Accurately transforms medical diagnoses and procedures into designated alphanumerical codes in ICD-10-CM and ICD-10-PCS codes, ensuring daily coding volumes are turned around accurately within specified turnaround time.
Locations (3)
Chennai, Tamil Nadu, India
Trivandrum, India
Gurugram, Haryana, India
Responsibilities
Transforms medical diagnoses and procedures into ICD-10-CM and ICD-10-PCS codes
Ensures daily coding volumes are turned around accurately within specified turnaround time
Checks input volumes allotted by TL
Codes reports as per client guidelines and maintains operational quality and productivity
Interacts with TL and receives feedback
Requirements
Graduate
Nice to have: Proficiency in MS Office/Excel
Nice to have: Experience with coding software or encoder (3M, Trucode, Optum)
Nice to have: Familiarity with EMR systems (EPIC, Cerner)
Certified Coding Specialist II responsible for reviewing physician documentation, assigning diagnosis and procedure codes, and training new staff in a remote setting.
Responsibilities
Assist with training new staff for inpatient, outpatient, physician, and ED coding
Code inpatient, outpatient, physician, and ED documents as necessary
Assign Risk Adjustment HCC diagnoses by reviewing all documentation
Review discharge summary, history and physical, physician progress notes, consultation reports, operative records, emergency room record to assign diagnosis and/or procedure
Review appropriate documents to accurately assign a Risk Adjustment HCC diagnosis
Analyzes documentation in the medical record to obtain information necessary for the appropriate sequencing and assignment of ICD-10-CM and CPT-4 codes.
Responsibilities
Reviews documentation in the medical record to determine ICD-10 CM and CPT-4 coding that is needed to comply with billing and reimbursement guidelines set forth by government entities.
Verifies data in the medical record and accurately abstracts pertinent information for charge entry.
Appropriately utilizes CPT-4 and ICD-10 current procedural coding standards in assisting the provider with proper selection and assignment of the principal procedure(s) and related diagnosis.
Edits unbilled claim transmission reports daily and makes necessary corrections to ensure accuracy and timely billing.
Participates in quality coding and audit reviews for each provider.
Supports accurate, complete, and clinically specific provider documentation across the myPlace Health participant population.
Locations (2)
Compton, California, United States
Los Angeles, California, United States
Compensation
Base salary range: $71,700 to $105,000 per year
An annual employee bonus program
Responsibilities
Conduct prospective, concurrent, and retrospective reviews of medical records to identify documentation gaps
Apply clinical reasoning to synthesize information across EMR documentation, laboratory results, imaging reports, medications, specialist notes, and outside records
Review longitudinal chart trends to identify disease progression, chronic condition indicators, and opportunities to improve documentation
Formulate compliant verbal and written provider queries
Partner directly with physicians, nurse practitioners, and clinical teams
Review and improve clinical documentation and coding for home health services.
Compensation
Pay: $38–$45 per hour, depending on qualifications and experience
Responsibilities
Review OASIS assessments for completeness, accuracy, internal consistency, and support in the clinical record.
Review primary and secondary diagnoses, ICD-10-CM coding, sequencing, specificity, and severity for consistency with the medical record and applicable guidance.
Check that assessment responses reflect the patient’s documented condition and the assessing clinician’s findings.
Identify missing, conflicting, or unclear documentation and communicate needed corrections or clarification to the appropriate clinician.
Review plans of care, physician orders, visit notes, medication profiles, and supporting clinical records for completeness and consistency.
Requirements
Current, unrestricted Registered Nurse license in California.
Nice to have: OASIS or home health coding certification such as COS-C, HCS-O, COQS, or HCS-D
Conduct coding quality reviews on internal and external coders to ensure diagnoses are appropriately and accurately assigned based upon clinical documentation and regulatory guidelines.
Responsibilities
Perform coding quality reviews of medical records to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation
Provide formal reports on audit findings and conduct education to internal and external coders based upon those findings
Maintain current knowledge of ICD-10-CM codes, CMS documentation requirements, and state and federal regulations
Assist coding leadership by making recommendations for process improvements to further enhance coding goals and outcomes
Medical Coder Specialist responsible for coding surgical and procedural cases, providing education and documentation improvement for providers within the Patient Revenue Management Organization.
Responsibilities
Primary diagnosis and procedural coding for surgical specialties
Capture Physician Quality Reporting System data
Reconcile surgical cases at hospitals
Provide education/training to physicians on coding practices
Consult and educate on coding conventions
Requirements
Bachelor degree in medical record administration
Associate degree in medical record technology
One year coding diploma
Courses in Medical Terminology, Anatomy & Physiology
Certified Coding Specialist IINewUPMC · Remote, US
External Auditor PhysicianNewOmega · Remote, US
CODER ANALYST SPEC-CLNICNewCovenant Health · Knoxville, US
Home Health RN Quality Assurance ReviewerCompassionate Home Health Ltd · Roseville, US
Coder Quality SpecialistCentauri Health Solutions · Remote, US
Clinic ScribeProliance Surgeons · Bellingham, US
MEDICAL CODER SPECIALISTDuke Health · Durham, US