Sr. Certified Coding Medical Records: Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures.
Responsibilities
Review patient medical records and assign appropriate codes using systems like ICD-10-CM, CPT, and HCPCS for diagnoses and procedures
Prepare and submit claims to insurance companies, ensuring compliance with regulations and accuracy in coding to facilitate reimbursement
Work closely with healthcare providers, billing specialists, and other staff to clarify documentation and ensure accurate coding practices
Conduct audits of medical records to ensure coding accuracy and compliance with federal regulations and insurance standards
Provide training and support to healthcare staff on coding practices and documentation requirements
Requirements
Certification from recognized organizations such as AAPC (CPC)
Oversees Clinical Documentation Integrity operations supporting medical staff by-laws and regulatory requirements specific to clinical documentation for DRG assurance, while maintaining a high degree of emphasis on physician engagement.
Compensation
This position starts at: $111,800.00. Final compensation will be determined based on experience
Responsibilities
Develops clinical data reporting and uses analytical assessment of data, data manipulation, and professionally articulate data outcomes to improve operations.
Maintains knowledge of all coding guidelines and regulations and assists in communication to market CDI leaders and associates.
Validates CDI quality assurance measures to support accurate metrics and reimbursement reporting for the CDI department.
Supports DRG assurance efforts by generating and analyzing data and reports to identify opportunities for continuous growth and improvement specific to clinical documentation.
Provides feedback to site CDI leaders and administrators, develops and implements action plans where appropriate.
Responsible for reviewing demographic and clinical medical records, assigning appropriate ICD-10-CM/PCS and CPT/HCPCS codes based on provider documentation and current coding guidelines.
Responsibilities
Analyze electronic medical record to identify all episodes of care
Extracts demographic and clinical documentation and applies accurate codes
Processes work to meet or exceed departmental productivity and quality targets
Demonstrates competency by completing yearly competency testing
Uses encoder (3M) with Coders Desk Reference, CPT Assistant, and AHA Coding Clinics reference tools
Requirements
High school diploma or equivalent
Associate degree in Health Information Technology or related field
Nice to have: Certified Coding Specialist (CCS)
Nice to have: Certified Coding Specialist Physician (CCS-P)
Conduct data quality monitoring of physician documentation to validate accurate code assignment in accordance with official coding guidelines, clinical documentation, and regulatory requirements.
Compensation
The starting annual salary for this position ranges from $62,712 to $78,390
Responsibilities
Review medical records using primary source materials, including CMS and ICD-10 coding guidelines, to determine accurate assignment of diagnoses and procedures.
Apply ICD-10-CM and CPT codes based on documentation contained within the Electronic Medical Record (EMR).
Ensure coding practices adhere to established Standards of Ethical Coding.
Document review determinations in regional databases to support quality assurance, regional analysis, and training activities.
Identify potential documentation risk areas through medical record reviews.
Requirements
High School Diploma or General Education Development (GED)
Bachelor’s degree in Business Administration, Health Care, Public Health, Finance, Business Medical Records Technology, or a related field
Coordinate physician communications, education, and expertise for the PRC Coding team, performing root cause analysis, leading improvement projects, and providing front-line coding expertise.
Compensation
This position pays between $57,400 to $99,000 annually based on experience
Responsibilities
Coordinate physician communications
Answer telephone and email questions
Provide education and training to physicians and coders
Serve as the primary contact for the specialty
Conduct coder communications reviews
Requirements
Bachelor's degree in Health Information Management, Medical Coding, or equivalent experience
Responsible for coding medical records, abstracting, sequencing, and ensuring accurate reimbursement coding for inpatient, outpatient, emergency, and pro fee services.
Locations (2)
Boca Raton, Florida, United States
United States
Responsibilities
Abstract, code, sequence and interpret clinical information from various medical records
Assign correct principal and secondary diagnoses and procedure codes
Utilize coding principles and DRG/APC reimbursement expertise
Enter codes into multiple software programs and encoders
Maintain compliance with external regulatory and accreditation requirements
Experienced medical practice professional seeking to oversee day-to-day administrative operations, coordinate workflows, and lead the administrative team in a collaborative environment.
Compensation
$22.00 – $28.00 per hour (Depending on experience)
Responsibilities
Oversee and manage the day-to-day administrative operations of the medical clinic.
Optimize patient scheduling, provider templates, and daily flow to ensure an efficient, productive, and smooth patient experience.
Supervise front desk operations including check-ins/check-outs, copay collection, and patient inquiries.
Oversee medical insurance verification, prior authorizations, claims coding/billing submission, and collections.
Maintain a compassionate, professional, and welcoming environment for both our adult patients.
Stays current of all changes in coding conventions, regulatory guidelines, code updates and BJC coding guidance.
Thoroughly reviews and analyzes patient encounters for compliant coding. Queries provider for clarification or additional information as required.
Accurately assigns codes in a timely manner. Interprets, assesses and evaluates provider documentation for appropriate DRG assignment.
Effectively collaborates with leadership, colleagues and customers (CDI, HIM Operations, and other departments) as appropriate to ensure the integrity of the medical record and coding compliance.
Infusion Billing SpecialistNewLUX Infusion · Remote, US
Medical Coding Reviewer 1NewMid-Atlantic Permanente Medical Group PC · Remote, US
Lead Clinician - Product Safety and PerformanceCordis · Miami Lakes, US
Inpatient Coder IIBJC HealthCare · Remote, US+17 more
Coder PhysicianOmega · Remote, US+1 more
Medical Office Manager / Medical Practice Leadwoodside health and wellness · Hammond, US