Middle Medical Coder Jobs

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Medical Coder
Middle
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๐Ÿ” Health and Wellness

  • Experience in two (2) or more medical, surgical, and ancillary specialties within the past 10 years; OR a minimum of two (2) years of medical coding or auditing experience if that experience was in a Military Treatment Facility (MTF).
  • A minimum of one (1) year of documented performance in a medical specialty is required to be considered qualifying.
  • Strong knowledge of ICD-10-CM, HCPCS, and CPT coding systems.
  • Understanding of ambulatory payment classifications (APCs) and other relevant reimbursement methodologies.
  • Knowledge of medical terminology, anatomy, and physiology.
  • Completion of a recognized coding certification preparation course through the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA); OR Completion of an advanced medical training course (e.g., for medical technicians, hospital corpsmen) from the Armed Forces or U.S. Maritime Service.
  • One of the following coding certifications: Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist โ€“ Physician (CCS-P); AND One recognized institutional coding certification: Certified Outpatient Coder (COC), RHIT, RHIA, or Certified Coding Specialist (CCS); AND One E&M coding certification: Certified Evaluation and Management Coder (CEMC) or NAMAS Certified Evaluation and Management Auditor (CEMA).
  • Ensure coding accuracy, completeness, productivity, and timeliness in accordance with DHA standards and DoDI 6040.42.
  • Code records for services in areas such as Laboratory, Radiology, and Dental.
  • Assign correct Ambulatory Payment Classifications (APCs) and Relative Value Units (RVUs) for accurate reimbursement or workload credit.
  • Perform coding tasks within MHS GENESISยฎ and other military coding systems (3M Encompass 360, Joint Legacy Viewer (JLV)).
  • Research and resolve coding edit failures as assigned.
  • Apply advanced knowledge of ICD-10-CM, HCPCS, and CPT coding systems for both institutional and professional medical coding.
  • Utilize advanced knowledge of reimbursement systems, including PPS, APCs, and RBRVS, to ensure accurate billing and revenue capture.
  • Apply expert understanding of industry nomenclature, medical and procedural terminology, anatomy, physiology, pharmacology, and disease processes to coding and auditing tasks.
  • Demonstrate practical knowledge of medical specialties, medical diagnostic and therapeutic procedures, and ancillary services (Laboratory, Dental, Occupational Therapy, Physical Therapy, Radiology) in relation to medical coding.
  • Apply practical knowledge of revenue cycle management concepts to medical coding practices.
  • Maintain compliance with government and commercial reimbursement guidelines and regulations, including The Federal Register, CMS Local Coverage Determinations (LCDs) and National Coverage Determinations (NCDs), National Correct Coding Initiative (NCCI) guidance, manuals, and edits, Internet-Only Manuals (IOMs), HHS-OIG publications and reports.
  • Conduct coding audits, identifying and correcting errors, and mitigating fraud and abuse risks.
  • Implement and support clinical documentation improvement initiatives.
  • Contribute to continuous process improvement efforts within the medical coding department.
  • Utilize practical knowledge of EHR systems and workflows related to medical coding.
Posted 16 days ago
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๐Ÿ“ United States

๐Ÿงญ Full-Time

๐Ÿ’ธ 33280.0 - 72800.0 USD per year

๐Ÿ” Medical Coding

๐Ÿข Company: Datavant๐Ÿ‘ฅ 1001-5000๐Ÿ’ฐ $40,000,000 Series B over 4 years agoBiopharmaClinical TrialsData IntegrationHealth CareSoftware

  • AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC).
  • Experience in computerized encoding and abstracting software.
  • Proficiency with most or all of these coding specialties (Emergency Department, Same Day Surgery, Ancillary, Observation, Injections/Infusions, E/M leveling)
  • Review medical records and assign accurate codes for diagnoses and procedures.
  • Assign and sequence codes accurately based on medical record documentation.
  • Assign the appropriate discharge disposition.
  • Abstract and enter the coded data for hospital statistical and reporting requirements.
  • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution.
  • Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards.
  • Be responsible for tracking continuing education credits to maintain professional credentials.
  • Attend Datavant Health sponsored education meetings/in-services.
  • Demonstrate initiative and judgment in the performance of job responsibilities.
  • Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues.
  • Function in a professional, efficient, and positive manner.
  • Adhere to the American Health Information Management Associationโ€™s code of ethics.
  • Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn.
  • Handle a high complexity of work function and decision-making.
  • Possess strong organizational and teamwork skills.
  • Be willing and able to travel when necessary if applicable.
  • Comply with all HIM Division Policies.

SQLCommunication SkillsAnalytical SkillsProblem SolvingCustomer serviceAttention to detailOrganizational skillsTime ManagementWritten communicationAdaptabilityRelationship buildingTeamworkActive listening

Posted about 1 month ago
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๐Ÿ“ United States

๐Ÿงญ Part-Time

๐Ÿ’ธ 32.0 - 42.0 USD per hour

๐Ÿ” Medical Coding

๐Ÿข Company: Datavant๐Ÿ‘ฅ 1001-5000๐Ÿ’ฐ $40,000,000 Series B over 4 years agoBiopharmaClinical TrialsData IntegrationHealth CareSoftware

  • Minimum of 3 years of inpatient coding facility experience
  • CCS, RHIT, or RHIA preferred
  • Strong verbal and written communication skills
  • Assign diagnostic and procedural codes using ICD-9-CM, ICD-10-CM, and ICD-10-PCS codes
  • Accurately sequence and abstract medical codes from patient records
  • Oversee and audit the work of Level 1 & 2 Coders
  • Champion documentation improvement opportunities
  • Maintain a minimum production of 1 chart per hour
Posted about 2 months ago
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๐Ÿ”ฅ Medical Coder
Posted 2 months ago

๐Ÿ“ Philippines

๐Ÿงญ Full-Time

๐Ÿ” Healthcare

๐Ÿข Company: JWay Group๐Ÿ‘ฅ 11-50Digital MarketingInformation TechnologyContent Marketing

  • Bachelor's Degree in any field
  • Certification as a Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent.
  • Minimum 3 years of experience as a medical coder in a hospital, clinic, or healthcare setting.
  • Proficiency in ICD-10, CPT, and HCPCS coding systems.
  • Knowledge of Electronic Health Records (EHR) systems and medical coding software.
  • Strong computer skills, including proficiency in Microsoft Office Suite.
  • Excellent attention to detail and organizational skills.
  • Strong analytical and problem-solving abilities.
  • Effective communication and collaboration skills.
  • Review medical records and patient information to identify appropriate diagnosis and procedure codes.
  • Assign and sequence codes accurately using ICD-10, CPT, and HCPCS coding systems.
  • Ensure coding complies with legal and insurance regulations, including HIPAA.
  • Collaborate with billing departments to ensure accurate submission of insurance claims.
  • Assist in resolving coding-related issues or denials from insurance providers.
  • Conduct regular audits of medical records to verify accuracy and completeness of coding.
  • Stay updated on industry standards, changes in coding systems, and regulatory requirements.
  • Communicate effectively with physicians, nurses, and other healthcare professionals to clarify diagnoses and procedures.
  • Provide coding education and guidance to healthcare staff as needed.

Compliance

Posted 2 months ago
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๐Ÿ“ Portland, OR Metro Area

๐Ÿ’ธ 62160 - 76000 USD per year

๐Ÿ” Healthcare

  • Minimum Two (2) years work experience in a healthcare setting.
  • Minimum One (1) year of professional coding experience.
  • Certified Professional Coder or equivalent certification.
  • Working knowledge of Microsoft Word and Excel.
  • Strong interpersonal and communication skills.
  • Strong time management skills and ability to meet deadlines.
  • Prefer two (2) years work experience and one (1) year coding/auditing experience in specific areas such as E&M, surgical, emergency, or anesthesia.
  • Working knowledge of the EpicCare system.
  • Perform documentation and coding reviews within work queues across various specialties as assigned.
  • Utilize available coding tools and knowledge to assist in appropriate assignment of coding.
  • Maintain current knowledge to ensure that coding and documentation meets regulatory guidelines and audit standards.
  • Escalate trends and identified issues through appropriate department channels.
  • Continued development of coding knowledge and regulatory guidelines with maintenance of certification.
  • Perform other duties as requested, including complex coding issues and project work as assigned.

Communication SkillsAnalytical SkillsMicrosoft ExcelTime Management

Posted 5 months ago
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