<h3>Job Description</h3>
Job DescriptionDescription:
ESSENTIAL DUTIES AND RESPONSIBILITIES
<ul>
<li>Review and analyze clinical documentation to assign appropriate ICD-10, CPT, and HCPCS codes.</li>
<li>Ensure coding accuracy and compliance with federal regulations, payer requirements, and clinic policies.</li>
<li>Collaborate with providers, nurses, and clinical staff to clarify documentation when needed.</li>
<li>Abstract relevant information from patient records to support accurate coding and billing.</li>
<li>Enter and verify codes in the electronic health record (EHR) or billing software system.</li>
<li>Identify and resolve coding errors, rejections, and denials in partnership with the billing team.</li>
<li>Maintain current knowledge of coding guidelines, payer rules, and compliance standards (including HIPAA).</li>
<li>Participate in regular audits and quality assurance activities to ensure documentation supports billed services.</li>
<li>Assist with staff education and training related to coding and documentation best practices.</li>
<li>Protect patient confidentiality and maintain the security of all health information.</li>
</ul>
Requirements:
SKILLS &amp; ABILITIES
<ul>
<li>Excellent verbal and written communication skills with patients and staff.</li>
<li>Strong attention to detail and ability to maintain accurate records.</li>
<li>Knowledge of medical terminology, anatomy, and physiology.</li>
<li>Proficiency with computers and electronic health records.</li>
<li>Ability to work independently and as part of a team.</li>
</ul>
QUALIFICATIONS
<ul>
<li>Education: High school diploma required; Associate degree or diploma in Medical Coding preferred.</li>
<li>Certification: Certified Professional Coder (CPC) or equivalent required within 1 year of hire.</li>
<li>Experience: Minimum of 2 years of current medical coding experience preferred.</li>
</ul>
Other: Familiarity with ICD-10, CPT, and HCPCS coding systems and payer guideline
 
PIbf4f5619bfaa-25405-38839726

Certified Medical Coder

<h3>Job Description</h3>
Position Name: Quality Assurance III (Medical Coder)
City &amp; State: Reston, Virginia
Duration: 3 Months
 
Purpose:
Acts as an internal expert to ensure that as value-based reimbursement and medical policy models are developed and implemented. Provides advanced knowledge to support effective partnership with provider entities and guidance on the appropriate quality measure capture and proper use of CPT and ICD 10 codes in claims submissions.
Utilizes extensive coding knowledge, combined with medical policy, credentialing, and contracting rules knowledge to help build the effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity.
 
Consults on proper coding rules in value-based contracts to ensure appropriate quality measure capture and proper use of CPT and ICD10 codes. Provides input on various consequences for different financial and incentive models. Supports to use of alternatives and solutions to maximize quality payments and risk adjustment. Translates from claim language to services in an episode or capitated payment to articulate inclusions and exclusions in models.
 
Serves as a technical resource / coding subject matter expert for contract pricing related issues. Conducts business and operational analyses to assure payments are in compliance with contract; identifies areas for improvement and clarification for better operational efficiency. Provides problem solving expertise on
systems issues if a code is not accepted. Troubleshoots, make recommendations and answer questions on more complex coding and billing issues whether systemic or one-off.
 
Supports and contributes to the development and refinement of effective guides and resources for providers on the expected methodologies for billing and code submissions to maximize quality and STARs outcomes while not compromising payment integrity. May interface directly with provider groups during proactive training events or just in time on complex claims matters. Consults with various teams, including the Practice Transformation Consultants, Medical Policy Analysts and Provider Networks colleagues to interpret coding and documentation language and respond to inquiries from providers.
 
Keeps up-to-date on coding rules and standards.
 
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
 
Education Level: High School Diploma
Experience: 3 years experience in risk adjustment coding, ambulatory coding and/or CRC coding experience in managed care; state or federal health care programs; or health insurance industry experience
 
Preferred Qualifications
Bachelor's degree in related discipline
Experience in medical auditing
Experience in training/education/presenting to large groups
 
Experience in revenue cycle management and value-based reimbursement/contracting models and methodologies
Knowledge, Skills and Abilities (KSAs) Proficiency
Knowledge of billing practices for hospitals, physicians and/or ancillary providers as well as knowledge about contracting and claims processing Proficient
Knowledge and understanding of medical terminology to address codes and procedures. Advanced
Excellent communication skills both written and verbal. Proficient
Detail oriented with an ability to manage multiple projects simultaneously Proficient
Demonstrated ability to effectively analyze and present data Proficient
Experience in using Microsoft Office (Excel, Word, Power Point, etc.) and demonstrated ability to learn/adapt to computer-based tracking and data collection tools Proficient
 
The Special Investigations Unit (SIU) is currently managing a claim volume exceeding 5,000, which has significantly impacted our operational capacity. Due to existing bandwidth limitations, approval was granted to secure temporary support to help reduce the backlog and maintain timely investigative processes.
This additional resourcing is essential to ensure continued compliance, mitigate risk, and uphold the integrity of our claims review process.
 
Responsibilities will include reviewing provider claims with medical records for SIU prepayment team. The role is to ensure properly coded claims in accordance with AMA, industry standards, and identification of FWA indicators.
Accreditations include:
CPC, CPMA, COC through AAPC
 
 
Thanks &amp; Regards,
 
Sekhar Pillala
Team Lead - Talent Acquisition
KMM Technologies, Inc.
CMMI Level 2 | ISO 9001 | ISO 20000 | ISO 27000 Certified
WOSB, SBA 8(A), MDOT MBE &amp; NMSDC MBE
Contract Vehicles: 8(a) STARS III &amp; Schedule 70
Tel: 240-800-1958 | Fax: (866) 856 3684
E-MAIL: <a href="mailto:sekhar.pillala@kmmtechnologies.com" target="_blank">sekhar.pillala@kmmtechnologies.com</a>
Linked In: <a href="https://www.linkedin.com/in/sekhar-ji-1505ab22/" target="_blank">https://www.linkedin.com/in/sekhar-ji-1505ab22/</a>
<a href="http://www.kmmtechnologies.com" target="_blank">www.kmmtechnologies.com</a>

Medical Coder

<h3>Job Description</h3>
Job DescriptionGrowing Healthcare system is seeking a remote Inpatient Coder III for a long term contract role with great growth potential.&nbsp; Qualified applicants must have CCS (AHIMA) and a min of 2 years' Inpatient Coding experience.&nbsp; Job Duties:
<ul>
<li>Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS) </li>
<li>Interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses and ICD-10-Procedural Classification System (PCS) operative procedure codes utilizing designated software to include Computer Assisted Coding (CAC) and/or encoder, coding manuals and other reference material. · </li>
<li>Reviews DRG assigned to each record. Enters coded/abstracted information into software, analyzes DRG groupings, and observes for appropriate DRG assignment. · </li>
<li>Reviews high dollar and more complex cases including but not limited to, medical, surgical, behavioral health and IP Rehabilitation. </li>
<li>Applies IRF-PAI guidelines for IP Rehabilitation coding. </li>
</ul>
Education:
<ul>
<li>Associate's Degree or equivalent experience&nbsp; </li>
</ul>
 Requirements:
<ul>
<li>Min 2 years' inpatient coding experience </li>
<li>CCS (AHIMA&nbsp; </li>
<li>ICD 10-CM diagnostic and ICD-10-PCS procedure codes UHDDS </li>
<li>Various DRG methodologies (MS-DRG, APR-DRG, Tricare, etc.) </li>
<li>IP Rehabilitation IRF-PAI coding requirement&nbsp; </li>
<li>Clinical information related to areas of responsibility&nbsp;To Be Replaced </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
nhj3Dwen4S

<h3>Job Description</h3>
Job DescriptionDescription:
The Certified Medical Coder is responsible for analyzing medical records and identifying documentation deficiencies. They serve as subject matter experts for other coders within the billing department and review documentation to verify diagnoses, procedures, and treatment results. 
 
JOB RESPONSIBILITIES
· Communicate effectively with individuals at all levels of the organization, demonstrating strong written and written communication skills.
· Perform CPT and ICD-10 coding under the direction of the Coding Lead and Revenue Cycle Manager, ensuring accuracy and maximum reimbursement.
· Apply knowledge of anatomy, physiology, disease processes, medical terminology, coding guidelines for outpatient and ambulatory surgery, and documentation requirements.
· Work both independently and as part of a team, demonstrating strong attention to detail and process orientation.
· Manage multiple tasks, organize and prioritize work assignments, and maintain accuracy under pressure.
· Review and code both electronic and paper medical records.
· Verify the completeness and accuracy of diagnosis, procedures, evaluations, and management components in medical records.
· Review principal diagnoses, co-morbidities, complications, therapeutic and diagnostic procedures, supplies, materials, injections, and drugs using ICD-10, CPT, HCPCS (all levels), and other coding systems as required.
· Conduct quality assurance checks on data prior to transmittal, correcting errors as needed.
· Analyze medical record documentation for consistency and completeness, using established criteria and regulations for coding purposes.
· Ensure that all documents in the medical record contain authorized signatures and accurate patient identification, verifying that the diagnosis and treatment are appropriately documented.
· Meet and exceed productivity goals set by the Coding Lead and department manager.
· Ensure accurate and appropriate sequencing of ICD, CPT, and HCPCS codes and modifiers according to official guidelines. 
· Perform additional duties as assigned.
Requirements:
KNOWLEDGE 
· Working knowledge of medical billing practices. 
· Familiarity with payers, payer polices, and payer engines. 
· Knowledge of HIPAA requirements regarding patients and medical records. 
· Understanding of medical terminology, basic anatomy, and physiology.
SKILLS 
· Proficient in computer skills, 10-key, and other office hardware. 
· Strong mathematical skills. 
· Excellent written and verbal communication skills. 
· Initiative to provide high-quality services and improve practice efficiency. 
· Ability to maintain positive working relations with co-workers. 
· Effective time management and organizational skills. 
ABILITIES
· Ability to interact professionally and courteously with patients, effectively communicate with both patients and vendors, and remain calm under stress. 
· Ability to understand and interpret policies and regulations. 
· Ability to prepare documents in response to complaints and inquiries.
· Ability to examine documents for accuracy and completeness. 
MININUM QUALIFICATIONS
· Certified Professional Coder (CPC) certification required.
· Minimum of two years of practical coding experience; previous dermatology experience is a plus but not required.
· High school diploma or equivalent required.
· Proficient in MS Office (Word, Excel, PowerPoint)
· Knowledge of Medicare Documentation Guidelines.
· Experience in Evaluation and Management (E/M) coding.
· Proficiency in ICD-10 and CPT/HCPCS coding rules. 
· Knowledge in using practice EMR, specifically EMA, is a plus.
ADA Requirements: Candidates must be able to perform the essential functions of the position with or without a reasonable accommodation.
Physical Requirements: Tasks require the ability to exert light physical effort in sedentary to light work, which may involve some lifting, carrying, pushing, and/or pulling of objects and materials of light weight (5-10 lbs). Tasks may also involve extended periods of time at a keyboard or workstation.
Work Environment: Essential functions are regularly performed without exposure to adverse environmental conditions.

<h3>Job Description</h3>
Job Description
Job Summary: Reviews and code (ICD-10 &amp; CPT) procedural and diagnostic information that determines Medicare, Medicaid and private insurance billing. Performs ICD-10 and CPT coding for reimbursement. Abstracts pertinent data from the health record for billing purposes. Responsible for accurate, complete, and timely completion of the health record/ billing folder.
 
KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:CCA (Certified Coding Associate) certification or ability to complete AHIMA Coding Basics Program and obtain CCA certification. CCS or CCS-P also accepted from AHIMA or AAPC Certification (CPC)
 
QUALIFICATIONS:
1. One of the above Certifications
2. Six months experience in an office setting preferred.
 
ESSENTIAL DUTIES &amp; RESPONSIBILITIES:
Core Competencies
Reviews the medical record for reimbursement purposes. Responsible for abstracting and coding the classification of psychiatric and medical treatments. Selecting the most accurate and descriptive code(s) from a complete listing of ICD-10 codes, and sequencing codes to optimize reimbursement.
Applies knowledge of anatomy and physiology to interpret general medical classifications for coding inpatient discharge data.
Ensures that all data abstracted and/or coded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
Organizes and prioritizes all work to ensure that records are coded in timeframes that will ensure compliance with regulatory requirements and internal billing processes.
Interacts with physicians to clarify and accurately document patient diagnostic and procedural information.
Enters patient information into EMR, ensuring the accuracy and integrity of the medical record abstract or encounter data.
Performs other related duties as necessary.
 
 day shift 20 hrs/week

<h3>Job Description</h3>
Job DescriptionSalary: 
LPR International is seeking an experienced Medical Coder with at least 3 years of prior experience in production coding in a surgical setting or a physician practice environment. This is a REMOTE role and supports a contract based in Linthicum Heights, MD.
 
Job Title: Coding Specialist/ PB Coder (Critical Care and Pulmonary) Shift/Schedule: Remote; M-F 8AM-SPM (Flexible start date) MUST Reside on CST/EST Interview: Virtual Equipment: Facility will NOT provide equipment. Contractors must have their own equipment for contract duration
 
JOB SUMMARY: Under direct supervision ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately. May code medical records for surgical practices utilizing ICD-9/ICD-10-CM diagnosis and CPT-4 coding conventions Assigns specified codes to medical diagnoses with some coding of specific clinical procedures.
 
JOB REQUIREMENTS: **EXPERIENCE WITH PROFEE BILLING. NO HCC CODERS** 
<ul>
<li>HS Diploma or GED </li>
<li>3+ years experience in production coding in a surgical setting or in a physician practice environment required. Outpatient professional fee revenue cycle management experience preferred </li>
<li>MUST have an active CPC or CCS-P certification </li>
<li>MUST have experience with Critical Care and Pulmonary coding</li>
</ul>
 
JOB FUNCTIONS:
<ul>
<li>Deciphers operative reports and other physician medical record documentation to appropriately select codes and maximize charge capture. Ensures coding compliance with established standards and guidelines</li>
<li>Acts as liaison between the clinical and billing departments. Answers questions from billing in a timely manner </li>
<li>Responsible for ensuring quality, accuracy and timeliness of clinical data contained in patients medical record by reviewing and analyzing medical information provided by physicians for reimbursement, statistical and indexing purposes </li>
<li>Meets established productivity and proficiency standards </li>
<li>Attends coding seminars, hospital and departmental meetings as required or assigned. Actively participates in hospital educational in-services </li>
<li>Utilizes appropriate customer relation skills to ensure all customers are treated with respect and dignity and that the confidentiality of their data is upheld</li>
</ul>
 
 
All applicants requiring alternative methods of application or screening should contact LPR International directly.
 
 
LPR International is an Equal Opportunity Employer and does not discriminate on the basis of race, creed, color, religion, gender, sex, sexual orientation, gender identity, pregnancy, national origin, citizenship status, age, disability, medical condition, genetic information, marital status, status as a covered veteran, military discharge status, criminal records that have been sealed or expunged, arrest records not resulting in conviction or any other characteristic protected by federal, state and/or local law.

<h3>Job Description</h3>
Job DescriptionSalary: Based on Experience 
Allergy A.R.T.S.is a multi-specialty private practice clinic located in Amarillo Texas. We are looking for medical coder who currently holds a coding certification or is willing to pursue a coding certification in the first year of employment. The position does require either coding/billing experience or completion of a medical coding program. Allergy A.R.T.S offers a full range of Medical, Dental, Vision, Gap, HSA, Life Insurance, Long-term and Short-term Disability benefits to our full-time staff!

Coder - Medical

<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 Medical 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 DescriptionWe are looking for a detail-oriented Medical Coder to join our team on a contract basis in Sacramento, California. In this role, you will be responsible for accurately translating medical records and patient information into standardized codes, ensuring proper billing and compliance with industry standards. This position offers an opportunity to work closely with healthcare professionals and contribute to the efficient processing of medical claims. Responsibilities: • Convert medical diagnoses, procedures, and treatments into standardized numeric or alphanumeric codes. • Review and analyze medical records to ensure accurate and compliant coding. • Prepare and submit insurance claims while addressing any discrepancies or denials. • Perform regular audits to maintain the accuracy and integrity of coding practices. • Collaborate with physicians and healthcare staff to clarify medical information and coding needs. • Stay informed about updates to coding guidelines, regulations, and industry best practices. • Train and provide guidance to coders with less experience, as needed. • Ensure confidentiality and compliance with ethical and legal standards in all coding processes. • Utilize coding software and tools such as 3M, Cerner Technologies, and AHLTA to optimize workflows.• Certification as a Certified Coder (CPC) or Certified Coding Specialist (CCS). • Proven experience in medical coding, including familiarity with ICD-10-CM and CPT coding guidelines. • Strong knowledge of medical terminology, anatomy, and physiology. • Proficiency in coding software and tools such as 3M, Cerner Technologies, and AHLTA. • Excellent attention to detail and critical thinking abilities. • Ability to collaborate effectively with healthcare team members and communicate clearly. • Familiarity with billing processes and claim administration. • Commitment to maintaining confidentiality and adhering to legal and ethical standards.

1,633 medical-coder Jobs