Assigns and abstracts medical codes (ICD-10, CPT, HCPCS) from complex documentation for multiple specialties.
Reviews and resolves coding denials, corrects claim errors, and performs system edit checks.
Consults with providers and vendors to clarify documentation and communicates coding issues for resolution.
The University of Rochester is a leading research university focused on learning, discovery, healing, and creation. It is a large institution that values equity, leadership, integrity, openness, respect, and accountability, fostering an inclusive and welcoming culture.
Accurately assign and sequence ICD-10-CM, CPT, and HCPCS codes for outpatient medical records and encounters.
Ensure coding compliance with legal, regulatory, and organizational standards while initiating physician queries for documentation clarity.
Maintain productivity, quality, and confidentiality standards while supporting team collaboration and professional development.
CommonSpirit Health is a nonprofit Catholic healthcare organization delivering integrated health services. With more than 157,000 employees, 45,000 nurses, and 25,000 physicians across 24 states, it fosters a culture of compassion, innovation, and community service.
Assign ICD-10 and CPT/HCPCS codes to patient encounters based on medical documentation.
Analyze medical records to extract pertinent coding information.
Ensure compliance with AMA, CMS, and other regulatory coding guidelines.
Mass General Brigham is a not-for-profit integrated health care system supporting patient care, research, teaching, and community service. We believe high-performing teams drive groundbreaking medical discoveries and foster a welcoming community focused on changing lives.
Assign and verify CPT, ICD-10 CM coding and modifiers based on documentation, ensuring compliance with official coding guidelines.
Resolve claim edits and denials, monitor charge capture volumes, and work with providers and clinic staff to ensure accurate charge capture.
Act as a subject matter expert in one or more specialties, identify trends and educational opportunities, and may train other coders.
Children's Wisconsin is a nationally recognized health system dedicated solely to the health and well-being of children, providing a wide range of care from routine visits to life-saving treatments. The organization fosters a diverse and inclusive culture and seeks individuals committed to its vision of the healthiest kids in the country.
Reviews and codes medical records for general surgical specialties using ICD-10, CPT, and HCPCS codes.
Abstracts demographic and coding data, audits orders and claims, and reviews documentation for medical necessity.
Provides technical guidance to physicians and staff and develops stakeholder relationships.
Piedmont Healthcare is a healthcare system providing medical services across Georgia. It fosters a shared purpose and recognition, with wellness programs and comprehensive benefits for employees.
Assigns ICD-10-CM and CPT-4 codes to complex outpatient encounters, including Observation stays and Same Day Surgery.
Reviews medical records thoroughly to ensure accurate diagnosis and procedure codes with at least 95% accuracy.
Resolves NCCI edits, queries physicians for documentation clarification, and utilizes 3M Encoder for coding accuracy.
Northwestern Medicine is a healthcare system focused on providing patient-first care and improving healthcare outcomes. As a large employer, it offers competitive benefits and a culture centered on taking care of its employees.
Supervise a distributed medical coding team supporting eight VA medical centers across VISN 7.
Ensure coding accuracy and compliance through quality reviews, coder coaching, and corrective action plans.
Serve as primary liaison with VA HIMS leaders and manage productivity, billing issues, and reporting.
They provide medical coding and health information management support for Veterans Affairs medical centers. They lead large-scale remote coding operations with a structured, mission-driven culture focused on serving veteran populations.
Act as the main point of contact for VA HIMS staff and lead a remote coding team across eight facilities.
Assign work, monitor turnaround times, and conduct ongoing quality reviews of at least 5% of coded data.
Train coders on VA policies and VistA/CPRS workflows and prepare monthly and quarterly reports.
Aptive Resources provides healthcare staffing and program support to federal agencies, including coding services for Veterans Affairs medical centers. As part of a Service-Disabled, Veteran-Owned Small Business joint venture, the company emphasizes an agile, mission-focused, results-driven approach.
Code inpatient professional and nursing home services using CPT, ICD-10-CM, and HCPCS.
Apply surgical package rules, E/M guidelines, and NCCI edits with proper modifiers.
Maintain 95% accuracy and enter codes in VistA after reviewing CPRS documentation.
Aptive Resources provides health care staffing and program support to federal agencies, including the Veterans Health Administration. It is a certified Service-Disabled, Veteran-Owned Small Business focused on agile, mission-driven results.
Conduct audits of medical records for compliance with federal coding regulations and guidelines.
Provide education and training to providers on CPT, ICD-10, and HCPCS codes.
Act as an internal expert to ensure coding compliance with state and federal regulations.
Privia Health is a technology-driven national physician enablement company collaborating with medical groups, health plans, and health systems. It aims to optimize physician practices and improve patient experiences through cloud-based technology and scalable operations.