<h3>Job Description</h3>
Job Description
 

Certified Medical Coder
(Remote Production Role)
Our mission to change wound care and improve the lives of others isn’t easy, but it’s worth it! One in ten residents in a skilled nursing facility will develop a skin condition requiring expert medical care. We believe that every person deserves the very best wound care. Building and leading wound care teams is how we do it! Our wound care providers bring education and encouragement to the people who take care of our patients 24/7. When they get better at their jobs, our patient’s wounds heal faster and that is our goal! 
 *** We are accepting applications for potential future opportunities and do not currently have an open position ***
Main Responsibilities (may include but are not limited to): 
<ul>
<li>Meet minimum production goals while maintaining accuracy requirements</li>
<li>Review provider medical coding of services rendered for medical claim submission</li>
<li>Review and respond to medical coding inquiries submitted by providers and staff</li>
<li>Work directly with providers to resolve specific medical coding issues</li>
<li>Analyze data for errors and report data problems</li>
<li>Partner with billing office to correct and resubmit claims based on review of the records, provider input, and payor input</li>
<li>Work with clinical and non-clinical groups to identify undesirable coding trends</li>
<li>Ensure claims are medically coded consistently by following CPT, ICD-10 and HCPCS rules and guidelines; escalate issues that may impact this immediately to the Compliance Committee</li>
<li>Abide by HIPAA and Coding Compliance standards</li>
<li>Collect data from various sources, maintain electronic records and logs, file paperwork, and operate office equipment</li>
<li>Accomplish other tasks as assigned</li>
</ul>
Other Duties That May be Assigned: 
<ul>
<li>Work hand in hand with partner facilities to verify resident stay status</li>
<li>Review patient information to assist in decision making process in regard to advance modalities</li>
<li>Coordinate with outside partners for advanced modalities</li>
</ul>
Skills required to succeed: 
<ul>
<li>Must live in one of the following states: WA, OR, ID, UT, AZ, TX, VA, FL</li>
<li>2+ years coding</li>
<li>2+ years medical billing experience (preferred but not required)</li>
<li>Experience with insurance and revenue cycle management processes</li>
<li>Ability to read and understand insurance EOB’s</li>
<li>Proficient in reviewing edits between CPT, ICD10, and HCPCS codes</li>
<li>Experience in reviewing insurance review denials and payer policies</li>
<li>Professional coder certification through a recognized organization such as AAPC (preferred) or AHIMA</li>
<li>Leadership qualities with the ability to effectively educate providers remotely</li>
<li>Acute attention to detail with a strong, self-sufficient work ethic</li>
<li>Excellent organization and use of time management skills</li>
<li>Ability to prioritize workload and have a strong sense of urgency when time sensitive situations arise</li>
<li>Proficient with computers and navigating within multiple applications</li>
<li>Proficient in MS Office (specifically Teams, Outlook, Excel, and Word)</li>
<li>Ability to collaborate with other UWH team members electronically via email, messaging, and telephone conferences</li>
<li>Strong verbal and written communication, as well as customer service skills; must be able to listen and communicate effectively with leadership, providers, and co-workers</li>
<li>Goal-oriented and a consistent performer</li>
<li>Must be self-motivated, punctual, dependable, and able to work independently</li>
<li>Must be trustworthy, honest and have a positive and professional attitude</li>
</ul>
Location: Remote – corporate office location in WA 
Compensation: $25.00 - $33.00 hourly - DOE and location 
This position is classified as: Hourly, Non-Exempt; Full-Time employment 
Hours: Typical hours are Monday through Friday; 7:30am – 4:00pm PST, (occasional overtime depending on claim volume) 
Benefits: 
<ul>
<li>Work remotely from a home office</li>
<li>Associates working 20+hrs per week:
<ul>
<li>Medical/Dental/Orthodontic/Vison/RX - 80% towards employee monthly premiums covered, HSA matching, dependent coverage available at employee’s expense</li>
<li>Employer Sponsored Life, AD&amp;D, and Disability Insurance </li>
<li>Voluntary Supplemental Insurance: Accident, Cancer, Critical Illness, STD, Life</li>
</ul>
</li>
<li>Paid Time Off:
<ul>
<li>Accruals up to 132hrs (16.5 days) your first year of employment based on 1.0FTE status</li>
</ul>
</li>
<li>8 paid Holidays for full-time employees</li>
<li>401(k) match on first 4%</li>
<li>Core Values that promote work-life harmony</li>
<li>Work with amazing people who have created a culture where we recognize each other’s wins and don’t tolerate gossip or drama</li>
</ul>
 Website: <a href="http://www.unitedwoundhealing.com" target="_blank">www.unitedwoundhealing.com</a>
*Do you want to grow personally and professionally by working with the best? We’d love to hear from you! Apply now: 
We are a drug-free workplace. All offers of employment are contingent upon a successful drug screen and criminal background check. EEO.

Certified Medical Coder (Remote Production Role)

<h3>Job Description</h3>
Job Description
Remote Medical Biller &amp; Coder (Entry-Level &amp; Experienced)
Company: Rooted Talent Solutions
Location: Remote (Work From Home)
Job Type: Independent Contractor (1099)
Schedule: Flexible | Part-Time and Full-Time Opportunities
???? About the Role
Rooted Talent Solutions is actively seeking remote medical billers and coders to join our healthcare support team. This is a remote, independent contractor opportunity involving medical claim processing, coding, and administrative support for healthcare providers.
We’re hiring both experienced professionals and motivated individuals looking to enter the field. If you’re detail-oriented, organized, and eager to work from home, this could be the right opportunity for you.
???? Responsibilities
<ul>
<li>Process and submit medical claims accurately and on time</li>
<li>Assign appropriate ICD-10, CPT, and HCPCS codes</li>
<li>Review documentation for coding compliance</li>
<li>Follow up on denied or unpaid claims as needed</li>
<li>Communicate with providers, payers, or clients when necessary</li>
<li>Maintain HIPAA compliance and data security standards</li>
</ul>
???? Qualifications
✅ Preferred:
<ul>
<li>Experience with medical billing, coding, or claim processing</li>
<li>Familiarity with EHR or billing software</li>
<li>Strong attention to detail and accuracy</li>
<li>Basic understanding of insurance guidelines and terminology</li>
<li>Certifications such as CPC or CBCS are a plus</li>
</ul>
???? Entry-Level Applicants:
If you do not have experience, that’s okay. We will consider highly motivated candidates who demonstrate strong interest in the field. Additional details regarding onboarding and training will be discussed during the interview process.
???? Position Details
<ul>
<li>Location: 100% Remote</li>
<li>Schedule: Flexible – hours vary based on client/project needs</li>
<li>Compensation: Varies depending on experience and client placement</li>
<li>Type: Independent Contractor (1099)</li>
</ul>
???? To Apply
Submit your resume and a short message about your experience or interest in medical billing. Selected applicants will be invited to attend an interview session to learn more about current opportunities and next steps.
???? Rooted Talent Solutions is an equal opportunity contractor network. We welcome applicants of all backgrounds and are committed to fostering a supportive, remote-first work environment.

Copy of Medical Biller & Coder

<h3>Job Description</h3>
Job Description
<ul>
<li>Seeking a Claims Reconsideration Coder for a temporary to permanent hire position with a prestigious insurance company in RI.</li>
<li>This position is immediately available for the successful candidate. Experience is preferred; however, consideration will be given to newly certified applicants who have passed the certification exam and can present their certification number.</li>
</ul>
This is a full-time position working 37 1/2 hours weekly, and offers a comprehensive benefits package when/if hired permanently.
Responsibilities include, but are not limited to:
<ul>
<li>Responsible for all aspects of Claim Reconsideration Requests and Contracted Provider Administrative Appeals including reviewing, resolving, adjusting, and development of written communication to providers</li>
<li>Independently abstract and interpret of all medical notes required to determine if the services billed are supported for reimbursement using current industry standard coding, CMS guidelines, plan benefits, contractual reimbursement terms, and company policies</li>
<li>Communicate adverse determination to Provider via written correspondence</li>
<li>Responsible for identification, review and reporting of inaccurate billing practices and trends gleaned from reconsideration determinations and coding/billing knowledge</li>
<li>Work in conjunction with the Medical Director on issues of medical necessity and resolution</li>
</ul>
<ul>
<li>Responsible for reporting of potentially fraudulent or abusive billing patterns to the Special Investigation Unit</li>
<li>Maintain audit documentation and cumulative reports with prior determinations for utilization as a repository</li>
<li>Continuously maintain repository of periodicals, website links and tools used in making determinations</li>
</ul>
<ul>
<li>Perform any necessary adjustments on the claim(s) affected directly by reconsideration determinations in the Health Rules system</li>
<li>Maintain annual Continuing Education Units (CEU) required to sustain their knowledge and accreditation certificate from the AAPC or AHIMA. This includes remaining up to date on coding changes and guidelines.</li>
<li>Perform other duties and/or special projects as assigned</li>
</ul>
Qualifications Required:
<ul>
<li>Associate’s degree or equivalent, relevant work experience in lieu of a degree</li>
<li>Current certification from the American Academy of Professional Coder’s (AAPC) Certified Professional Coder or American Health Information Management (AHIMA) Certified Coding Specialist</li>
<li>Three (3) or more years of direct application of coding, billing, and reimbursement mechanisms</li>
<li>Three (3) or more years of prior claims processing and/or medical billing experience</li>
<li>Prior experience with claims editing software</li>
<li>Prior experience with claims billing or payment systems</li>
<li>Demonstrated working knowledge of medical record documentation requirements and interpretation as it relates to claim reimbursement</li>
<li>Demonstrated knowledge of NCCI, CPT, HCPC, ICD-10-CM, and ICD-10-PCS coding edits</li>
<li>Knowledge of established norms and guidelines in the industry</li>
<li>Basic understanding of contract implementation and working knowledge of contract language</li>
<li>Experience with Optum Encoder, similar coding software/website</li>
<li>Knowledge of HIPAA standards and CMS guidelines</li>
<li>Excellent ability to effectively prioritize and implement tasks/special projects within deadlines</li>
<li>Intermediate skills working with Microsoft Office products including Outlook and PDF documents</li>
</ul>
The interested candidate must have strong communication skills, be organized, have the ability to prioritize tasks, have problem solving skills, have a positive attitude and enjoy working as part of a team,
Must be able to pass a background check.
For immediate consideration please submit your resume.

Certified Professional Medical Coder (CPC)

<h3>Job Description</h3>
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start&nbsp;Caring. Connecting. Growing together.&nbsp;
\n
As a&nbsp;Medical Coder, you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met.
\n
Schedule:&nbsp;Monday - Friday, 7:00am - 3:30pm, flexibility to adjust following training period
\n
Primary Responsibilities: 
\n
<ul>\n
<li>Compares and reconciles daily patient schedules/census/registration to billing and medical records documentation for accurate charge submission, which includes (but not limited to) processing of professional charges, facility charges, manual data entry</li>
\n
<li>Maintains records to be used for reconciliation and charge follow up</li>
\n
<li>Investigates and resolves charge errors</li>
\n
<li>Meets coding deadlines to expedite the billing process and to facilitate data availability for providers to ensure appropriate continuity of care</li>
\n
<li>Responsible for working professional held claims in claims processing system</li>
\n
<li>Reviews, abstracts and processes services from surgical operative report</li>
\n
<li>Reviews, communicates and processes physician attestation forms</li>
\n
<li>Communicates with physician and other departments (co-surgery) to resolve documentation discrepancies</li>
\n
<li>Other duties as assigned</li>
\n
<li>Requires critical thinking and analytical skills, decisive judgment and work with minimal supervision</li>
\n
<li>Requires excellent communication skills to be able to converse with the clinical staff</li>
\n
<li>Applicant must be able to work under pressure to meet imposed deadlines and take appropriate actions</li>
\n</ul>
\n
What are the reasons to consider working for UnitedHealth Group?&nbsp; Put it all together – competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
\n
<ul>\n
<li>Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays</li>
\n
<li>Medical Plan options along with participation in a Health Spending Account or a Health Saving account</li>
\n
<li>Dental, Vision, Life&amp; AD&amp;D Insurance along with Short-term disability and Long-Term Disability coverage</li>
\n
<li>401(k) Savings Plan, Employee Stock Purchase Plan</li>
\n
<li>Education Reimbursement</li>
\n
<li>Employee Discounts</li>
\n
<li>Employee Assistance Program</li>
\n
<li>Employee Referral Bonus Program</li>
\n
<li>Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)</li>
\n</ul>
\n
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
\n
<ul>\n
<li>High School Diploma/GED (or higher)</li>
\n
<li>Certified Professional Coder (CPC), Certified Coding Specialist Physician (CCS-P), Certified Coding Associate (CCA) by American Health Information Management Certification (AHIMA) with active license</li>
\n
<li>6+ months of experience in specific training related to CPT procedural coding and ICD10 CM diagnostic coding through continuing education programs/ seminars and/or community college</li>
\n
<li>Basic level of working knowledge of human anatomy and physiology, disease processes and demonstrated knowledge of medical terminology</li>
\n</ul>
\n
Preferred Qualifications:
\n
<ul>\n
<li>Prior experience working with ECW</li>
\n
<li>Working knowledge with medical insurance</li>
\n</ul>
\n\n
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 to $35.72 per hour based on full-time employment. We comply with all minimum wage laws as applicable.&nbsp;
\n\n
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
\n\n\n
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
\n\n
UnitedHealth Group&nbsp;is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
\n\n\n
#RPO #RED

Medical Coder - Cuyahoga Falls, OH

<h3>Job Description</h3>
Job Description
Primary Purpose of the Position: The Revenue Cycle Medical Coder II is responsible for assigning diagnosis, procedural, and modifier(s) codes for medical billing purposes which includes verification of charge capture. Position also performs a wide variety of duties, which may include coding accuracy and completeness prior to tickets being processed for billing, insurance filing, and revenue reporting. Monitors daily flow of charge tickets to ensure claim accuracy. This is not a Remote position as you will be expected to come into the Los Angeles Office.
 Essential Duties of the Position May Include The Following: • Reviews charge tickets, identifies and corrects errors, prepares tickets for review, including proper CPT and ICD-10 codes and proper linkage between the two. • Abstracts all surgical and designated diagnostic procedures and assigns appropriate procedure codes and modifiers using the International Classification of Diseases (ICD-10) system, and the Physicians’ Current Procedural Terminology (CPT-4). • Reviews and maintains Athena worklist claims on a daily basis. • Consistently meets and exceeds daily productivity and quality standards. • Effectively works on complex and escalated cases. • Cross-trained; i.e coding different specialties. • Reviews scanned paper charge tickets for accuracy and completeness of codes. • Maintains and expands knowledge of Anatomy and Physiology, Pathophysiology, Pharmacology, and Medical Terminology as basic building blocks for ICD-10-CM coding. • Compiles, reviews and performs data reports and other duties assigned by Management. • Identifies trends and communicates to the management team with findings. • Works and collaborates closely with Revenue Cycle Team Members, Clinician, Physician, Division Leadership and Management. • Keeps current of coding requirements by reviewing payer guidelines and regulations. • Maintains a log of coding errors and omissions for review with the management team. • Stays current on coding and compliance regulatory requirements through professional membership literature, continuing education classes, support and networking groups. • Maintains current knowledge of regulatory requirements by CMS NCCI and MUE edits, Medi-Cal/CCS policies, and certain Medicare requirements.
- Attends various meetings and professional development programs on a regular basis; makes recommendations for revisions and/or new departmental procedures under the direction of management.
• Maintains audit record systems for radiology department. • Performs other related duties as assigned by Management.
Job Qualifications: Knowledge and skill: 1. Coding Certification, CPC from AAPC or CCS from AHIMA 2. At least five (5) years of medical coding experience preferred. 3. Ability to communicate in both written and verbal formats with internal and external stakeholders. 4. Ability to handle multiple tasks. 5. Knowledge of medical terminology, CPT and ICD-10 coding, CMS NCCI and MUE edits. 6. Familiarity with payer billing and reimbursement guidelines and regulations, including the ability read and interpret payer Explanation Of Benefits (EOB), and Remittance Advice Details (RAD). 7. Ability to meet deadlines and to follow assignments through to completion. 8. Ability to organize and manage time effectively. 9. Handle, in a professional and confidential manner, all correspondence, documentation, and files following HIPAA and PHI guidelines. 10. Ability to work independently and as a part of a larger team. 11. Microsoft Word, Outlook and Excel knowledge preferred. 12. Ability to prepare, file and maintain patient records, file reports, and other correspondence.
Company DescriptionPediatric Management Group manages 600+ physician academic practice affiliated with Children's Hospital Los Angeles. 
<h3>Company Description</h3>
Pediatric Management Group manages 600+ physician academic practice affiliated with Children's Hospital Los Angeles.

Revenue Cycle Medical Coder II

<h3>Job Description</h3>
Job Description
Medical Coder: OBGYN and Urology
<ul>
<li>Review and accurately code OB/GYN Urology procedures including but not limited to:</li>
</ul>
- Obstetric services including antepartum care, deliveries and postpartum care
- Surgical procedures performed by OB/GYN physicians such as hysterectomy, biopsies, colpopexy, etc.
<ul>
<li>Review and accurately code E/M visits and office procedures.</li>
<li>Able to work independently and research coding scenarios.</li>
<li>Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis.</li>
<li>Attend conference calls as necessary to provide information and/or feedback.</li>
<li>Communicate with leadership on coding or documentation issues/trends.</li>
<li>Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary.</li>
<li>Participate in coding department and education meetings.</li>
<li>Flexible to expand coding skill set into other specialties altogether.</li>
<li>Maintain confidentiality and protect sensitive information.</li>
<li>Other duties as assigned by leadership.</li>
</ul>
Education/Experience Requirements:
<ul>
<li>High School diploma required. Associates or BS degree preferred.</li>
<li>Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. (COBGC) Certified Obstetrics Gynecology preferred. CPC-A is not accepted.</li>
</ul>
Minimum of 3 years physician coding experience (recent hands-on production) in professional general surgery coding &amp; procedural coding in at least one of the following areas: Neurosurgery, General Surgery (SDS), Plastics, Podiatry required with expertise in OB/GYN andUrology.
Company DescriptionM&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team. 
<h3>Company Description</h3>
M&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Medical Coder: OB/GYN and Urology

<h3>Job Description</h3>
Job Description
Professional Coder-Interventional Radiology and Cardiovascular
Key Responsibilities:
<ul>
<li>Review and accurately code&nbsp;Cardiovascular and Interventional Radiology&nbsp;procedures including but not limited to:</li>
</ul>
- Diagnostic angiography
- Non-vascular interventions (biliary procedures, biopsies, ablations, spine interventions, etc.)
- Percutaneous vascular interventions
- Diagnostic cardiac catheterization
- Basic coronary arterial interventions
<ul>
<li>Review and accurately code E/M visits and office procedures.</li>
<li>Able to work independently and research coding scenarios.</li>
<li>Coder is responsible for meeting our daily production goal and our quality goal of averaging 95% accuracy rate on a consistent basis.</li>
<li>Attend conference calls as necessary to provide information and/or feedback.</li>
<li>Communicate with leadership on coding or documentation issues/trends.</li>
<li>Stay current on all coding guidelines (to include orthopedic-specific guidelines) and maintain credentials as necessary.</li>
<li>Participate in coding department and education meetings.</li>
<li>Flexible to expand coding skill set into other specialties altogether.</li>
<li>Maintain confidentiality and protect sensitive information.</li>
<li>Other duties as assigned by leadership.</li>
</ul>
Education/Experience Requirements: 
<ul>
<li>High School diploma required. Associates or BS degree preferred.</li>
<li>Successful completion of at least one AHIMA or AAPC certified program with the achievement of the correlating professional credential (CCS, CPC, etc.); active and in good standing. A CPC or CCS-P certification is required. (CIRCC) Certified Interventional Radiology Cardiovascular Coder preferred. CPC-A is not accepted.</li>
</ul>
<ul>
<li>Minimum of 3 years physician coding experience (recent hands-on production) in professional general surgery coding &amp; procedural coding in at least one of the following areas: Neurosurgery, General Surgery (SDS), Plastics, Podiatry required with expertise in Interventional Radiology and Cardiovascular.</li>
</ul>
Benefits:
M&amp;D Capital offers our employees a comprehensive benefits package, including health, dental, vision, employee assistance plan, paid family leave, short-term disability and life insurance. We also provide a 401(k) plan with employer match, flexible spending accounts, employee discount program and an employee referral program.
Company DescriptionM&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team. 
<h3>Company Description</h3>
M&amp;D Capital maintains an exciting and energetic culture with opportunity for personal and professional growth and advancement. We work closely with all our staff in order to enhance their skills and grow the scope of their responsibilities, through training and support from every member of our company up to and including those at the executive level. If you meet the qualifications below, we invite you to join our team.

Medical Coder: Cardiovascular and Interventional Radiology

<h3>Job Description</h3>
Job DescriptionDescription:This is a PRN (pro re nata/as needed) position. Hours are not guaranteed and will vary based on the needs of the organization. Scheduling is at the discretion of management and may change. PRN employees are not eligible for benefits unless required by applicable law. 
 
Why you’ll want to work at nimble! 
 
Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! 
 
Who we are: 
 
nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle.
 
On a typical day, here's what you'll be working on:
 
Provide coding of medical records and any applicable supporting documentation. 
<ul>
<li>Codes records to assign ICD-10, CPT, and modifiers in accordance with coding guidelines</li>
<li>Meets quality and productivity standards and deadlines/turnaround times</li>
<li>Assigns indicated account and claim data attributes as indicated (POS, revenue code, implant pricing)</li>
<li>Demonstrates thorough understanding of how work impacts the project/end customer</li>
<li>Recognize, interpret, and evaluate inconsistencies, discrepancies, and inaccuracies in the medical data received and appropriate alerts and/or queries indicated by party or supervisor</li>
<li>Reviews and correctly responds to AR tasks related to pre-claim edits pertaining to coding and post-submission denials </li>
<li>Demonstrates a good rapport and works to establish cooperative working relationships with all members of the team</li>
<li>Demonstrates willingness and flexibility in working additional hours or changing hours whenever required between normal business hours</li>
</ul>
This job description will be reevaluated by leadership periodically to allow for any necessary modifications due to client profiles changes/updates, workflows, policy changes, and regulatory compliance requirements
 
Coding/Compliance
<ul>
<li>To ensure the security and confidentiality of all clinical data handled, including the safekeeping of all health records </li>
<li>To function as the first point of contact regarding coding issues </li>
<li>To promote the interchange of dialogue between nimble management and coders</li>
<li>To have an active involvement in the development and implementation of current information relevant to medical/surgical coding</li>
<li>To be aware of all statutory and local requirements regarding coding policy changes</li>
<li>Assist with client billing questions in a professional and timely manner</li>
<li>Complete coding queues and AR queries as assigned</li>
<li>Address client concerns in a prompt and professional manner</li>
<li>Participate in task force committees and special projects, as required</li>
<li>Assist with client audits, as needed</li>
</ul>
Requirements:
Who you are! 
<ul>
<li>AAPC or AHIMA certification required, such as CPC, CPC-H, CCS, or CCS-P</li>
<li>Two years of medical coding, billing, and management experience preferred</li>
<li>Excellent people skills with the ability to interact effectively with all levels of employees and clients</li>
<li>Ability to work in a collaborative environment</li>
<li>Excellent written and verbal communication skills</li>
<li>Technical/Functional</li>
<li>Knowledge of Healthcare industry </li>
<li>Knowledge of Microsoft Office, Windows, and Excel</li>
<li>Strong organizational skills</li>
<li>Ability to analyze and problem solve</li>
<li>Ability to work with accuracy and diligence</li>
<li>Ability to prioritize and manage multiple tasks simultaneously</li>
</ul>

Medical Coder (PNR) - Part Time/Occasional

<h3>Job Description</h3>
Job DescriptionDescription:
University Health Network is looking for a full-time Certified Medical Coder to focus on risk adjustment for the clinically integrated network associated with The University of Tennessee Medical Center and University Physicians’ Association.
 
This position requires normal business hours Monday-Friday. This is a remote position with occasional on-site meetings. Candidate must be able to maintain HIPAA privacy requirements when working from home. Candidate must be located in the Knoxville, TN region.
 
This role involves performing detailed clinical documentation and risk adjustment reviews and accurately coding procedures and diagnoses using ICD-10-CM, CPT, HCPCS, and modifiers for professional services associated with The University of Tennessee Medical Center and University Physicians’ Association.
 
Essential Duties and Responsibilities (this list does not include all duties assigned)
Performs coding services while meeting daily production and quality goals
<ul>
<li>Conduct thorough reviews of clinical documentation to ensure accuracy and compliance with coding standards.</li>
<li>Assign appropriate ICD-10-CM, CPT, HCPCS, and modifiers for professional services.</li>
<li>Collaborate with healthcare providers to clarify diagnoses and procedures to ensure accurate coding.</li>
<li>Uses CMS and HHS risk adjustment mapping tools to identify HCC coding and documentation opportunities</li>
<li>Participate in ongoing education and training to stay current with coding updates and guidelines</li>
<li>Actively participates in designated team meetings</li>
<li>Consistently meets coding productivity and accuracy standards while managing different responsibilities and workflows. If unable to maintain productivity and accuracy standards, team members will work onsite at the UHN office until standards are met and maintained.</li>
</ul>
Partners with providers, practice staff, and UHN Coding team to improve quality and efficiencies in coding and documentation
<ul>
<li>Educates and coaches on compliant coding and documentation practices and accurate risk adjustment guidelines</li>
<li>Facilitates and supports a culture of compliance, ethics, and integrity</li>
<li>Recognized as an expert in risk adjustment coding compliance</li>
<li>Interacts effectively and builds respectful working relationships across the organization.</li>
</ul>
Maintains HIPPA Guidelines for privacy
<ul>
<li>Respects the privacy of all patients 100% of the time</li>
<li>Understands and abides by HIPAA laws and regulations and UPA HIPAA policy at all times</li>
<li>Obtains consent to release protected health information</li>
<li>Reports all HIPAA issues to the Supervisor</li>
</ul>
Remains current on coding rules and guidelines
<ul>
<li>Remains up to date with official AMA ICD-10 coding guidelines and regulations, Medicare, other MA and commercial plans, and internal guidelines</li>
<li>Remains up to date with CMS and HHS HCC risk adjustment models</li>
<li>Meets CEU requirements and remains in good standing with AAPC/AHIMA certifications</li>
</ul>
Full benefit package available, including PTO, Medical, Dental, Vision, STD/LTD, Life Insurance, 401k + Company Match, and more!
Requirements:
<ul>
<li>Current CPC or RHIT certification required.</li>
<li>CRC required within 6-months of hire</li>
<li>Preferred at least two years of professional medical coding experience in an ambulatory care setting. E/M coding experience a plus.</li>
<li>Preferred experience and knowledge of HCC coding, knowledge related to chronic illness diagnosis, treatment, and management</li>
<li>Must be a team player with effective written and verbal communication, relationship-building, and interpersonal skills</li>
<li>Must be initiative-taking, highly organized, and have excellent time management</li>
<li>Must possess good problem solving and critical thinking skills</li>
<li>Exceptional attention to detail and proficiency in Microsoft Outlook (Outlook, Word, Excel, and PowerPoint)</li>
<li>Demonstrates integrity by adhering to high standards of personal and professional conduct</li>
</ul>

Certified Medical Coder - University Health Network

<h3>Job Description</h3>
Job Description
Onsite/Remote Medical Coder (Michigan Residents)
Medical Records
Full Time: 8:00A-5:00P Mon-Fri
Surgeons Choice Medical Center is a patient centered health care facility and physician owned destination of care focusing on all hand, joint, orthopedic and sports medicine. In 2004, in an ambitious push to bring hospitality back to the hospital, a small group of top Metro-Detroit surgeons decided to create their own surgical hospital; one that provided patients with the best possible care in a small, easy-to-manage environment that truly embraces the best patient experience. We have since become the premier center of choice with 30 surgical beds, 26 rehabilitation beds, and 6 operating rooms.
Surgeons Choice Medical Center has an exciting opportunity for an Onsite/Remote Medical Coder in our Medical Records Department. An ideal candidate has a passion to serve people to improve their quality of life and empower them on their health journey.
Perks for our staff:
● Competitive hourly pay 
● NO WEEKENDS, HOLIDAYS OR ON-CALL! 
● Health Safety Measures in place for everyone
● A diverse &amp; inclusive workforce that embraces communication, caring and courtesy.
● Positive Onboarding Experience
● Health Insurance plans effective 1st of the month following 30 days.
● Company-paid Life Insurance
● Supplemental Life and Disability insurance plans
● Generous PTO accrual at start of employment.
● Tuition Reimbursement &amp; Continuing Education opportunities
● 401k with company match
● Company Events
● Community Discounts
● And more!
Schedule: 8 hour shift M-F
Job type: Full Time
Our Culture is Best in Class! 
At Surgeons Choice Medical Center our culture starts with the hospital owners who are physicians and surgeons, working side-by-side with our management and staff, invested in improving patient care. You will be part of a caring and dynamic group of healthcare professionals that thrive on providing exceptional customer service. You will work in a friendly environment that fosters compassionate communication, responsible engagement and provides you with the resources you need to provide high-quality service. Your experience and expertise are highly valued, your contributions are recognized, and your professional goals are supported. If you have a desire and passion to make a difference in people's lives, Surgeons Choice Medical Center is the place for you.
Responsibilities: 
Under general supervision, reviews medical records and assigns diagnostic and procedure codes using ICD-9-CM/ICD-10-CM (as applicable) and CPT-4 coding classification systems. Assigns and sequences all codes following coding guidelines published by the American Hospital Association and American Medical Association to assure appropriate DRG assignment. Performs data entry utilizing multi-grouper encoding systems as applicable. Adheres to the American Health Information Management Association code of ethics. Performs additional duties as assigned by the Director of Revenue. 
Requirements: 
A. Education/Experience
<ul>
<li>High School Diploma/GED Required</li>
<li>Book Coding experience required </li>
<li>Minimum of 3-5 years coding experience required</li>
</ul>
B. Licensure/Certification
<ul>
<li>Must possess one or more of the following certifications: CCS, CPC, CPC-H, RHIA, RHIT</li>
</ul>
C. Knowledge, Skills and Abilities
<ul>
<li>Knowledge of coding software</li>
<li>Knowledge of major disease process, pharmacology, and concepts of disease.</li>
<li>Knowledge of classification systems, IDC-9-CM/ICD-10-CM nomenclature, and CPT-4 coding guidelines.</li>
<li>Skill in understanding medical/surgical coding procedures and protocols.</li>
<li>Skill in interpreting and applying ethical coding standards .</li>
<li>Good communication skills.</li>
</ul>

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