Professional Coding Specialist III - Cardiothoracic Surgery West Virginia University MedicineProfessional Coding Specialist III - Cardiothoracic SurgeryPAAccurately codes and/or audits complex surgical procedures as part of daily workload (85%-95% of workload) including but not limited to: Bariatric surgery, Cardiothoracic surgery, Gynecologic surgery, Oncology surgery, Orthopaedics surgery, Thoracic surgery, Transplant surgery, Trauma and burn surgery, and Open Vascular surgery. Reviews and accurately interprets medical record documentation from all accounts in order to identify all diagnosis and procedures that affect the current inpatient stay or outpatient encounter and assigns the appropriate ICD-10, CPT, or modifier codes for each diagnosis and procedure that is identified.
Certified Coding and Billing Compliance Specialist Snowline HospiceCertified Coding and Billing Compliance SpecialistCA$26–$36 / hourThis role evaluates clinical documentation, assigns ICD-10, CPT, HCPCS, E/M, CCM, and TCM codes, identifies missed or incorrect charges, and resolves coding and claim discrepancies prior to submission. The position works closely with providers and the billing team to support documentation integrity, denial prevention and resolution, audit readiness, and regulatory compliance, while providing education and reporting to strengthen revenue integrity.
Registered Nurse – HCC/RAF Coding Specialist Baystate HealthRegistered Nurse – HCC/RAF Coding SpecialistSpringfield, MassachusettsWorking collaboratively with providers and clinical staff, the HCC/RAF Coding Nurse identifies documentation opportunities, promotes coding accuracy, improves the completeness of patient problem lists, and supports appropriate reimbursement through Medicare Risk Adjustment (RAF) and quality initiatives, including Healthcare Effectiveness Data and Information Set (HEDIS) . This role supports the organization's Population Health and Value-Based Care initiatives by ensuring complete, accurate, and compliant documentation of chronic conditions in accordance with Centers for Medicare & Medicaid Services (CMS) and Hierarchical Condition Category (HCC) guidelines.
Registered Nurse - HCC/RAF Coding Specialist Baystate Health SystemRegistered Nurse - HCC/RAF Coding SpecialistSpringfield, MA$89,606–$103,001 / yearWorking collaboratively with providers and clinical staff, the HCC/RAF Coding Nurse identifies documentation opportunities, promotes coding accuracy, improves the completeness of patient problem lists, and supports appropriate reimbursement through Medicare Risk Adjustment (RAF) and quality initiatives, including Healthcare Effectiveness Data and Information Set (HEDIS). This role supports the organization's Population Health and Value-Based Care initiatives by ensuring complete, accurate, and compliant documentation of chronic conditions in accordance with Centers for Medicare & Medicaid Services (CMS) and Hierarchical Condition Category (HCC) guidelines.
NewInpatient Coding Expert - Fully Remote MercorInpatient Coding Expert - Fully RemoteNew York, New YorkRemote$50–$150 / hourComfort working inside CAC/CDI software and reading the full clinical record, including H&Ps, consults, progress notes, discharge summaries, labs, and flowsheets. Ensure codes are changed, queries sent, holds placed, DRG recomputed, and notes and CDI reviews filed.
NewCoding Operations Coordinator Mass General BrighamCoding Operations CoordinatorSomerville, MassachusettsThe framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. The position collaborates with coding leadership, revenue cycle teams, and external vendors to identify opportunities for process enhancement, implement operational initiatives, and support organizational performance goals.
Coding Integrity Specialist - Boynton Beach, Florida NYU Langone Medical CenterCoding Integrity Specialist - Boynton Beach, FloridaBoynton Beach, FLRequired Licensure/Certification skills: Certified Coding Specialist Certification (CCS) or Certified Coding Specialist- Physician-based (CCS-P) or Certified Professional Coder (CPC), Certified Outpatient Coding (COC). Additionally, all employees have access to our holistic employee wellness program, which focuses on seven key areas of well-being: physical, mental, nutritional, sleep, social, financial, and preventive care.
Supervisor of Coding Renown HealthSupervisor of CodingReno, NVIncumbent must be trained in the anatomy and physiology of the human body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded and to provide direction and mentoring of staff to ensure their understanding of coding principles and correct coding initiatives. The incumbent performs ICD-9-CM/ICD-10-CM/PCS and CPT coding, coordinates HIM initiatives to ensure accurate reimbursement in the Revenue Cycle, monitors productivity, and performs retrospective reviews for coding accuracy and educational opportunities.
Coding Specialist Business Office NCH Healthcare System IncCoding Specialist Business OfficeNaples, FLNCH is transforming into an Advanced Community Healthcare System(TM) and we're proud to: Provide higher acuity care and Centers of Excellence; Offer Graduate Medical Education and fellowships; Have endowed chairs; Conduct research and participate in national clinical trials; and partner with other health market leaders, like Hospital for Special Surgery, Encompass, and ProScan. The Coding Specialist will understand ICD-10, CPT and HCPCS coding; have the ability to interpret insurance guidelines relative to medical coding; understand abbreviations and medical terminology; have the ability to read a medical chart; and be able to understand the basic components of medical and ancillary procedures.
Medical Coding Appeals Analyst Elevance HealthMedical Coding Appeals AnalystIndianapolis, IndianaWe are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy.
Rapid Response/Code Team Clinical Nurse - $32-48 per hour BJC HealthCareRapid Response/Code Team Clinical Nurse - $32-48 per hourShiloh, IL$32–$48 / hourMemorial, offering medical and surgical services plus critical care, is an accredited Chest Pain Center with PCI by the Society of Cardiovascular Patient Care and is designated as an Acute Stroke Ready Hospital by the Illinois Department of Public Health. Memorial Hospital Shiloh, a 94-bed, all-private suite hospital was recognized with Magnet status in 2018 and provides emergency care, labor & delivery, nursery, medical and surgical services plus critical care.
Coding Specialist Cass HealthCoding SpecialistAtlantic, IowaMaintain advanced knowledge of coding regulations, reimbursement methodologies, and compliance requirements through continuous education and review of guidance from Medicare, commercial payers, AAPC, AHIMA, and other regulatory organizations. The ideal candidate enjoys working independently while collaborating with providers and healthcare teams to support quality patient care and organizational success.
Coding Lead Renown HealthCoding LeadReno, NVLicense(s): Certification(s): CCS or RHIA/RHIT with a minimum of four years of facility coding experience is required Computer / Typing: Must possess, or be able to obtain within 90 days,the computers skills necessary to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc. Accurate translation of written diagnostic descriptions to appropriately and accurately assign ICD-9-CM/ ICD-10-CM diagnostic codes and procedural codes to obtain optimal reimbursement from all payer types, including Medicare/Medicaid, and private insurance payers.
Specialty Coder Senior - Coding CHRISTUS HealthSpecialty Coder Senior - CodingSanta Fe, NMSpecialty Coder will accurately abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines. Specialty Coder is responsible for maintaining current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and or/ Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better.
NewProject Mgr. RAC University Medical Center of El PasoProject Mgr. RACEl Paso, TXKnowledge and ability to interpret government regulations, medical documentation, Knowledge and ability to identify fraud, abuse, and penalties for documentation and coding violations based on governmental guidelines. Knowledge of Medicare RAC program, audit defense and claims appeals; medical necessity status determinations; EMTALA, Never Events, HACs, or any other patient care regulatory elements.
NewCMA, CF-FT Days Correctional Health Dtwn University Medical Center of El PasoCMA, CF-FT Days Correctional Health DtwnEl Paso, TXTakes and records vital signs, prepares patients for examination, draws blood, applies and reads Purified Protein Derivative (PPD) skin tests. The Certified Medical Assistant works under the direction of Licensed Healthcare Professionals within the confines of a jail or detention facility.
Professional Medical Coding Educator Auditor HCS Catholic Health SystemProfessional Medical Coding Educator Auditor HCSBuffalo, NYSummary: The Auditor/Educator will work cooperatively with CH coding associates, Clinicians, Outpatient Coding Managers, CDEI Education Manager and Documentation Specialists, Corporate Compliance, Ancillary departments and private clients to ensure coding is consistent, accurate, and meets data integrity for use in billing, reimbursement, clinical outcomes, and for reporting. Minimum of three (3) years of multi- specialty coding experience utilizing electronic encoders following the official CPT coding guidelines using AHA Coding Clinic, CPT Assistant, CMS Documentation Guidelines, Official Guidelines for Coding and Reporting and other authoritative resources.
Senior Healthcare Coding Analyst (Hybrid) American Medical AssociationSenior Healthcare Coding Analyst (Hybrid)Chicago, IL$99,410–$131,637 / yearThis role is responsible for supporting and enhancing the activities of the CPT Editorial Panel and/or the CPT Editorial Assistant Board in maintaining the CPT code set by working with national medical specialty societies, non-physician professional organizations, public and private payers, pharmaceutical and device manufactures, and other high profile stakeholders. Author and develop educational content to support the policies of the CPT Editorial Panel and/or the CPT Editorial Assistant Board, in the form of books, newsletters, electronic products and advice, to assist AMA members, physicians, non-physician health care professionals and other CPT stakeholders in appropriately applying the CPT code set.
RCS-CPT Coding Expert NEW Indiana University Health IncRCS-CPT Coding Expert NEWIndianapolis, INThis position exists to provide accurate and timely clinical data for billing and optimal reimbursement quality assessment comparative databases physician profiling and administrative purposes. This position is responsible for but not limited to: • Physician coding • Outpatient facility coding • Rectifying pre-bill coding related edits • Coding related denials.
Clinical Coding Audit Specialist, HIM, Full Time, Days Jackson Health SystemClinical Coding Audit Specialist, HIM, Full Time, DaysMiami, FLThis role oversees the review, analysis, and appeal of DRG downgrades and payer denials, working closely with Clinical Documentation Improvement (CDI), coding, billing, and clinical teams to promote appropriate reimbursement and maintain compliance with regulatory requirements. Track appeals through all levels (first level, second level, external review) and ensure compliance with Medicare regulations, OCE/MCE edits, and LCD/NCD requirements.