Responsible for abstracting and validating CPT, ICD-10 and HCPCS codes for inpatient, outpatient and physician's office/clinic settings. Adheres to all coding and compliance guidelines. Maintains knowledge of coding/billing updates and payer specific coding guidelines. Serves as a subject matter expert for assigned specialty.
Responsibilities
Abstracts/codes for assigned provider(s)/division(s) based on medical record documentation.
Utilizes appropriate coding software and coding resources in order to determine correct codes.
Communicates billing related issues to assigned supervisor/manager and participates in meetings in order to improve overall billing, when applicable.
Follows departmental policies for charge corrections.
Participates in coding educational opportunities (webinars, in house training, etc.).
Hospital Coding Specialist III is responsible for the coding and optimization of electronic medical records.
Responsibilities
Reviews electronic medical records and identifies all treated diagnoses and significant procedures performed.
Uses coding software to assign ICD-10-CM diagnosis and ICD-10-PCS procedure codes, Present on Admission Indicators, and CPT codes and modifiers when indicated, to ensure coding accuracy, DRG optimization and APC accuracy.
Sequences diagnosis codes according to the definition of principal diagnosis and other co-morbid conditions and complications.
Sequences procedure codes according to the definition of principal procedure and other procedures.
Utilizes online coding references, CMS Local Coverage Determinations (LCDs), and other payor guidelines to ensure appropriate code assignment for Compliance, Billing, and Medical Necessity.
Requirements
RHIA, RHIT, or CCS certification or a Health Information program accredited by AHIMA
The Coder II ER plays a critical role in accurately translating emergency room medical documentation into standardized codes used for billing, reporting, and analysis.
Compensation
This is a PRN position and is not intended to be FT. This is an hourly position .
Responsibilities
Review and analyze emergency room medical records to extract pertinent clinical information for coding.
Assign accurate ICD-10-CM, CPT, and HCPCS codes to ER visits in accordance with official coding guidelines and payer requirements.
Ensure compliance with federal, state, and organizational regulations related to medical coding and documentation.
Collaborate with physicians, nurses, and other healthcare professionals to clarify documentation and ensure coding accuracy.
Maintain up-to-date knowledge of coding standards, payer policies, and industry best practices through continuous education.
Requirements
High school diploma or equivalent
Completion of a formal medical coding training program
Associate degree or higher in Health Information Management or related field
Nice to have: Associate degree or higher in Health Information Management or related field
Nice to have: Experience working in a hospital or emergency department environment
Responsible for reviewing medical documentation, assigning accurate ICD-10-CM, ICD-10-PCS, and CPT codes, and ensuring compliance with coding regulations for inpatient facility clients.
Compensation
36.00 - 36.00 USD per hour (Remote)
Responsibilities
Assign diagnostic and procedural codes using ICD-10-CM, ICD-10-PCS, CPT, and other coding classification systems
Abstract necessary clinical information from patient records for proper coding
Maintain productivity (3 charts/hour) and accuracy (95% or greater)
Ensure coding complies with Medicare’s Inpatient Prospective Payment System (IPPS) and official coding guidelines
Use coding software, MS Office, VPN, and other tools to complete work efficiently
Responsible for accurate and timely coding of hospital inpatient, outpatient and professional fee encounters using ICD-10, CPT, HCPCS codes and related software to ensure compliant billing.
Compensation
The compensation range for this position is $23.58 per hour - $39.38 per hour.
Responsibilities
Accurately code all records according to appropriate coding classification
Provide interdepartmental coding assistance
Develop methodology for compliant coding processes
Facilitate revenue optimization while maintaining compliance
Serve as expert resource on coding systems and regulatory guidelines
Responsible for accurate and timely coding of hospital inpatient, outpatient, and professional fee encounters using ICD-10, CPT, HCPCS codes and coding software to ensure compliant billing.
Compensation
The compensation range for this position is $23.58 per hour - $39.38 per hour.
Responsibilities
Accurately code all records according to appropriate coding classification
Provide interdepartmental coding assistance
Develop methodology for compliant coding processes
Facilitate revenue optimization through auditing, training, and charge management
Serve as expert resource on coding systems and regulatory guidelines
Enterprise Medical Coding Specialist responsible for accurate ICD-10-CM coding across hospice, palliative care, and PACE services, ensuring compliance and supporting reimbursement.
Compensation
PAY RANGE: $71,489 - $83,990
Responsibilities
Review clinical documentation and assign accurate ICD-10-CM diagnosis codes
Ensure coding complies with CMS, payer, and regulatory requirements
Support hospice, palliative care, and PACE coding including CPT and HCPCS
Partner with physicians, nurse practitioners, and clinical teams to clarify documentation
Identify documentation gaps and coding trends
Requirements
High school diploma or equivalent
Associate degree in Health Information Management, Health Information Technology, or related field
Nice to have: Certified Coding Specialist (CCS)
Nice to have: Certified Professional Coder (CPC)
Nice to have: Certified Coding Specialist–Physician-based (CCS-P)
Provides an atmosphere of healthcare service that contributes to the physical, psychological, emotional, and spiritual well being of each person served.
Responsibilities
Accurately code all inpatient, outpatient, surgery, and emergency service diagnosis and conditions from medical records
Accurately code medical professional services
Review medical records and abstract key data elements to facilitate billing
Maintain a clinical and financial database
Support the medical center mission to ensure high quality patient care in an economically sound and efficient manner