<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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Medical Coder

<h3>Job Description</h3>
Job DescriptionWe are looking for an experienced Medical Coder to join our team in Phoenix, Arizona, on a contract basis. In this role, you will play a key part in ensuring accurate and efficient coding within the Revenue Cycle, collaborating with internal teams and external partners to identify and resolve coding issues. This position is critical to maintaining compliance with coding standards and optimizing reimbursement processes within the healthcare industry. Responsibilities: • Assign accurate and properly sequenced codes in compliance with government and insurance regulations. • Identify and rectify errors, discrepancies, or missing information in claim documentation. • Provide guidance to the Revenue Cycle team in selecting and interpreting ICD-10, CPT, and HCPCS codes for precise billing and reimbursement. • Review and validate documentation to ensure it supports diagnoses, procedures, and treatment outcomes. • Communicate updates on new or revised coding standards, procedures, and tools to relevant staff through meetings and written communications. • Recommend alternative coding methods to address challenges and improve efficiency. • Develop and implement protocols to enhance coding reviews and ensure accurate modifications. • Work collaboratively with cross-functional teams to improve and maximize billing and coding processes. • Maintain consistent attendance and fulfill all assigned duties effectively.• Proven experience in medical coding, particularly in outpatient settings. • Expertise in ICD-10, CPT, and HCPCS coding systems. • Certification in medical coding (e.g., CPC or equivalent). • Strong understanding of government and insurance regulations related to medical coding. • Excellent problem-solving skills with the ability to identify and resolve coding discrepancies. • Effective communication skills to educate and inform team members about coding updates and standards. • Ability to collaborate with diverse teams to improve processes and achieve goals. • High attention to detail and commitment to accuracy in all aspects of coding.

<h3>Job Description</h3>
Job Description
Full time onsite for the first 3 months &amp; then will transition to a hybrid schedule!
 
Responsibilities &amp; Qualifications:
<ul>
<li>Comprehensive understanding and working knowledge of CPT &amp; ICD codes. • Ability to read and code directly from Progress Notes and Op Reports, requiring a deep understanding of clinical documentation. • Advising physicians on coding practices, including identifying potential billing discrepancies and offering expert advice. • Proactive communication with physicians and staff to ensure accurate coding and billing procedures. • Familiarity with office, hospital, and procedure billing processes. • Organizational skills, speed, and accuracy are paramount, as each coder is expected to handle 150-200 claims daily.</li>
<li>Preferred experience with CPC &amp; E-Clinical Works; minimum of two years' coding experience required.</li>
</ul>
Medical Coders hold a vital role as they directly engage with physicians and staff daily. They serve as the linchpin in preventing denials before they occur and contribute significantly to the financial health of our organization.

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

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

<h3>Job Description</h3>
Job 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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mYv44cXfz6

<h3>Job Description</h3>
Job Description
We are looking for a detail-oriented Medical Coder to join our team. In this role, you will play a vital role in ensuring accurate and compliant coding for medical procedures and diagnoses. The ideal candidate will have a strong background in medical coding, with expertise in ICD-10 and CPT codes, and the ability to work across multiple specialties.
 
Responsibilities:
• Review medical records and assign appropriate ICD-10, CPT, and other relevant codes using 3M coding software for outpatient work types, including ancillary services, emergency department visits, same-day surgeries, and observation cases.
• Ensure that assigned codes align with documented reasons for visits and meet the required medical necessity guidelines.
• Apply charges for procedures such as Evaluation and Management (E&amp; M) levels, injections, and infusions as needed, using third-party software systems.
• Abstract and validate required data in accordance with facility-specific guidelines and standards.
• Conduct medical necessity checks for Medicare and other payers based on established payment criteria.
• Collaborate with healthcare providers to clarify documentation and resolve coding discrepancies.
• Stay current with coding regulations, guidelines, and payer requirements to ensure compliance.
• Assist in quality assurance efforts to maintain high standards of coding accuracy and efficiency.
• Provide coding support across multiple specialties, including OBGYN, interventional cardiology, neurology, general surgery, and more.
• Minimum of 1 year of experience in profee medical coding.
• Proficiency in ICD-10 and CPT coding systems.
• Certification in medical coding (e.g., CPC, CCS, or equivalent) is required.
• Familiarity with 3M coding software and third-party systems for charge entry and validation.
• Strong knowledge of medical terminology and various specialties, including vascular, urology, anesthesiology, and wound care.
• Ability to perform medical necessity checks and ensure compliance with payer guidelines.
• Excellent attention to detail and organizational skills.
• Strong communication skills, with the ability to collaborate effectively with healthcare providers.

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

<h3>Job Description</h3>
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>

<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>

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