Medical Billing and Coding Remote Jobs in Washington (US)
This page tracks remote medical billing and coding openings that are location-eligible for Washington.
This page tracks remote medical billing and coding openings that are location-eligible for Washington.
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GeBBS Healthcare Solutions is committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, or any other status protected by applicable federal, state, or local law. We embrace and encourage the unique perspectives and contributions of all employees, including those who identify as LGBTQIA+. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. We strive to create a diverse and inclusive work environment and are an equal opportunity employer.
Role Description As an Outpatient Facility Coding Specialist, you will play a crucial role in coding all diseases, operations, and procedures for outpatients in accordance with ICD-10-CM, UHDDS, and AMA CPT-4 standards. Your expertise in large trauma Level I facilities will be invaluable in ensuring the accuracy and compliance of our coding practices. - Code all outpatient procedures according to client specifications. - Abstract patient data, ensuring accuracy and compliance with client policies. - Stay updated on coding policies and procedures; seek clarification on ambiguous information. - Utilize healthcare abstracting software and ICD-10 data sets. - Initiate physician queries following client-specific procedures. - Monitor and communicate regulatory changes to the Coding Supervisor. Qualifications - Credentialed medical coder with at least 3 years of experience. - AHIMA preferred, AAPC may be considered. - Coders with CIRCC or CPC credentials (professional interventional cardiology). - Coders with CCS, RHIT, or RHIA credentials with strong interventional radiology/cardiology experience. - Strong attention to detail and commitment to accuracy. - US Based Candidates Only. Company Description GeBBS Healthcare Solutions is a leader in Health Information Management and Revenue Cycle Management. We are dedicated to fostering a culture of excellence and collaboration in the healthcare industry.
Role Description This Medical Records Technician (Coder-Outpatient and Inpatient) position is in Business Office services at the VA Bedford Healthcare System, located at the Bedford location. This position is full time at 40 hours per week. Responsibilities: - Medical Record Technicians (MRT) are skilled in classifying medical data from patient health records in the hospital setting, and/or physician-based settings. - Analyze and abstract patients' health records and assign alpha-numeric codes for each diagnosis and procedure. - Possess expertise in International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS). - Provide education related to coding and documentation. - Some duties may include but are not limited to: - Performing a comprehensive review of the patient health record to abstract medical, surgical, ancillary, demographic, social, and administrative data to ensure complete data capture. - Correcting any identified data errors or inconsistencies in a timely manner to ensure acceptance in the national VA database within established timelines. - Directly consulting with the professional staff for clarification of conflicting or ambiguous clinical data. - Ensuring provider documentation is complete and supports the diagnoses and procedures coded. - Utilizing the facility computer system and software applications to correctly code, abstract, record, and transmit data to the national VA database. Qualifications - United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy. - Physical Requirements: See VA Directive and Handbook 5019, Employee Occupational Health Service. - English Language Proficiency: MRTs (ROI) must be proficient in spoken and written English, as required by 38 U.S.C. §7403(f). - Experience: One year of creditable experience that indicates knowledge of medical terminology, anatomy, physiology, pathophysiology, medical coding, and the structure and format of health records. - Education: An associate's degree from an accredited college or university recognized by the U.S. Department of Education with a major field of study in health information technology/health information management, or a related degree with a minimum of 12 semester hours in health information technology/health information management. - Completion of an AHIMA approved coding program, or other intense coding training program of approximately one year or more. Requirements - GS-7: One year of creditable experience equivalent to the next lower grade level. - GS-8: One year of creditable experience equivalent to the next lower grade level. - Ability to analyze the health record to identify all pertinent diagnoses and procedures for coding. - Ability to accurately perform the full scope of outpatient coding and inpatient facility coding. - Skill in interpreting and adapting health information guidelines that are not completely applicable to the work. Benefits - Work Schedule: Monday-Friday, 7:00am to 3:30pm. - Pay: Competitive salary and regular salary increases. - Paid Time Off: 37-50 days of annual paid time off per year. - Parental Leave: Up to 12 weeks of paid parental leave after 12 months of employment. - Child Care Subsidy: Eligible for a childcare subsidy up to 25% of total eligible childcare costs. - Retirement: Traditional federal pension and federal 401K with up to 5% in contributions by VA. - Insurance: Federal health/vision/dental/term life/long-term care. - Telework: Not Authorized. - Remote: This position is being filled as remote. - Virtual: This is not a virtual position.
American Public University System (APUS) is an Online University based in Charles Town, WV. Our University has over 100,000 students. Our emphasis is educating our nation’s military and public services communities with quality and affordable education. APUS provides partnership and commitment in helping students realize the dream of a higher education and the opportunities that brings. It is the policy of American Public University System (APUS) to afford equal opportunity to all qualified persons. We treat all qualified individuals equally as to their recruitment, hiring, assignments, advancements, compensation, and all other terms and conditions of employment. American Public University System (APUS) does not discriminate on the basis of race, color, religion, creed, sex, age, national origin, sexual orientation, or physical, mental, or sensory disability, or any other characteristic protected by law. #LI-Remote
Role Description Part-time and full-time teaching faculty share our commitment to learning, teaching, interaction with students and faculty, service to our communities of practice, and scholarship. They are united by the common goal of inspiring academic excellence in students with a broad range of interests and experiences consistent with the Community of Inquiry Framework, as adopted by American Public University System (APUS) for cognitive presence, teaching presence, and social presence. They are key to creating a rewarding online learning experience for students by engaging them, challenging them, and supporting them. They contribute to and participate in a range of activities related to effectiveness and excellence in teaching and student retention. Faculty members remain aware of discipline content intent for the courses they teach. They follow APUS guidelines, processes, and methods and are responsive to mentoring and coaching. When Applying: - Upload a CV and a copy of unofficial transcripts, master's degree and above. Student issued/unofficial copies are acceptable. - Please do not send us official copies, unless specifically asked. Responsibilities - Teaching excellence. - Deliver online lessons to undergraduate and/or graduate students. - Initiate, facilitate, interact, and moderate online classroom forums. - Be a faculty leader in your classes embracing fully the Community of Inquiry Framework of Teaching Presence, Cognitive Presence, and Social Presence. - Evaluate and grade students' class work, assignments, and papers within the timeframe set forth by APUS policy providing effective feedback to guide student learning and success. - Comply with APUS guidelines and expectations for quality faculty engagement online. - Engage in the classroom and reply to emails, etc. at least every other day, including one day during the weekend. - Remain aware of classroom procedures and use of instructional materials. - Participate in professional development to enhance teaching skills and effective online learning strategies. - Conduct scholarly research and participate in professional engagement activities. - Attend discipline specific and administrative meetings as scheduled. - Maintain ‘discipline’ knowledge by participating in one’s own discipline-related professional communities. - Support APUS initiatives and departments. General Work Requirements - All APUS faculty are required to complete the “Engaging the First‐Year Student Certification” course (APUS110), offered through the Center for Teaching and Learning (CTL). It must be completed within six months of the hire date. - Graduate Faculty must complete the Graduate Faculty Certification (APUS501) within 90 days of hire. - Specific requirements related to your Graduate / Undergraduate Faculty designation, duties, and performance expectations are outlined on the Course Assignments issued with respect to each course to be taught. - You agree to comply with and be bound by all policies with respect to work product and intellectual property rights set forth in the APUS Faculty Handbook, the APUS Employee Handbook, the APEI Employee Handbook, and applicable Course Assignments. - You will be expected to perform your duties in a remote, professional working environment of your choice. APUS assumes no responsibility for injuries occurring in your selected workspace or damages related to your real or personal property resulting from your employment with APUS. Requirements - Master's degree in Health Info Management, Data Analytics, Computer Science, or a closely related field from a regionally accredited institution is required. - Two years of experience in a Health Info Management field is required. - College-level teaching experience is preferred. - Online teaching experience is preferred. - Record of excellence in teaching. - RHIA or RHIT certification is strongly preferred. - Other preferred certifications include, CCS, CPC, CHDA, CHPS, CPHIMS, or related. Areas of Expertise - Healthcare Reimbursement Methodologies - Healthcare Delivery Systems and Clinical Documentation - Compliance and Regulatory Standards - Health Informatics and Analytics - Clinical Informatics /Population & Community Informatics - Population Health - Health Systems Leadership Informatics - Electronic Health Records and Health Information Systems - Data Governance, Data Quality, and Interoperability - Healthcare Operations and Workflow Improvement - Clinical Documentation Improvement - Healthcare AI / Artificial Intelligence in Healthcare - Digital Health Technologies Compensation and Benefits Information regarding our faculty benefits may be found here: Faculty Benefits . Please Note - Applicants selected to proceed in the hiring process with conferred degrees from foreign institution(s) will require a course-by-course evaluation completed by a National Association of Credential Evaluation Services (NACES) approved agency. - All charges associated with official transcripts and foreign transcript evaluations are the responsibility of the applicant and are not reimbursed by APUS. Company Description American Public University System (APUS) is an Online University based in Charles Town, WV. Our University has over 100,000 students. Our emphasis is educating our nation’s military and public services communities with quality and affordable education. APUS provides partnership and commitment in helping students realize the dream of a higher education and the opportunities that brings. It is the policy of American Public University System (APUS) to afford equal opportunity to all qualified persons. We treat all qualified individuals equally as to their recruitment, hiring, assignments, advancements, compensation, and all other terms and conditions of employment. American Public University System (APUS) does not discriminate on the basis of race, color, religion, creed, sex, age, national origin, sexual orientation, or physical, mental, or sensory disability, or any other characteristic protected by law.
Molina Healthcare is a Fortune 500 managed care company with a storied history that dates back to 1980 and the opening of a medical clinic by Dr. C. David Molina. As an employer, M
Role Description Provides support for medical coding activities, including ensuring that ICD-10 and CPT codes are reported accurately to maintain compliance, and minimize risk and denials. Contributes to overarching strategy to provide quality and cost-effective member care. - Performs on-going member medical chart reviews. Abstracts and reports ICD-10 and CPT diagnosis codes accurately and in compliance with established coding and billing principles - minimizing risk and denials. - Demonstrates understanding of current provider office billing practices - ensuring that diagnosis and CPT codes are submitted accurately. - Documents results/findings from chart reviews and provides feedback to leadership, providers and office staff. - Provides training and education to provider network regarding risk adjustment and coding updates related to risk adjustment. - Builds positive relationships between providers and the business by providing coding assistance as needed. - Facilitates administrative duties such as planning, chart reviews scheduling, medical records procurement, provider training and education. - Assists in coordination of management activities with other departments including finance, revenue analytics, claims, encounters and enterprise/plan medical directors. - Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks and participating in professional societies related to medical coding in the managed care industry. Qualifications - At least 2 years medical coding experience, or equivalent combination of relevant education and experience. - Certified Professional Coder (CPC). - Certified Coding Specialist (CCS). - Latest Centers for Medicare and Medicaid Services (CMS) and American Hospital Association (AHA) clinic coding knowledge. - Ability to maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). - Ability to effectively interface with staff, clinicians, and management. - Excellent verbal and written communication skills. - Ability to establish and maintain positive and effective work relationships with coworkers, members, providers and all other customers. - Strong verbal and written communication skills. - Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications - Certified Risk Adjustment Coder (CRC). - Certified Professional Payer – Payer (CPC-P). - Certified Coding Specialist – Physician Based (CCS-P). - Familiar with HCC (Hierarchical Condition Categories) Risk Adjustment Model. - Background in supporting risk adjustment management activities and clinical informatics. - Experience with risk adjustment data validation. Benefits Molina Healthcare offers a competitive benefits and compensation package. Company Description Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Role Description Join Our Professional Coding Team! Logan Health, a growing health system located in Northwest Montana, is looking for an experienced Certified Professional Coder to be part of their team! - This position accurately assigns appropriate ICD-10-CM and CPT-4 codes to outpatient records. - Involves abstracting essential data elements for tracking, reporting, and reimbursement purposes. - Responsible for keying, billing and collections for assigned client databases. Job Specific Duties: - Assigns and sequences ICD 10 CM and CPT 4 codes for specialty patient types, billing and reimbursement, including inpatient, outpatient, ambulatory, and emergency room records. - Reviews and analyzes medical records for document deficiencies, accurately reflecting the diagnosis and procedures. - Reviews charges, ensures accuracy, and checks for medical necessity for ordered tests and/or procedures. - Proactively communicates with providers, staff, leadership, and hospital departments to ensure adequate documentation to support services. - Performs timely follow-up on accounts on hold. - Accurately abstracts clinical data after documentation assessment and review, ensuring compliance with regulatory requirements. - Follows coding guidelines and legal requirements to ensure compliance with Federal and State regulatory bodies. - Verifies accuracy of patient account, type, and demographic data, coordinating corrections with Patient Access. - Meets productivity standards set forth by Revenue Integrity Coding department. - Exhibits initiative and supports continuous quality improvement efforts. - Participates in continuing education activities to enhance knowledge and skills related to the position. - Maintains regular and consistent attendance as scheduled by department leadership. Qualifications - Possess knowledge and understanding of ICD 10 CM and CPT 4 coding guidelines and practices required. - Nationally recognized coding certificate CCA, CCS, CPC or AAPC certification required. - Excellent organizational skills, detail-oriented, a self-starter, possess critical thinking skills. - Commitment to working in a team environment and maintaining confidentiality as needed. - Excellent verbal and written communication skills. - Excellent interpersonal skills with the ability to manage sensitive and confidential situations. - Possess and maintain computer skills, including working knowledge of Microsoft Office Suite. Requirements - 1+ year(s) of coding experience in an acute care or medical office setting preferred. - 2+ years of work-related experience with computer data entry and retrieval skills within an electronic medical record system preferred. - Possess a thorough knowledge of classification and nomenclature anatomy, medical terminology, and health information management procedures and practices preferred. Benefits - Health, Dental, and Vision insurance - 401(k) with generous matching - Employer-provided life insurance - Voluntary life and disability insurance options - Critical Illness and Voluntary Accident options - Employee assistance program (EAP) - FSA - Paid time off, Holiday pay, and Illness bank - Employee referral program - Tuition Reimbursement Program
Role Description The Professional Billing Specialist (Anesthesia) is responsible for managing all professional billing requirements and managing accounts receivable tasks according to standard and productivity measurements. Responsible to ensure all regulatory and payor guidelines are followed. - Coordinating payor denial and appeal follow up activities to ensure timely response from third party payors and the processing of all payor denials, documentation requests and appeals. - Review all denial accounts for categorization, level of appeal, special requirements for initiating appeals. - Communicate global payer issues with the payer relations team. - Communicating and coordinating with various individuals/distributions and assisting with monitoring of the day-to-day activities related to appeal follow up and denials. - Maintaining the healthcare tracking tool/application that stores/communicates all claim edits, review and denial activity. This will include user access management, updates to software, and end-user training to support all follow up activities. - Monitor all Claim Edit and Denial Management work queues and lists to ensure they are fully resolved. - Ensure medical records requests are completed and submitted within 48 hours. - Track all denials on a database to determine outcome. Collecting/analyzing, report status, metrics and trends of activity by different reviews from the tool. Distributing reports on a routine basis to specific distribution group. - Organizing all data and activity in a retrievable way to ensure timely follow up on appeals to third party payors. Assisting with the coordination of denial and review activities and materials for committee meetings, including analyses, reports, etc. - Knowledgeable about federal, state and third-party claims processing. Supporting projects and initiatives of the Billing and Denials Management teams. This may include coordinating meetings, conducting research for payor criteria, and preparing documents. - Able to build and maintain relationships with payer representatives. - This is not an all-inclusive list of this job’s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned. Qualifications - Epic PB Resolute experience - 3 years of related Anesthesia experience - 5 years' experience in a Healthcare/Hospital Revenue Cycle Environment including Third Party Collection/AR Receivables - Healthcare Revenue Cycle revenue management EDI Transaction sets including 837P - Knowledge of insurance contract rates and terms - Understanding of Registration and Collections - Understanding of Government and Managed Care billing, coverage and payment rules - Ability to comprehend payor 835 and paper EOB responses - Understanding of CCI edits, CPT, HCPCS, ICD-10 and Revenue Codes - Intermediate Excel skills - Excellent computer skills, especially spreadsheet and database applications. - Knowledge of managed care patient financial systems and of the specific billing and payment standards utilized for services provided within a hospital setting. - Thorough understanding of managed care payment methodologies and the principles of managed care. - Certification in Epic PB Resolute - or agree to obtain certification within 12 months after hire - Bachelor’s Degree or equivalent combination of education and experience Preferred - Knowledge of SQL or Crystal Reports. - HFMA’s CRCR credential Benefits - All employees are eligible for medical coverage on their first day! - Upon hire, all employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. - Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. - Additional benefits available to FT and PT employees include tuition reimbursement, home & auto, hospitalization, critical illness, pet insurance and much more! - Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.
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Role Description This role will have all responsibilities of coding assistant, coder I and II plus the following: - Assist with special projects as requested. - Assist with training other coders as requested. - Monitor and respond to accounts in the charge router, charge router messages, CRMs, Compliance and Integrity review requests. - Adhere to organizational and internal department policies and procedures to ensure efficient work processes. - Review complex medical documentation at a highly skilled and proficient level from clinicians, qualified health professionals, and hospitals to assign diagnosis and procedure codes utilizing ICD-10 CM/PCS, CPT, and HCPCS. - Assign and ensure correct code selection following Official Coding Guidelines and compliance with federal and insurance regulations utilizing an EMR and/or Computer Assisted Coding software. - Serve as subject matter expert in your assigned specialty and actively participate in the Coding meetings as a problem solver. - Expertise in query guidelines and coding standards. - Follow up and obtain clarification of inaccurate documentation as appropriate. - Maintain continuing education by attending webinars, reviewing updated CPT assistant guidelines, and updated coding clinics. - Knowledgeable in researching coding-related topics and issues. - Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adhere to official coding guidelines. - Practice ethical judgment in assigning and sequencing codes for proper insurance reimbursement. - Maintain the confidentiality of patient records. - Report any perceived non-compliant practices to the coding leader or compliance officer. - Meet and exceed departmental quality (95% or more) and productivity standards (100%). - Achieve productivity expectations to support discharged not final billed (DNFB). - Perform any other assigned duties since the duties listed are general in nature and are examples of the duties and responsibilities performed and are not meant to be construed as exclusive or all-inclusive. - Assist in the production of annual edit review based on CPT, ICD, and HCPCS changes as well as assist in the development of edits based on publications and society updates. - Answer and prioritize correspondence at all levels e.g., coding assistants, coders, leads, supervisors, and managers. Qualifications - Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC) or American Health Information Management Association (AHIMA). - Advanced training beyond High School in Medical Coding or related field (or equivalent knowledge). - Typically requires 5 years of experience in professional coding that includes experiences in professional revenue cycle processes and health information workflows. Requirements - Proficient in Microsoft Office, Word, Excel, and PowerPoint. - Advanced knowledge and understanding of anatomy, physiology, medical terminology, pathophysiology, and is able to apply these sciences to accurately assign codes to cases including surgical cases. - Demonstrates knowledge of National Council on Compensation Insurance, Inc (NCCI) edits, and local and national coverage decisions. - Expert knowledge and experience in ICD-10-CM, CPT, and 3M Encoder. - Expert knowledge and experience in ICD-10-CM and CPT coding systems, G-codes, HCPCS codes, Current Procedural Terminology (CPT), modifiers, and Ambulatory Payment Classifications (APC). - Advanced knowledge of pharmacology indications for drug usage and related adverse reactions. - Expert knowledge of coding workflow and optimization of technology including how to navigate in the electronic health information record and in health information management and billing systems. - Excellent communication and reading comprehension skills. - Demonstrated analytical aptitude, with a high attention to detail and accuracy. - Experienced with remote workforce operations required. - Strong sense of ethics. Benefits - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training. - Premium pay such as shift, on call, and more based on a teammate's job. - Incentive pay for select positions. - Opportunity for annual increases based on performance. - Paid Time Off programs. - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability. - Flexible Spending Accounts for eligible health care and dependent care expenses. - Family benefits such as adoption assistance and paid parental leave. - Defined contribution retirement plans with employer match and other financial wellness programs. - Educational Assistance Program.
Dedicated to the work of health and healing.
Role Description Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. This position requires strong problem-solving skills, effective communication with medical professionals to improve documentation accuracy, and the ability to work independently. We offer flexible hours and the ability to work remotely. Pay starts at $19.00/hr with additional credit given for work experience relative to this role. - Serve as a resource for providers in understanding covered indications and the supporting documentation. - Support both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and hospital professional services. - Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units. - Understand and support the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management. - Monitor and validate physician charge capture. - Participate in coding team meetings and serve as a subject matter expert. - Review medical documentation from physicians and other healthcare providers; assign modifiers, diagnostic and procedure codes. - Provide accurate and timely ICD-10-CM coding of diagnoses, HCPCS, and CPT coding. - Review and audit medical record documentation to reflect healthcare coding and substantiate appropriate service reimbursement. - Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation. - Utilize computer skills to interpret, analyze, and abstract data/documentation. Qualifications - Associate degree in Health Information Technology or Certification in Coding required. - Specific knowledge of diagnostic and procedural terminology. - Successful coursework from an accredited institution in ICD diagnosis, CPT, and HCPCS coding schemes, medical terminology, or human anatomy/physiology is preferred. - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. - If the associate is not certified at hire, the associate must be so within one year of the date of hire. Requirements - Strong problem-solving skills. - Effective communication with medical professionals. - Ability to work independently. - Good time management and organizational skills. Benefits - Flexible hours. - Ability to work remotely. - Pay starts at $19.00/hr with additional credit for work experience. Company Description Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Role Description Our Coders review medical documentation, assign appropriate codes (ICD-10, HCPCS, CPT), and ensure compliance with coding standards, regulations, and company procedures. - Serve as a resource for providers in understanding covered indications and the supporting documentation. - Support both technical and professional services in provider clinic as well as Ambulatory Surgery Centers (ASC) and hospital professional services. - Maintain a thorough understanding of National Correct Coding Initiative (NCCI) edits and relative value units. - Understand and support the Medicare and Commercial Carrier workflows related to daily coding and denial review and appeals management. - Monitor and validate physician charge capture. - Participate in coding team meetings and serve as a subject matter expert. - Review medical documentation from physicians and other healthcare providers; assign modifiers, diagnostic and procedure codes. - Provide accurate and timely ICD-10-CM coding of diagnoses, HCPCS, and CPT coding. - Review and audit medical record documentation accurately to reflect healthcare coding. - Convey coding guidelines to physicians and other healthcare providers to improve documentation accuracy. - Possess computer skills, the ability to interpret, analyze and abstract data/documentation, and good problem-solving skills. Qualifications - Associate degree in Health Information Technology or Certification in Coding required. - Specific knowledge of diagnostic and procedural terminology. - Successful coursework from an accredited institution in ICD, CPT, and HCPCS coding schemes, medical terminology, or human anatomy/physiology is preferred. - Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Professional Coder-Apprentice (CPC-A), Certified Coding Specialist (CCS), Certified Coding Specialist-Physician based (CCS-P), CCS Healthcare (CCS-H), Certified Outpatient Coder (COC) required. - If not certified at hire, must obtain certification within one year of the date of hire. Requirements - Strong problem-solving skills. - Effective communication with medical professionals. - Ability to work independently and manage time effectively. Benefits - Flexible hours. - Ability to work remotely. - Pay starts at $19.00/hr with additional credit for work experience. Company Description Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. Serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com .
Role Description Under limited supervision the Coder Physician reviews medical records and performs coding on all diagnoses, procedures, DRG/APC, and charge codes. The Coder Physician uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Physician will be charged with maintaining the confidentiality of patient records and procedures. - Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee, and clinical medical records. - Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. - Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. - Abstracts and codes pertinent medical data into multiple software programs and/or encoders. Follows official coding guidelines to review and analyze health records. - Maintains compliance with both external regulatory and accreditation requirements, and with State and Federal regulations. - Extracts pertinent data from the patient’s health record and determines appropriate coding for reports and billing documents. - Identifies codes for reporting medical services, procedures performed by physicians. Enters codes into various computer systems dependent upon the various clients. - Track and document productivity in specified systems, maintain productivity levels as defined by the client. - Maintain 95% quality rating. - Perform duties in compliance with Company’s policies and procedures, including but not limited to those related to HIPAA and compliance. Qualifications - Ability to prioritize and multi-task in a fast-paced, changing environment. - Demonstrate ability to work in all work types and specialties. - Demonstrate ability to self-motivate, set goals, and meet deadlines. - Demonstrate leadership, mentoring, and interpersonal skills. - Demonstrate excellent presentation, verbal, and written communication skills. - Ability to develop and maintain relationships with key business partners by building personal credibility and trust. - Maintain courteous and professional working relationships with employees at all levels of the organization. - Demonstrate excellent analytical, critical thinking and problem-solving skills. - Skill in operating a personal computer and utilizing a variety of software applications. - Knowledge of coding convention and rules established by the AHIMA, American Medical Association (AMA), the American Hospital Association (AHA) and the Center for Medicare and Medicaid (CMS), for assignment of diagnostic and surgical procedural codes. - Knowledge of JCAHO, coding compliance and HIPAA HITECH standards affecting medical records and the impact on reimbursement and accreditation. Requirements - Successful completion of an AAPC or AHIMA-approved Coding Certificate Program and a minimum of two to four years of current production coding experience in both acute care and profee. - Must have the following certificates and/or licenses: CIRCC. Benefits - Comprehensive benefits package that may include health, dental, and vision coverage. - Voluntary insurance options. - 401(k) plan with employer match. - Professional development opportunities. - Paid time off and holiday pay. - Opportunity to participate in bonus programs, commissions, or other variable incentive plans.
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