinic billing experience required.</li>
<li>Physician billing office supervisory experience preferred</li>
<li>Knowledgeable in Hierarchical Condition Categories (HCC) concepts and documentation guidelines.</li>
<li>Knowledge in MACRA reporting</li>
<li>High School degree required. Some college preferred.</li>
</ul>
Company DescriptionT.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all. We are an Equal Opportunity Employer. 
<h3>Company Description</h3>
T.H.E. Health and Wellness Centers is a nonprofit community clinic in South Los Angeles. For more than 50 years, we've provided high-quality, low cost healthcare and preventative education for all.\r\n\r\nWe are an Equal Opportunity Employer.

Medical Coder

<h3>Job Description</h3>
Immediate need for a talented Medical Coder. This is a Fulltime opportunity with long-term potential and is located in Anchorage,AK(Onsite). Please review the job description below and contact me ASAP if you are interested.
 
Job ID:26-01746
 
Pay Range: $28 - $29/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
 
Key Responsibilities:
 
<ul>
<li>Review adjudicated medical claims that have been denied and resubmitted by providers for reconsideration.</li>
<li>Review medical documentation in support of Evaluation and Management in compliance with current CPT, HCPCS, ICD-10, and CMS guidelines, as well as company-specific reimbursement policies, competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy.</li>
<li>Analyze claim documentation, coding accuracy, and medical record details to determine if denial reasons are valid or if payment reconsideration is warranted.</li>
<li>Conduct detailed coding audits to validate proper code assignment and adherence to medical necessity and billing regulations.</li>
<li>Coordinates research and responds to system inquiries and appeals.</li>
<li>Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy.</li>
<li>Conducts research of claims systems (i.e Facets, Encoder Pro, etc) and system edits to identify adjudication issues and to audit claims adjudication for accuracy</li>
<li>Prepare clear and concise documentation outlining findings, coding corrections, and recommendations for claim outcomes.</li>
<li>Mandatory experience in payor insurance processes</li>
</ul>
 
Key Requirements and Technology Experience:
 
<ul>
<li>Key Skills:["Medical Coding", "Claims Review", "Denials &amp; Appeals", "E&amp;M Coding", "CPT", "HCPCS", "ICD-10", "CMS Guidelines", "Payor Processes", “Insurance Processes”].</li>
<li>Certified &amp; active Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.</li>
<li>Experience with appeals and denials (NCD/LCD, Duplicate, MUE)</li>
<li>2-3 years of prior E&amp;M/GMC experience</li>
<li>Strong knowledge of CPT, HCPCS, ICD-10, and CMS reimbursement guidelines.</li>
<li>Minimum 3 years experience reviewing denied claims and performing coding audits in a healthcare or insurance environment.</li>
<li>Excellent analytical, communication, and documentation skills with an emphasis on attention to detail.</li>
<li>Ability to interpret medical records and apply coding principles accurately.</li>
</ul>
 
Our client is a leading IT Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
 
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
 
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

<h3>Job Description</h3>
Job DescriptionMedical Coder (CPC / CPC-A) Bayview Physicians Group | Chesapeake, VA Full-Time | Experienced or Apprentice | Medical Billing Department Code with purpose. Grow with confidence. Build your future at Bayview. Bayview Physicians Group is a rapidly growing, outpatient multi-specialty medical group that believes exceptional healthcare starts with strong doctor–patient relationships. With hundreds of team members serving the Hampton Roads community, we are committed to excellence, collaboration, and creating a positive workplace where employees can thrive. We are currently seeking a Certified Professional Coder (CPC or CPC-A) to join our Medical Billing team. Whether you’re an experienced coder or an Apprentice ready to grow, this is an exciting opportunity to build your skills within a large, diverse, multi-specialty organization. We are willing to train the right candidate. Remote and hybrid opportunities are available.Why You’ll Love Working Here
<ul>
<li>Competitive pay and comprehensive benefits for full-time employees</li>
<li>Remote work-from-home opportunity available after one year of successful employment (CPC)</li>
<li>AAPC annual dues reimbursement</li>
<li>Annual CPT, ICD-10, HCPCS, and specialty coding books provided</li>
<li>Access to Codify</li>
<li>Ongoing training and specialty-specific education</li>
<li>Exposure to a wide range of medical specialties</li>
<li>A collaborative team of experienced coders who support your growth</li>
</ul>
What You’ll Do
<ul>
<li>Review charge tickets, progress notes, and operative reports to assign accurate CPT, ICD-10, and HCPCS codes</li>
<li>Analyze and correct denied claims requiring coding review across multiple specialties</li>
<li>Collaborate with billing and coding teams to ensure clean claims and timely reimbursement</li>
<li>Participate in month-end closing processes, including required blackout periods (Extended hours or weekend shifts may be required during the last week of the month)</li>
<li>Maintain required annual AAPC CEUs</li>
<li>Assist with special projects as assigned</li>
</ul>
What We’re Looking For
<ul>
<li>Active Certified Professional Coder (CPC) or Certified Professional Coder – Apprentice (CPC-A) credential required</li>
<li>Strong written and verbal communication skills</li>
<li>Detail-oriented with a high level of accuracy</li>
<li>Ability to work independently with minimal supervision</li>
<li>Team player with a positive, professional attitude</li>
<li>Self-motivated and eager to learn and grow</li>
<li>General knowledge of standard office equipment and computer systems</li>
<li>Prior medical office experience a plus</li>
</ul>
Specialties You’ll Support Gain hands-on experience coding across a broad range of specialties, including:
<ul>
<li>Hospitalist Medicine</li>
<li>Cardiology</li>
<li>Pulmonary &amp; Critical Care</li>
<li>Sleep Medicine</li>
<li>Endocrinology</li>
<li>Podiatry</li>
<li>OB/GYN</li>
<li>Colon &amp; Rectal Surgery</li>
<li>Urgent Care</li>
<li>Dermatology</li>
<li>ENT</li>
<li>And more</li>
</ul>
Locations
<ul>
<li>Chesapeake, VA</li>
<li>Virginia Beach, VA</li>
</ul>
Join the Bayview Team At Bayview Physicians Group, your expertise matters—and your career growth does too. If you’re ready to expand your coding skills, work with a supportive team, and make a meaningful impact behind the scenes of patient care, we want to hear from you. Apply today and take the next step in your coding career with Bayview Physicians Group. &nbsp;
Powered by JazzHR
mMYRnK7T59

<h3>Job Description</h3>
Job DescriptionBenefits/Perks 
<ul>
<li>Flexible Scheduling</li>
<li>Competitive Compensation</li>
<li>Careers Advancement</li>
</ul>
Job Summary We are seeking a front desk Medical/ biller/ Coder/ to join our team. In this role, you will transcribe patient records and process claims for reimbursements. You will be responsible for selecting the correct codes and functions to be assigned to each instance. The ideal candidate is detail-oriented with strong people skills and computer skills. Responsibilities 
<ul>
<li>Account for coding and abstracting of patient medical appointments</li>
<li>Research and analyze data needs for reimbursement</li>
<li>Ensure codes are properly sequenced</li>
<li>Analyze, file, and process medical records</li>
<li>Keep detailed documentation of any deficiencies or issues with medical records</li>
<li>Provide education and training to other coding staff</li>
<li>Review and verify documentation</li>
</ul>
Qualifications 
<ul>
<li>High school diploma/GED or equivalent</li>
<li>Previous experience as a Medical Coder or in a similar position</li>
<li>Familiar with coding software and other computer programs</li>
<li>Strong written and verbal communication skills</li>
<li>Highly organized and able to problem-solve</li>
<li>Ability to adhere to strict confidentiality guidelines</li>
</ul>

<h3>Job Description</h3>
Job Description
Position Summary:
The Certified Professional&nbsp;Coder&nbsp;is responsible for accurate coding of office, hospital and&nbsp;medical&nbsp;procedures.
 
Key duties include:
<ul>
<li>Reviewing codes submitted by physicians to assure accurate assignment of ICD-10-CM and CPT codes for inpatient/outpatient charges</li>
<li>Maintains compliance with Federal, State and payer regulations</li>
<li>Ability to review and analyze encounters, reports and other&nbsp;medical&nbsp;records to determine the appropriate diagnosis and procedure codes to describe the level of service and surgical professional services provided</li>
<li>Abstracts the appropriate evaluation and management level of service from the&nbsp;medical&nbsp;record per CPT instructions</li>
<li>Understands and adheres to CPT and ICD-10-CM instructions, the appropriate use of modifiers, and multiple or add-on procedures</li>
<li>Assures healthcare providers compliance with official coding guidelines including but not limited to Medicare and AHCCCS requirements for coding and billing</li>
<li>Identifies and educates healthcare providers on additional revenue opportunities.</li>
<li>Other tasks as assigned</li>
</ul>
 
Qualifications
Desired Skills and Experience:
<ul>
<li>Current CPC certification</li>
<li>2+ years of&nbsp;medical&nbsp;coding</li>
<li>In-depth knowledge of billing software</li>
<li>Professional attitude</li>
<li>Ability to solve problems, prioritize and multi-task in a deadline driven environment</li>
<li>Ability to make independent decisions regarding matters of significance</li>
<li>Work with little to no supervision</li>
<li>Able to work in a team environment and interact positively with team members</li>
<li>Goal oriented, with excellent time management and organizational skills</li>
<li>Excellent interpersonal skills, with ability to interact effectively and work efficiently with people at all levels in an organization</li>
<li>Excellent verbal &amp; written communication skills</li>
<li>Keenly attentive to detail</li>
<li>Ability to keep sensitive information confidential</li>
<li>High level of proficiency with PC based software programs</li>
</ul>
 
Education
High school diploma or equivalent
Certified Professional&nbsp;Coder&nbsp;(CPC) required.
Company DescriptionCredence Global Solutions (“CGS”) is a Dallas, Texas based diversified technology driven financial transformation company with deep expertise in receivables management and voice based BPO. With focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals, CGS services leading telecommunication, healthcare, and media companies. Healthcare providers serviced by CGS include medical transport providers, emergency physicians, health infusion service providers and diagnostic laboratories. In the telecommunication vertical, CGS serves four of the top five providers in United States. Credence Resource Management is the flagship company of the Credence Group. Our mantra is Excellence Beyond Belief. Challenges, growth opportunities and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our teams are encouraged to continually explore their talents and pursue their interests, giving them the authority to gain knowledge and skills to truly be the expert in their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of your team. Headquartered in Dallas TX, we have delivery offices in San Jose CA; Natchez MS; Mesa AZ &amp; Pune India. Visit <a href="http://www.credencegs.com" target="_blank">www.credencegs.com</a> to know more about the company. 
<h3>Company Description</h3>
Credence Global Solutions (“CGS”) is a Dallas, Texas based diversified technology driven financial transformation company with deep expertise in receivables management and voice based BPO. With focus on Receivables Management, Healthcare RCM, Technology Platforms and Contact Center verticals, CGS services leading telecommunication, healthcare, and media companies.\n\nHealthcare providers serviced by CGS include medical transport providers, emergency physicians, health infusion service providers and diagnostic laboratories. In the telecommunication vertical, CGS serves four of the top five providers in United States.\n\nCredence Resource Management is the flagship company of the Credence Group.\n\nOur mantra is Excellence Beyond Belief. Challenges, growth opportunities and a passion for the Job enables us to repeatedly deliver excellence to our clients. Our teams are encouraged to continually explore their talents and pursue their interests, giving them the authority to gain knowledge and skills to truly be the expert in their domain. We strive to bring on the best and brightest, as well as to invest in their training and education, making them a seamless extension of your team.\n\nHeadquartered in Dallas TX, we have delivery offices in San Jose CA; Natchez MS; Mesa AZ &amp; Pune India. Visit <a href="http://www.credencegs.com" target="_blank">www.credencegs.com</a> to know more about the company.

<h3>Job Description</h3>
Job Description
The Medical Coder / Coder PAR at Apex Spine and Neurosurgery is responsible for reviewing clinical documentation and assigning accurate CPT, ICD-10, and HCPCS codes for spine, neurosurgical, and interventional pain management services. This role ensures compliant, complete, and timely coding to support revenue integrity, authorization accuracy, and efficient claims processing in accordance with CMS and payer guidelines.
Key Responsibilities
<ul>
<li>Review operative reports, clinic notes, imaging, and diagnostic studies to accurately assign CPT, ICD-10, and HCPCS codes for spine and neurosurgical procedures.</li>
<li>Code surgical and procedural services including (but not limited to): spine surgeries, decompressions, fusions, discectomies, laminectomies, injections, nerve blocks, ablations, and other interventional pain procedures.</li>
<li>Ensure compliance with CMS guidelines, NCCI edits, payer-specific policies, and internal coding standards.</li>
<li>Communicate directly with physicians and advanced practice providers to clarify documentation and ensure accurate coding and medical necessity.</li>
<li>Support prior authorization (PAR) processes by reviewing documentation, validating codes, and ensuring alignment with payer requirements.</li>
<li>Enter codes into the EHR/billing system and confirm documentation supports all billed services.</li>
<li>Collaborate with billing and authorization teams to resolve coding edits, denials, and discrepancies.</li>
<li>Assist with internal and external audits, compliance reviews, and coding workflow improvements.</li>
<li>Stay current with annual CPT/ICD updates, CMS rules, spine and neurosurgery coding changes, and payer policy updates.</li>
<li>Participate in provider education related to documentation requirements, surgical reporting, and medical necessity standards.</li>
</ul>
Qualifications
<ul>
<li>Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.</li>
<li>Minimum of 3–5 years of medical coding experience, preferably in spine surgery, neurosurgery, orthopedics, interventional pain management, or a related surgical specialty.</li>
<li>Strong working knowledge of CPT, ICD-10, HCPCS, NCCI edits, and CMS guidelines.</li>
<li>Experience reading and interpreting operative reports and procedural documentation.</li>
<li>Familiarity with EMR/EHR systems and coding/billing software.</li>
<li>Excellent attention to detail, organization, and problem-solving skills.</li>
<li>Strong communication skills with providers, clinical staff, and revenue cycle teams.</li>
</ul>

<h3>Job Description</h3>
Job DescriptionWe are looking for a skilled Medical Coder to join our team in Oakland, California. This is a long-term contract position within the non-profit sector, offering an opportunity to contribute your expertise in medical coding and healthcare billing. The ideal candidate will have a strong background in outpatient coding and be proficient in ICD-10 and CPT coding standards. Responsibilities: • Accurately assign ICD-10 and CPT codes to medical procedures and diagnoses. • Ensure compliance with healthcare billing regulations and coding standards. • Review and analyze medical records to verify proper documentation for coding purposes. • Collaborate with healthcare professionals to clarify coding discrepancies and obtain additional information. • Manage outpatient coding processes, maintaining accuracy and efficiency. • Utilize Epic Hospital Billing systems to process medical billing and coding tasks. • Support billing collections by addressing coding-related issues and resolving discrepancies. • Conduct periodic audits of coded data to ensure accuracy and compliance. • Stay updated on changes in coding guidelines and healthcare billing regulations. • Provide guidance and training to staff on coding best practices when necessary.• Minimum of 2 years of experience in medical coding, preferably in an outpatient setting. • Certification in medical coding (e.g., CPC, CCS, or equivalent). • Proficiency in ICD-10 and CPT coding systems. • Familiarity with Epic Hospital Billing and other healthcare billing systems. • Strong understanding of healthcare billing processes and collections. • Excellent attention to detail and ability to work independently. • Effective communication skills to collaborate with healthcare teams. • Commitment to staying informed on industry coding updates and standards.

<h3>Job Description</h3>
Job Description
PLEASE NOTE - This position may require temporarily relocation to other TONHC Facilities: Sells Hospital, Santa Rosa Health Center, San Simon Health Center, and San Xavier Health Center.
Position Summary:
Under general supervision, this position serves as a certified professional coder; performs the full range of coding, assigns ICD, CPT, HCPCS, and medical inpatient codes; abstracts data from the record; perform chart analysis; peer review; and serves as a medical documentation and coding technical expert to TONHC providers. 
Scope of Work:
This position is located within Tohono O'odham Nation Health Care (TONHC). The work involves performing specialized medical record tasks and resolving problems using established processes, coding conventions, and guidelines. Performance of duties reflects directly on patient care by recording services performed on the patient. The incumbent works independently under the general supervision of the Supervisor or designee. 
Essential Duties and Responsibilities: (Depending on the area of assignment, an incumbent may not be required to perform some of the duties listed below): 
<ul>
<li>Assigns codes to diagnoses and procedures using ICD (International Classification of Diseases), HCPCS (Healthcare Common Procedure Coding System), and CPT (Current Procedural Terminology) codes.</li>
<li>May be assigned to medical inpatient coding; reviews physician's patient medical documentation and determines the most appropriate corresponding code.</li>
<li>Perform the full range of coding per current ICD coding conventions and the official coding guidelines under Federal, State, and Cooperating Parties. </li>
<li>Ensures codes are accurate and sequenced correctly per government and insurance regulations.</li>
<li>Reviews Electronic Health Record (EHR) data and ensures providers and other clinicians assign the appropriate ICD codes; follows up with the provider on insufficient or unclear documentation.</li>
<li>Assigns the appropriate CPT code for all outpatient medical, surgical, non-physician professional services, and diagnostic services. </li>
<li>Utilizes the CPT Assistant or other coding software to assist in the proper use of codes.</li>
<li>Observes the coding rules established by AMA (American Medical Association). </li>
<li>Assigns the appropriate HCPCS code for items, supplies, and non-physician services used in reimbursement claims processing.</li>
<li>Appropriately assigns modifiers to codes and verifies site, unit number, and location of services based on the documentation of the record.</li>
<li>Assigns and reports codes clearly and consistently supported by physician documentation in the health record.</li>
<li>Assists and educates physicians and other clinicians in proper documentation practices, further specificity, sequencing, or inclusion of diagnoses or procedures to reflect acuity, severity, and other events. </li>
<li>Establishes a working relationship with providers; consults physicians and other clinicians for clarification and additional documentation before code assignment when necessary.</li>
<li>Work with computerized information systems, including an electronic health record, encoding software, the internet, and other software applications.</li>
<li>Maintains and enhances coding skills, stays abreast of changes in codes, coding guidelines, and regulations.</li>
<li>Abstracts and enters all data for coding, billing, GPRA indicators and CMS, The Joint Commission (TJC), and the governmental reporting process.</li>
<li>Abstracts and enters all data into a computer system for statistical purposes, third-party billing, and continuity of patient care.</li>
<li>Provide analysis of documentation and coding issues regarding areas of concern of the health record, including lack of documentation, legibility, system issues, EHR, and other matters.</li>
<li>Assists with the formulation of query forms and formats for providers to be used for clarification and documentation.</li>
<li>Identifies inconsistencies within the medical record and participates in QA functions and peer reviews.</li>
<li>Participates in developing hospital and health centers coding policies and ensuring coding policies complement the official rules and guidelines.</li>
<li>Assist with technical issues within the computer systems, including the EHR. </li>
<li>Assist in maintaining and updating the ADT and PCC software packages.</li>
<li>Provides expertise and support in EHR development and maintenance of charge lists, pick lists, templates, and subject matter experts.</li>
<li>Monitors and reports any discrepancies in the EHR in regards to proper code assignments.</li>
<li>Ensures the quality of data in information systems by conducting audits and continuously analyzing the data.</li>
<li>Attends meetings and serves as a resource person for coding. </li>
<li>Assists with coding and training of coworkers, providers, contractors, student interns, and other employees.</li>
<li>Serves as a resource for PCC data entry staff, assisting with coding, EHR; and, documentation issues. </li>
<li>Contributes to a team effort and performs other job-related duties as assigned.</li>
</ul>
Knowledge, Skills, and Abilities:
<ul>
<li>Knowledge of the Tohono O'odham culture, customs, and traditions. </li>
<li>Knowledge of applicable federal, state, tribal laws, regulations, and requirements. </li>
<li>Knowledge of computer software, including word processing, database, and spreadsheet application.</li>
<li>Knowledge of legal regulations and requirements on confidentiality, specifically to the Privacy Act of 1974 and Health Insurance Portability and Accountability Act of 1996 (HIPAA).</li>
<li>Thorough and detailed knowledge of and skill in applying a comprehensive body of rules, procedures, and operations, such as health information management, medical records activities, and computerized data entry and retrieval systems.</li>
<li>Extensive knowledge of official coding conventions and guidelines established by the AHIMA, AHA, CMS, NCHS, etc.</li>
<li>Extensive knowledge of ICD/CM (International Classification of Diseases/Clinical Modification), and HCPCS (Healthcare Common Procedure Coding System), CPT (Current Procedural Terminology) appropriate Level coding.</li>
<li>Thorough knowledge and understanding of Diagnostic Related Group (DRG) and Ambulatory Patient Classification (APC) systems and associated encoding software applications.</li>
<li>Ability to abide by and promote compliance with the AHIMA Standards of Ethical Coding and with the Compliance Plan and Coding Compliance Plan of the TONHC Hospital and Clinics; and the Internal Control Policy of IHS.</li>
<li>Knowledge of the healthcare industry pertains to the functions of the position, capacity, and willingness to obtain continuing education required to maintain certification and stay apprised of changes in coding and the health care industry. </li>
<li>Thorough knowledge of pharmacology, including the ability to reference the Physician's Desk Reference (PDR).</li>
<li>Thorough knowledge of the RPMS software program, specifically the PCC, ADT, Scheduling, and EHR applications. </li>
<li>Knowledge and ability to use computers, scanners, and reference materials for day-to-day tasks within the hospital.</li>
<li>Thorough and detailed knowledge of and ability to conduct chart reviews and coding audits to ensure accuracy and appropriate coding and compliance with rules and regulations.</li>
<li>Ability to use standardized computer software such as spreadsheets, word processors, electronic email systems, and database software programs. </li>
<li>Skill and commitment to accuracy and detail.</li>
<li>Skill in providing superior customer service to external and internal customers.</li>
<li>Skill in operating various word-processing, spreadsheets, and database software programs.</li>
<li>Skill in organizational and office technology.</li>
<li>Ability to communicate effectively with others, orally and written. </li>
<li>Ability to prepare reports in a well-written, concise format using applicable software applications.</li>
<li>Ability to generate reports and analyze data from these systems.</li>
<li>Ability to establish performance improvement functions, track and report outcomes and conclusions or follow up orally and in writing.</li>
<li>Ability to organize and plan work.</li>
<li>Ability to deal with individuals from a variety of diverse backgrounds.</li>
<li>Ability to work independently, use sound judgment, and meet deadlines. </li>
<li>Ability to provide accurate reports. </li>
</ul>
Minimum Qualifications:
<ul>
<li>High school diploma or general education diploma;</li>
<li>Medical Coding of Professional Medical Coder Certification, or closely related field, and</li>
<li>Three years of work experience in medical coding.</li>
</ul>
Licenses, Certifications, Special Requirements:
<ul>
<li>Must type 40 WPM.</li>
<li>Upon recommendation for hire, a criminal background and a National FBI fingerprint check are required to determine suitability for employment, including a 39-month driving record. </li>
<li>May require possessing and maintaining a valid driver's license (no DUIs or major traffic citations within the last three years). </li>
<li>If required, must meet the Tohono O'odham Nation tribal employer's insurance requirements to receive a driver's permit to operate program vehicles.</li>
<li>Based on the department's needs, incumbents may be required to demonstrate fluency in both the Tohono O'odham language and English as a condition of employment.</li>
</ul>

<h3>Job Description</h3>
Job DescriptionCertified Professional Coder- Medical Billing Department (CPC/ CPC-A) Job Type Full-time Full Job Description Bayview Physicians Group is a rapidly growing outpatient multi-specialty medical group, that strongly believes the doctor-patient relationship is the cornerstone of quality healthcare. We staff more than 600 positions in the Hampton Roads area. Individuals who possess excellent customer service skills, strong collegial relationships, and the desire to promote a positive work environment are encouraged to apply. We offer a competitive benefits package to our full time employees and we are always accepting applications from qualified candidates.&nbsp; We are currently seeking a full-time CPC or CPC-A Certified Professional Coder. If you are an Apprentice you are also encouraged to apply. We can offer you the opportunity to work &nbsp;and grow as a coder for a large multi-specialty group. We are willing to train the right candidate. This will offer coders from all levels of experience the opportunity to work with a diverse group of CPC's on a variety of specialties. Some of the specialties include: Hospitalists, Cardiology, Pulmonary and Critical Care, Sleep Specialists, Endocrinology, Podiatry, OB/GYN, Colo/Rectal, Urgent Care, Dermatology, ENT and much more. Remote and/or Hybrid opportunities are available. Duties &amp; Responsibilities:
<ul>
<li>Review charge tickets, progress notes, and op notes to apply appropriate CPT, ICD-10 and HCPCS codes.&nbsp;</li>
<li>Review denied claims queue’s needing coding review for multispecialty claims and identify how to correct the claim to ensure&nbsp;payment.</li>
<li>Participate in month end closing processes. This requires end of month black out dates. Extended hours and weekend shifts may be required during the month end time frame. (Aprx last week of the month)</li>
<li>Maintains required annual CEU’s</li>
<li>Special Projects as assigned</li>
</ul>
Qualifications:
<ul>
<li>Must be&nbsp;licensed&nbsp;as a Certified Professional Coder (CPC) or Certified Professional Coder- Apprentice (CPC-A)</li>
<li>Ability to communicate effectively &amp; professionally orally and in writing.</li>
<li>Must demonstrate the ability to work as a team member.</li>
<li>Must demonstrate a positive attitude, and helpful demeanor.</li>
<li>Attention to detail a must</li>
<li>Ability to work independently with little to no direct supervision</li>
<li>Self-starter who is willing to learn and grow</li>
<li>General knowledge of standard office equipment such as computers, fax machine, photo copier, etc.</li>
<li>General medical office experience a plus</li>
<li>Locations in Chesapeake and Virginia Beach</li>
</ul>
Education and/or Experience:
<ul>
<li>CPC or CPC-A Required</li>
</ul>
Additional Benefits Offered to full time CPC Coders:&nbsp;
<ul>
<li>Remote work from home opportunity available to CPC coders after 1 year of successful employment</li>
<li>Reimbursement of AAPC annual dues</li>
<li>All CPT, ICD-10, HCPCS and Specialty books are provided annually</li>
<li>Access to Codify</li>
<li>Opportunities for continued training available by specialty</li>
</ul>
Powered by JazzHR
IG2DwxKi0m

<h3>Job Description</h3>
Job Description
Lamoille Health Partners is looking for a Certified Medical Coder to accurately translate diagnostic and procedural information from patient medical records into standardized codes. The Medical Coder plays a crucial role in ensuring accurate billing and reimbursement, as well as contributing to valuable healthcare data collection.
ESSENTIAL FUNCTIONS:
<ul>
<li>Review and analyze patient medical records, including physician notes, operative reports, laboratory and radiology results, and discharge summaries, to identify pertinent diagnoses and procedures.</li>
<li>Accurately assign ICD-10-CM, CPT, and HCPCS codes according to official coding guidelines and regulations.</li>
<li>Ensure proper sequencing of codes to optimize reimbursement and meet payer requirements.</li>
<li>Abstract relevant information from medical records, including patient demographics, diagnoses, procedures, and dates of service.</li>
<li>Identify and resolve coding discrepancies, errors, and omissions by clarifying information with physicians and other healthcare providers when necessary.</li>
<li>Stay up-to-date on coding guidelines, regulations, and payer policies through continuous learning and professional development.</li>
<li>Utilize coding software and electronic health record (EHR) systems to accurately input and manage coded data.</li>
<li>Maintain a high level of accuracy and efficiency in coding assignments.</li>
<li>Adhere to HIPAA guidelines and maintain the confidentiality of patient information.</li>
<li>Collaborate with billing staff to ensure accurate and timely claim submission.</li>
<li>Assist with internal and external coding audits as needed.</li>
<li>Contribute to the development and implementation of coding policies and procedures.</li>
<li>Abide by Lamoille Health Partners’ Compliance Program and Standards of Conduct during term of employment.</li>
</ul>
Note that this job description is not designed to cover or contain a comprehensive listing of activities or responsibilities that are required of the Team Member for this position. Duties, responsibilities may change at any time with or without notice.
EDUCATION/EXPERIENCE:
<ul>
<li>High school diploma or equivalent required; Associate's degree in Health Information Technology or related field preferred. </li>
<li>Current and valid medical coding certificationfrom a recognized professional organization such as:
<ol>
<li>AAPC (American Academy of Professional Coders): CPC (Certified Professional Coder), CPC-A (Certified Professional Coder-Apprentice), COC (Certified Outpatient Coder), CRC (Certified Risk Adjustment Coder), CPMA (Certified Professional Medical Auditor). </li>
<li>AHIMA (American Health Information Management Association): CCS (Certified Coding Specialist), CCS-P (Certified Coding Specialist – Physician-based), CCA (Certified Coding Associate). </li>
</ol>
</li>
<li>Minimum of 3 years of medical coding experience, preferably in a medical center.</li>
<li>Thorough knowledge of ICD-10-CM, CPT, and HCPCS coding systems and guidelines.</li>
<li>Familiarity with medical terminology, anatomy, physiology, and pathophysiology.</li>
<li>Experience with electronic health records (EHR) and coding software [Specify software if applicable].</li>
<li>Strong analytical and problem-solving skills.</li>
<li>Excellent attention to detail and accuracy.</li>
<li>Strong organizational and time-management skills with the ability to meet deadlines. </li>
<li>Effective communication (written and verbal) and interpersonal skills.</li>
<li>Ability to work independently and as part of a team.</li>
<li>Proficient in basic computer applications (Microsoft Office Suite).</li>
<li>Knowledge of HIPAA regulations and patient privacy.</li>
</ul>

1,687 medical-coder Jobs