Responsible for coding procedures and entering charges to comply with federal/state regulations.
Coordinate with Practice Coordinator and Revenue Integrity to ensure documentation supports procedure codes.
Participate in audits to evaluate code accuracy and develop methodologies to improve coding issues.
Northside Hospital is an award-winning, state-of-the-art healthcare provider in Atlanta, Georgia. It is continually growing, offering opportunities for healthcare professionals in a supportive environment.
Assign ICD-CM/PCS, CPT, and HCPCS codes, modifiers, and MS-DRG/APC classifications.
Interact with medical staff, nursing, and ancillary departments to ensure accurate documentation and coding.
Meet quality standards of 95% correct diagnoses and procedures, and perform follow-up on rejected or denied encounters.
Sarah Bush Lincoln is a healthcare organization providing medical record management and coding services. They emphasize career development through continuing education and on-site training, fostering a culture of professional growth.
Abstracts and codes physician professional services and diagnosis codes (inpatient admissions, outpatient procedures, diagnostic services).
Assigns appropriate CPT and ICD9 codes and completes coding and billing worksheets.
Trains physicians and other staff regarding documentation, billing and coding, and resolves pre-accounts receivable edits.
Northwestern Medicine is a healthcare organization dedicated to providing patient-first care and advancing better health. As a large healthcare system, it offers competitive benefits including tuition reimbursement, loan forgiveness, and 401(k) matching, fostering a supportive culture focused on employee well-being.
Assess physician educational needs regarding coding and documentation, and develop training programs.
Conduct coding and billing training for billing specialists and physicians.
Perform coding and data quality reviews to ensure compliance with standards and regulations.
Piedmont Healthcare is a healthcare organization focused on providing comprehensive medical services. They offer wellness programs and benefits, fostering a supportive culture for employee growth and recognition.
Utilizes technical coding expertise to assign appropriate ICD-10-CM and CPT-4 codes to outpatient visit types.
Reviews medical records thoroughly using all available documentation to code appropriate diagnoses and procedures.
Sends appropriate physician queries when required for documentation clarification with focus on complex outpatient encounters.
Northwestern Medicine is a leader in the healthcare industry with a patient-first approach. The organization provides competitive benefits including tuition reimbursement, loan forgiveness, 401(k) matching, and lifecycle benefits, striving to take care of its employees.
Supervises coding functions and corresponding staff to ensure timely and accurate reimbursement.
Manages auditing, quality control, and improvement initiatives for compliance.
Works with managers on departmental planning and policy development.
Piedmont Healthcare is a healthcare organization focused on providing medical services and corporate support. They emphasize a shared purpose, employee wellness, and comprehensive benefits, fostering a culture of success and recognition.
Perform retrospective and concurrent Quality Assurance audits of inpatient encounters for accuracy and compliance.
Identify areas of educational opportunities and provide feedback to Coding Leadership.
Audit scope includes both government and commercial payors including RAC and ACHA.
Baptist Health is a faith-based, not-for-profit health system providing preventive and specialty care in Northeast Florida through over 200 locations and six hospitals. Recognized as a top workplace and most preferred provider for more than 25 years, it was recently named a top employer for diversity by Forbes.
Serve as an expert in coding guidelines and perform audits to ensure compliance.
Develop and deliver role-specific training and educational materials for coding staff.
Analyze billing/coding behavior and recommend improvements.
UW Medicine is Washington’s only health system with a top-rated medical school and an internationally recognized research center. Nearly 29,000 healthcare professionals, researchers, and educators work within its family of organizations.
Perform advanced coding for outpatient surgical and observation records with 95% or above accuracy.
Monitor compliance with federal and state coding laws and coordinate billing information.
Serve as a resource and mentor to coding staff on billing policy and procedure issues.
OHSU is Oregon's only public academic health center, providing patient care, leading groundbreaking research, and training healthcare professionals. As Portland's largest employer, OHSU offers opportunities to learn and advance within a system of hospitals and clinics across Oregon and Southwest Washington.
Piedmont Healthcare is a healthcare organization providing medical services across multiple hospitals in the US. They offer comprehensive benefits and wellness programs, and emphasize a supportive culture where leaders invest in employee success.
Conduct coder QA, provide educational feedback, and develop performance improvement plans.
Prepare and present coding curricula and regulatory updates to coders and providers.
Utilize revenue cycle knowledge to analyze coding data, support audits, and maintain shared resources.
US Anesthesia Partners is a leading provider of anesthesia services and revenue cycle management. The company operates across the US and emphasizes a collaborative culture focused on compliance and quality.
Responsible for accurate and timely assignment of ICD-10-CM/PCS and HCPCS/CPT codes for various record types.
Performs coding and abstracting to support billing, data quality, and severity-of-illness reporting.
Serves as a mentor to newer coders and works within service line structures as needed.
ChristianaCare is one of the largest health care providers in the Mid-Atlantic Region, operating hospitals in Delaware and Maryland. With over 1,100 beds and ANCC Magnet Recognition across its facilities, it is committed to delivering health through values of love and excellence.
Review and validate medical codes for accuracy and compliance with ICD-10, CPT, HCPCS, and other coding systems.
Provide expert coding guidance and support to clinicians and departments, serving as a resource for complex coding questions.
Conduct coding audits, generate productivity reports, and collaborate with IT and billing teams to resolve system issues.
Mission Healthcare is a home health and hospice company serving seven states, the largest of its kind in the western United States. They emphasize a culture of compassion, accountability, respect, excellence, and service (CARES) and are committed to diversity and inclusion.
Accurately correct coding-related denials for billing in Epic, including writing appeal letters.
Abstract operative reports in 3M and/or Epic while maintaining 95% accuracy or greater.
Ensure timely completion of patient accounts to meet department standards and goals.
Applied Medical Systems is a trusted partner for medical billing services, helping healthcare providers thrive through expert medical billing, coding, and practice management for over 45 years. The company has a stable, growing organization with a strong future and values a diverse and inclusive workplace.
Assign diagnostic and procedure codes using designated systems and review inpatient records for accuracy.
Identify and resolve coding edits and discrepancies to ensure claim accuracy and compliance.
Communicate effectively and meet productivity metrics to optimize revenue cycle management.
CommonSpirit Health is building a healthier future through integrated health services as one of the nation's largest nonprofit Catholic healthcare organizations. They deliver over 20 million patient encounters annually with more than 157,000 employees across 24 states, contributing over $4.2 billion annually in charity care and community benefits.
Review clinical documentation and assign accurate CPT, ICD-10-CM, and HCPCS codes for diagnoses, procedures, and services rendered.
Monitor outpatient coding work queues and unbilled accounts to support timely filing and claims submission, while resolving coding-related edits.
Collaborate with providers and revenue cycle teams to improve documentation, ensure coding accuracy, and maintain compliance with regulations.
Impact Advisors, LLC is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We cultivate a caring, fun, honest, and autonomous work environment with a shared mission to create a positive impact.
Validate accuracy of CPT, HCPCS, revenue codes, and billed line-item charges on outpatient and inpatient facility claims.
Apply CMS guidance, coding guidelines, and industry standards during claim review, including hospital bill audits and itemized bill reviews.
Prepare appeal responses using applicable coding guidance and maintain required certifications and continuing education.
Trend Health Partners is a tech-enabled payment integrity company that facilitates collaboration between payers and providers to reduce waste and improve access to healthcare. They are a dynamic growing organization promoting a collaborative and innovative work environment.
Perform daily audits on client data for completeness and accuracy of coding using clinical knowledge.
Respond to provider appeals and meet client turnaround time and KPI goals.
Utilize coding validation training to become familiar with claims payment policies and regulations.
Cotiviti is a healthcare analytics company that uses data-driven solutions to improve payment accuracy and quality in healthcare. The company offers a competitive benefits package and fosters a collaborative, fast-paced work environment.
Coordinate and monitor provider/facility payer credentialing and re-credentialing processes.
Send, review, and verify credentialing applications and maintain provider information in online database.
Track license and certification expirations and ensure timely renewals for medical staff.
Bozeman Health is a healthcare organization dedicated to caring for the communities of Southwest Montana. They foster a Culture of Excellence emphasizing high performance, transparent communication, and continuous learning.