<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>
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IG2DwxKi0m

Medical Coder

<h3>Job Description</h3>
Notes: This is a remote position, but we are currently considering local candidates in Columbia. If you are interested in the role, please share your most updated resume.
 
Duties
<ul>
<li>Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events (inexcusable outcomes in a healthcare setting) for all lines of business. Coordinates rate adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.</li>
<li>75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates. •15% Manages records retrieval, release, HIPAA compliance, and all aspects of document management. •10% Serves as expert resource on methodology and procedures for medical records and coding issues.</li>
</ul>
 Required Training:
<ul>
<li>Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR</li>
<li>Certified Codi Skills and Abilities: •Develops methodologies •Follows processes •Responds to Inquiries •Writes for Impact</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>
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oQufHL9pxt

<h3>Job Description</h3>
Job Description
Description
Looking for experienced Medical Coders to ramp up and support upcoming system migration from Cerner to Epic slated to go live March 2026. Will help with day-to-day as their teams lift up and move into training, to provide some relief in those processes. Must have Epic medical coding experience and experience with system migrations. Preferred to also have medical coding experience with Cerner. Need certification in CPC, CPCA, RHIT, or CSS-P, and experience with both inpatient and outpatient environments. These coders will not need visibility into finances, nor do they have access to an encoder. Openings by specialty/clinic: • 2 Behavioral Health • 2 Hospital Med • 1 Fetal Health • 3 Primary Care Clinic • 1 Adolescent Medicine • 1 ENT • 1 Ophthalmology *all mix of inpatient and outpatient
Skills
Coding, medical coding, epic, epic systems, Cerner, Icd-10, cpc, CPCA, rhit, ccsp
Top Skills Details
Coding,medical coding,epic,epic systems
Additional Skills &amp; Qualifications
Best: Highly experienced with Epic Medical Coding and system migration, and some experience with Cerner Medical Coding along with CPC, CPCA, RHIT, or CSS-P certification. Someone who lives in the central time zone and is able to assist with their system upgrade as well as the change in behavior (providers have previously not had to code). Also someone who has experience with complex surgery and high-volume coding. Vs Average: Someone without Cerner experience and minimal system migration experience. Someone without experience in complex surgery coding or low volume coding, as well as someone that is not great with behavioral changes from providers (providers have not had to code previously). Certification: at least 1 cert in CPC, CPCA, RHIT, or CCS-P
Experience Level
Intermediate Level
Job Type &amp; Location
This is a Contract position based out of Kansas City, MO.
Pay and Benefits
The pay range for this position is $35.00 - $45.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental &amp; vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life &amp; AD&amp;D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully remote position.
Application Deadline
This position is anticipated to close on Dec 31, 2025.
h4&gt;About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. 
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

<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
Position Title: Medical Coder – Level 2 Pay Rate: $21.00
Schedule: M - F: 8 - 5 Experience Required: 3–4 years Location Requirement: Columbus, OH Certification Requirement: (CPC, CCS, RHIT, or RHIA)
Overview
The Medical Coder – Level 2 works under general direction to support the monitoring, analysis, and implementation of policies and procedures related to ICD, CPT, HCPCS, and other medical coding systems. This role serves as a medical policy resource and technical expert, ensuring accurate and efficient code assignment across statewide systems. The coder collaborates with the ICD Program Manager and various teams to maintain regulatory compliance and resolve coding discrepancies.
Required Education &amp; Certifications
Candidate must possess one of the following credentials (active status required):
Accepted Certifications (AHIMA / AAPC):
<ul>
<li>RHIT – Registered Health Information Technician</li>
<li>RHIA – Registered Health Information Administrator</li>
<li>CCS – Certified Coding Specialist</li>
<li>CCS-P – Certified Coding Specialist – Physician Based</li>
<li>CPC – Certified Professional Coder</li>
</ul>
Candidate must maintain membership and active participation with either AAPC or AHIMA.
Key Responsibilities
<ul>
<li>Assist in monitoring and analyzing ICD policies and procedures to support accurate and efficient coding.</li>
<li>Serve as an expert resource on ICD, CPT, and HCPCS coding systems.</li>
<li>Support statewide incorporation of coding policies and guidelines.</li>
<li>Review ICD reports for proper usage and code assignment.</li>
<li>Identify applicable regulations and agency policies in collaboration with the ICD Program Manager.</li>
<li>Research and resolve CPT and HCPCS coding discrepancies.</li>
<li>Maintain high standards of accuracy, efficiency, and regulatory compliance.</li>
</ul>
Knowledge Requirements
<ul>
<li>ICD diagnostic codes, medical diagnoses, groupings, and treatment assignments</li>
<li>Federal &amp; state laws, accreditation standards (AAPC, AHIMA)</li>
<li>Human anatomy, physiology, and medical terminology</li>
<li>Coding theory, applications, and compliance</li>
<li>Claims processing &amp; data management</li>
<li>Healthcare delivery systems, administration, and health information systems</li>
<li>Database management, statistics, and outcome analysis</li>
<li>Agency statutes, rules, policies, and procedures</li>
</ul>
Skills
<ul>
<li>Proficient in Microsoft Office (Excel, Word, Access, PowerPoint, Outlook)</li>
<li>Experience with agency-specific software and standard office equipment</li>
<li>Strong written and verbal communication</li>
<li>Project management capabilities</li>
<li>Data collection, analysis, interpretation, and presentation</li>
</ul>
Abilities
<ul>
<li>Define problems, analyze data, and draw logical conclusions</li>
<li>Draft and edit policies, procedures, and directives</li>
<li>Apply statistical analysis</li>
<li>Conduct research and classify information</li>
<li>Maintain accurate records and databases</li>
<li>Prepare concise, accurate reports</li>
<li>Present information to both specialized and general audiences</li>
<li>Build strong internal and external relationships</li>
<li>Handle sensitive inquiries professionally</li>
<li>Use and interpret ICD-9, ICD-10, CPT, and HCPCS coding publications</li>
</ul>

<h3>Job Description</h3>
Job Description
Position Summary
The Medical Coder plays a key role in ensuring accurate and compliant coding and documentation for both professional staff and facility services. This position supports the integrity of our billing processes by applying current coding standards and maintaining compliance with all state and federal regulations
*This position requires on-site training at our office in Wausau, Wisconsin.
Essential Job Functions and Responsibilities
<ul>
<li>Reviews documentation and accurately assigns codes and charges for all professional and ASC facility services based on provider documentation and levels of service</li>
<li>Verifies accuracy of all data entry, including CPT/HCPCS codes, ICD-10-CM diagnosis codes, modifiers, units of service, place of service, NDC codes, provider and referring provider details, and required attachments (such as admission/discharge dates, authorizations, or claim notes). </li>
<li>Ensure diagnoses are sequenced in accordance with ICD-10-CM guidelines and payer policies. </li>
<li>Reviews and implements changes from quarterly CCI edits.</li>
<li> Maintains current knowledge of billing and coding regulations, payer requirements, and compliance standards by routinely reviewing OIG fraud alerts, payer newsletters, regulatory updates, and professional publications.</li>
<li>Provides training to new staff and providers to ensure appropriate coding and documentation compliance.</li>
<li>Communicates coding and billing updates to providers and staff as needed.</li>
<li>Performs other related duties as assigned.</li>
</ul>
Minimum Qualifications
<ul>
<li>Education
<ul>
<li>High School diploma required. </li>
<li>Advanced training/certification in billing, coding and insurance required, or equivalent experience.</li>
</ul>
</li>
<li>Licensure/Certification
<ul>
<li>Certified Gastroenterology Coder (CGIC™) certification required within two years of employment.</li>
</ul>
</li>
<li>Experience
<ul>
<li>Minimum of one year of medical coding experience preferred.</li>
</ul>
</li>
</ul>
Competencies Required
<ul>
<li>Knowledge
<ul>
<li>Working knowledge of medical and insurance terminology, CPT, HCPCS, and ICD-10 coding.</li>
</ul>
</li>
<li>Skills
<ul>
<li>Strong interpersonal, communication, and listening skills for effective interaction with providers, patients, and team members.</li>
<li>Proficiency in EMR and Practice Management systems, as well as Microsoft Word, Excel, and Internet-based applications.</li>
<li>Demonstrates professionalism and respect in all forms of communication and correspondence.</li>
<li>Attention to detail, submitting work with confidence in its accuracy.</li>
</ul>
</li>
<li>Abilities
<ul>
<li>Ability to Maintain strict confidentiality of patient and fiscal information</li>
<li>Ability to work effectively in a fast-paced, team-oriented environment while managing multiple priorities</li>
<li>Ability to accurately gather, review, and prepare information in a timely manner. </li>
<li>Ability to provide in-service education to billing and clinical staff to support compliance efforts</li>
</ul>
</li>
</ul>
 Job Posted by ApplicantPro

<h3>Job Description</h3>
Job Description
Salary Range: $26.00 to $31.00 an hour
By adhering to Connecticut State Law, pay ranges are posted. The pay rate will vary based on various factors including but not limited to experience, skills, knowledge of position and comparison to others who are already in this role within the company.
 Flu Vaccine Considerations Proof of annual flu vaccination is required for all employees.
PACT MSO, LLC is a management service organization that supports a large multi-specialty practice of providers. We are currently looking for an experienced Medical Coder who will be working in Branford Monday through Friday from 8:30am to 5:00pm. This is not a remote position.
Summary
The coder reviews, analyzes, and codes diagnostic and procedural information in the medical record that determines Medicare, Medicaid, and private insurance payments. The primary function of this position is to assign ICD10, CPT, and HCPCS coding based on provider documentation to ensure accurate reimbursement and tracking of services provided. The coding function ensures compliance with established coding guidelines, third party reimbursement policies, and regulations for a busy Multi-Specialty Practice.
Essential Functions
• Thorough understanding of the contents of medical records in order to identify information to support coding. • Extracts pertinent information from patient medical records. Assigns ICD10CM, CPT/HCPCS codes and modifiers. • Reviews and analyzes medical records to identify relevant diagnoses and procedures for distinct patient encounters within a Multispecialty Practice. • Translates/extracts diagnostic and procedural phrases into coded form - the accurate translation process requires understanding and interpretation of medical reports, industry standard and payer specific coding conventions and guidelines. • Reviews denials for coding lapses and suggests coding changes for corrective and preventive action. • Notifies a Manager/Supervisor or designated individual when reports are incomplete and code assignments are not straightforward or documentation is inadequate and updates relevant logs. • Keeps updates of coding guidelines, federal reimbursement requirements, and changes to third party reimbursement policies. • Abides by Standards of ethical coding as set forth by American Academy of Professional Coders (AAPC} and American Health Information Management Association (AHIMA) and adheres to official coding guidelines. • Performs other related duties as required.
Skills and Knowledge
• Demonstrate expertise in coding Evaluation and Management (E/M) visits across multiple specialties, ensuring accurate level selection based on documentation guidelines and supporting providers in optimizing clinical notes for compliance and reimbursement. • Maintain up-to-date knowledge of billing and coding regulations across multiple specialties by actively engaging in continuing education, certifications, and industry updates to ensure accurate and compliant coding practices. • Identify and facilitate educational opportunities for billing and clinical staff, tailoring training to address specialty-specific documentation and coding challenges. • Research new procedures and clinical documentation requirements, providing clear coding guidelines and educational resources to support accurate billing and improve provider documentation across specialties. • Thorough understanding of the contents of multi-specialty medical records in order to identify information to support coding. • Thorough knowledge and experience in EHR, preferably EPIC. • Basic knowledge of anatomy and physiology of human body and diseases in order to understand etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and procedures to be coded. • Basic understanding of claims form and reimbursement process • Understanding of local medical policies of carriers and Medicare.
Education and Experience
• Education: High School degree or equivalent required, Associates preferred. • Must possess and maintain coding certification from the American Academy of Professional Coders (CPC). • Experience: Minimum 3 years’ experience as a coder in a multi-specialty physician group. • Experience: Strong coding and reimbursement background.

<h3>Job Description</h3>
Job DescriptionBenefits: 
<ul>
<li>401(k)</li>
<li>401(k) matching</li>
<li>Company parties</li>
<li>Dental insurance</li>
<li>Health insurance</li>
<li>Opportunity for advancement</li>
<li>Paid time off</li>
<li>Training &amp; development</li>
<li>Vision insurance</li>
</ul>
 Position Overview The ICD-10 Home Health &amp; Hospice Medical Coder is responsible for accurately reviewing, analyzing, and assigning ICD-10-CM diagnosis codes to clinical documentation for home health and hospice services. This role ensures compliance with CMS guidelines, OASIS requirements, and agency policies to support precise reimbursement, high-quality patient care, and regulatory compliance. The ideal candidate has demonstrated experience in Home Health ICD-10 coding, strong knowledge of OASIS/Evaluation criteria, and a thorough understanding of PDGM (Patient-Driven Groupings Model). Key Responsibilities Coding &amp; Documentation Review 
<ul>
<li>Review clinical documentation to identify appropriate and accurate ICD-10-CM codes for home health and hospice encounters.</li>
<li>Assign primary and secondary diagnoses following CMS, PDGM, and regulatory requirements.</li>
<li>Validate medical necessity and ensure coding supports the plan of care and services rendered.</li>
<li>Review and interpret physician orders, clinical notes, OASIS assessments, and other documentation to ensure accurate code selection.</li>
</ul>
Quality, Compliance &amp; Auditing 
<ul>
<li>Ensure all coding aligns with CMS, industry, and agency standards, including PDGM/PEPPER guidelines.</li>
<li>Conduct self-audits or participate in agency coding audits to maintain accuracy and compliance.</li>
<li>Assist with corrections and updates based on audit findings or regulatory changes.</li>
<li>Maintain strict confidentiality and follow HIPAA requirements.</li>
</ul>
Collaboration &amp; Communication 
<ul>
<li>Communicate with clinicians, QA staff, and the billing department to clarify diagnoses, resolve documentation discrepancies, and improve coding accuracy.</li>
<li>Provide feedback to clinical staff regarding documentation gaps that impact coding or reimbursement.</li>
<li>Participate in training or educational sessions to enhance coding competency and knowledge of industry updates.</li>
</ul>
Data Integrity &amp; Workflow Management 
<ul>
<li>Complete coding assignments within established departmental timelines.</li>
<li>Ensure accurate and timely submission of coded encounters for billing and compliance.</li>
<li>Assist in optimizing coding workflows, documentation processes, and clinical data accuracy.</li>
</ul>
Required Qualifications 
<ul>
<li>Minimum 2 years of Home Health ICD-10 coding experience (required).</li>
<li>Certification from a recognized credentialing body such as: 
<ul>
<li>HCS-D (Home Care Coding SpecialistDiagnosis) preferred</li>
</ul>
</li>
<li>
<ul>
<li>CPC, CCS, COC, or RHIT/RHIA accepted with Home Health-specific experience</li>
</ul>
</li>
<li>Strong understanding of PDGM, OASIS documentation requirements, and Medicare regulations.</li>
<li>Experience with home health EMR systems (e.g., Homecare Homebase, WellSky/Kinnser, MatrixCare).</li>
<li>Excellent analytical, critical-thinking, and documentation review skills.</li>
<li>Strong understanding of pathophysiology, medical terminology, and clinical documentation requirements.</li>
</ul>
Preferred Qualifications 
<ul>
<li>Hospice coding experience (ICD-10-CM) strongly preferred.</li>
<li>Knowledge of HIS (Hospice Item Set) and hospice regulatory requirements.</li>
<li>Experience working remotely or in a high-volume coding environment.</li>
<li>Familiarity with PEPPER reports and quality metrics for home health agencies.</li>
</ul>

<h3>Job Description</h3>
Job Description
Over the years, Ophthalmology LTD's name provides the highest quality of comprehensive medical and surgical eye care. Highly trained ophthalmologists, as well as experienced optometrists, combine their considerable expertise to give each and every patient the best possible care. Ophthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls.
We are looking for a passionate Medical Coder. This person is responsible for coding clinical and outpatient medical records using the most accurate and appropriate ICD-10-CM and CPT codes in accordance with regulatory coding guidelines and Ophthalmology LTD policy and procedures. If you are passionate about the work you do and the effect your work has on a patient's experience, this might be a great fit for you! This position is full-time and will work on-site to provide you real-time opportunity to collaborate with the Ophthalmology LTD family. 
A summary of the job duties include:
<ul>
<li>Demonstrate extensive knowledge of official coding guidelines established by the AMA and CMS with regard to the assignment of ICD-10 and CPT.</li>
<li>Evaluates medical record documentation to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflect and support outpatient visits.</li>
<li>Respond to coding questions/issues and reimbursement questions from clinical staff and other departments as necessary.</li>
<li>Performs scheduled audits of physician coding and documentation to make recommendations for improvements and enhancements. </li>
<li>Obtains authorizations prior to procedures or surgical services being performed.</li>
<li>Assist department leadership with research, analysis, and all other special projects.</li>
<li>Answer phone calls and direct calls to the appropriate areas.</li>
<li>Financial counseling of patients prior to medical services being performed and work with the Billing/Insurance Manager and/or CEO on exceptions to standard procedures.</li>
</ul>
Education and Training requirements:
<ul>
<li>High School Diploma, or equivalent. Prefer post-secondary education courses in Health Information Management, accounting and/or business. Educational coursework in CPT and ICD coding in medical practice and a thorough understanding of medical terminology and anatomy. </li>
<li>Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). Ophthalmology coding and billing experience preferred.</li>
<li>Certification is encouraged (CPC-Certified Professional Coder, OCS-Ophthalmic Coding Specialist)</li>
</ul>
Please note this job description is not a complete listing of activities, duties, or responsibilities that are required for this job. Duties, responsibilities, and activities may change at any time.
Ophthalmology LTD office hours are Monday – Friday, 8 am – 5 pm. We offer competitive compensation and a comprehensive benefits package including health, dental, 401K, life insurance, AD&amp;D, short and long-term disability, PTO, sick leave, paid holidays, and eye care benefits.

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