Work from Home Medical Coding Jobs

Inpatient Rehab Medical Coder (Remote) The Medical Coder is responsible for: - Performing coding and abstracting of both inpatient and outpatient medical records in accordance with ICD-10-CM coding rules and regulations - Codes all inpatient records within 5 days of discharge (unless record is not available or critical pieces of documentation are not available) following ICD-10-CM guidelines with 95% accuracy. Will interim code if needed. - Codes all outpatient records by the third day after discharge according to ICD-10-CM and CPT-4 guidelines with 95% accuracy, to include Ancillary and Wound Care services. - Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous or unclear for coding purposes. - Performs necessary investigations/actions to assure the account will drop into the billing system without any problems. Informs Director of any unusual circumstances that could delay coding/billing process. -...

Description Registered Nurse Coding Liaison – AdventHealth Maitland Remote Location Address:  900 WINDERLEY PL, Maitland, 32751 Top Reasons to work at AdventHealth Maitland Established in 1908, AdventHealth is one of the largest not-for-profit healthcare systems in the country, caring for more than a million patients each year.  The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources.  The Trickel Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel.  The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment. Work Hours/Shift:  Full Time Days You Will Be Responsible For:     Demonstrates, through behavior, AdventHealth’s core values...

Description YOU ARE REQUIRED TO SUBMIT A RESUME WITH YOUR APPLICATION!   Mid Level Coding Specialist Inpatient ($2,500 Sign-on Bonus) at  AdventHealth Maitland    Location Address:  900 WINDERLEY PL, Maitland, 32751   Top Reasons to work at AdventHealth Maitland The Maitland Office Plaza houses our highly skilled teams that support our hospital system including Marketing, Patient Financial Services, Revenue Management, the Credit Union and Human Resources.  The Trickle Building, a two-story office structure, creates an atmosphere of health and healing, with a healthy-style café and quaint chapel.  The main lobby is filled with lush greenery and a light trickle of water, creating a holistic environment.  We offer great...

LabCorp is seeking a HealthCare Billing Specialist to join our team! LabCorp's Revenue Cycle Management Division is seeking individuals whose work will improve health and improve lives. If you are interested in a career where learning and engagement are valued, and the lives you touch provide you with a higher sense of purpose, then LabCorp is the place for you! Responsibilities: Research, translate, and analyze routine front end billing issues Research, translate, and update demographic data to ensure prompt payment from customers Resolve systems issues from daily reports to determine appropriate resolution action Why should I become a Healthcare Billing Specialist at LabCorp? Generous Paid Time off! Medical, Vision and Dental Insurance Options! Flexible Spending Accounts! 401k and Employee Stock Purchase Plans! No Charge Lab Testing! Fitness Reimbursement Program! And many more incentives!

Aspirions Inpatient Coding Specialist, acting as an extension of a hospitals business office, advocates for reimbursement for services provided by the hospital. Accountable for carrying an extensive caseload and responsible for review and analysis of complex coding issues. Review and analyze medical records and coding guidelines to formulate coding arguments for appeals and/or coding guidance for potential rebills. Maintain a working knowledge and stay abreast of ICD-10-CM and ICD-10-PCS, CPT-4 coding principles, modifier usage, medical terminology, governmental regulations, protocols and third party payer requirements pertaining to billing, coding and documentation.DUTIES AND RESPONSIBILIITES:Maintains extensive caseload of coding denials.Reviews insurance coding related denials, including but not limited to, DRG downgrade, DRG Validation, Clinical Validation, diagnosis codes not supported, incorrect or invalid CPT/HCPCS Codes, Modifier issues, and/or general coding error denials....

CURRENT SPECTRUM HEALTH TEAM MEMBERS - Please apply through Find Jobs from your Workday team member account. This career site is for Non-Spectrum Health team members only.Job Description5000 dollar sign on bonus! Remote work for this position may be approved based on policy and business considerations. Job SummaryThoroughly reviews inpatient records to assign correct ICD-10-CM (diagnosis) and ICD-10-PCS (procedure) codes per industry coding guidelines, utilizing the computer assisted coding software application. Abstracts coded data from the electronic medical record according to the established standard of work, while maintaining established quality and productivity standards. Works collaboratively with leadership, financial and clinical teams to ensure Diagnostic Related Groups (DRG) or All Patient Refined Diagnostic Related Groups (APR-DRG) accuracy. Essential FunctionsConsistently Meets Quarterly Productivity Standard: 95%Consistently Meets Quarterly Quality Standard:...

Excited to grow your career?We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!Our people make all the difference in our success. What you will do: Performs monitoring of Cigna Medicare coders & vendors in order to ensure quality metrics are achieved.Researches coding audit disagreements with the purpose of providing substantive feedback.Provides coaching/performance management to coders & vendors.Participates in auditor peer-to-peer process.Meets fluctuating production demands in order to reach sampling targets.Maintains a high level of quality, as set by internal standards, to ensure continued auditor accuracy.Stays up-to-date with current Cigna Medicare coding guidelines.Maintains coding credentials & CEUs.Proficiently functions in a virtual collaborative...

Job Summary Provides training and process improvement efforts across the clinical practices for the development of consistent and comprehensive clinical practices supported by the the Health Plan. Identifies process improvement opportunities associated with the management of risk adjustment initiatives. Investigates current processes, assessing efficiency and accuracy and provides solutions for problems, process improvement, development of training programs, and documentation strategies that support ICD-10 complex terminology for clinical practice operations and management. Serves as a liaison between Clinical Operations and the Risk and Revenue Management team, and facilitates communication between various constituents in order to assist in capturing chronic disease burden of the clinical enterprise patient population. Job Duties + Reviews the content of the medical record professional outpatient records to identify all diagnosis codes applicable to the documentation. + Carefully...

**Description** **Responsibilities** The SIU and PPI Lab review team is seeking a Medical Coding Auditor with a special set of skills. This person will focus on coding and clinical review of therapy claims: Physical, Speech, Occupational, and Chiropractic claims. This individual will not only review information provided in the medical records they must understand what each line of business allows and restricts as appropriate and have an in depth knowledge of the therapy codes, definitions, what the codes represents and how it should represented in the records. The ideal candidate will be an avid learning; with excellent research skills able to verbally communicate why a code is not meeting certain standards and what should be added to make the records whole. In addition this person will be able to articulate this information confidently to other medical and lay professionals both internal and external to Humana professionals The Medical Coding Auditor in this situation must analyze...

Responsible for the coding and abstraction of outpatient cases. Accountable for utilizing 3M coding products including encoder and groupers for Medicare reimbursement and other third party payors, and for internal Advocate business and quality purposes. This position is accountable for accurate abstracting of selected clinical and non-clinical information to create a comprehensive database of information for billing purposes, internal data management, and external reporting of data.Codes diagnoses utilizing a computerized encoding software system and completes abstraction for clinical data and non-clinical data elements for community hospital sites. This position is responsible for reviewing all documentation in the patient record for accurate and complete code assignment in accordance with the current International Classification of Disease, Clinical Modification, ICD-10-CM.Maintains a productivity rate of 100% or more on a monthly basis and quality rate of 95% or...

As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step! JOB SUMMARY The CRC Auditor, conducts coding and documentation quality reviews and generates responses for cases that have been denied by commercial and government payors to ensure hospital inpatient, and outpatient, were coded and billed in accordance with...

Responsibilities:POSITION SUMMARY:Performs the functions of all services of IP coding. Responsible and accountable for coding and DRG accuracy, timeliness of coding, and utilization of systems used to perform coding functions. Maintains relationship with Coding Manager/Supervisor, CDI team, Business Office and Case Management staff. Performs primary function of coding inpatient records, to include DRG assignment and validation. Maintains knowledge of outpatient coding and other areas to assist as needed. Utilizes the 3M Encoder to code and classify accurately all medical records according to ICD-10-CM/PCS. Responsible and accountable for maintaining performance skills.Qualifications:QUALIFICATIONS:Three to Five years coding experience required (Inpatient preferred).Advanced training in medical coding (ICD10-CM/PCS, CPT and APC).Medical terminology, anatomy and physiology puter skills.Ability to read medical reports, interpret lab values pertinent to coding diagnoses, abstract...

Job SummaryWelcome to a promising future with this unique career opportunity. At Carilion Clinic, our team accurate medical record documentation in a forward-thinking environment. You will thrive through extensive training, supportive leaders and potential for advancement. Carilion offers comprehensive benefits, paid time off, and tuition options. Join a team where your skills and ideas will make a difference in the health of our patients and the communities we live in. The Coder position reviews clinical documentation and diagnostic results on Ambulatory records as appropriate to extract data and applies appropriate ICD-10 CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. The job duties of the Coder include, but are not limited to, the following:Coordinates resolution of discrepancies in clinical charge coding through Revenue Auditor Division of Revenue Cycle Management.Consults with physicians to improve or clarify medical...

MILITARY VETERANS The Auditor, DRG Coding & Clinical Validation position has an extensive background in either facility-based nursing and/or inpatient coding and has a high level of understanding in reimbursement guidelines specifically an understanding of the MS-DRG, AP-DRG and APR-DRG payment systems. This position is responsible for auditing inpatient medical records and generating high quality recoverable claims for the benefit of Cotiviti and our clients. Responsible for performing clinical reviews of medical records and other documentation to evaluate issues of coding and DRG assignment accuracy. Key Responsibilities: Analyzes and Audits Claims. Integrates medical chart coding principles, clinical guidelines and objectivity in performance of medical audit activities. Draws on advanced ICD-10 coding expertise, clinical guidelines, and industry knowledge to substantiate conclusions. Performs work independently. Effectively Utilizes Audit Tools. Utilizes Cotiviti proprietary...

Summary:As a member of the HIIM Central Services coding team, this individual performs coding assistance for HIIM Central Service supported CHS hospitals in outpatient areas. Outpatient coder II will have experience in Ancillary Service cases and will perform coding of Emergency Department cases (Diagnosis and Procedure) and may assist in coding of Wound Care and Endoscopy cases. This coder will review patient records and assign accurate codes for each diagnosis and procedure. Requirements for this position include applied knowledge of medical terminology, disease processes, and pharmacology and demonstration of data quality and integrity skills.This individual will be required to make independent decisions regarding accurate ICD-10-CM and CPT / HCPCS code assignments and appending modifiers, as needed, and be familiar with LCD/NCD and coding edit resolution. These decisions will play a key role in determining appropriate reimbursement for CHS with adherence to compliant coding...

Primary City/State: Phoenix, Arizona Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Primary Location Salary Range: $21.20/hr - $31.81/hr, based on education & experience In accordance with Colorado's EPEWA Equal Pay Transparency Rules. Are you a superstar coder looking for the opportunity to code a wide variety of accounts? Do you have Acute Care Coding Same Day Surgeries (multiple specialties) experience? Consider joining our Acute Care Coding team at Banner Health. You will have the remarkable opportunity to work remotely and still be part of an engaged team who works hard every day to make healthcare easier, so life can be better for the patients we care for at more than 25 facilities across multiple states. Our REMOTE CODERS are required to live in Arizona, Arkansas, California, Colorado, Florida , Hawaii, Idaho, Iowa, Kansas, Missouri, Nebraska, Nevada, New York, North Dakota, Oregon, Pennsylvania, Tennessee, Texas, Utah, Virginia,...

Primary City/State: Glendale, Arizona Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle Primary Location Salary Range: $18.32/hr - $27.48/hr, based on education & experience In accordance with Colorado's EPEWA Equal Pay Transparency Rules. Are you a superstar HCC coder looking for the opportunity to for growth? We are in need of individuals that have strong HCC experience in both auditing and educating. CRC credentials through AAPC preferred or be willing to obtain within the first year. You will have the remarkable opportunity to work remotely and still be part of an engaged team who works hard every day to make healthcare easier, so life can be better for the patients we care for at more than 25 facilities across multiple states. This 100% remote position can be done from the following States: AR, AZ, CA, CO, FL, IA, MO, ND, NE, NV, TX, UT, WA, WI & WY (only if you live in these States). Good health care is key to a good life. At Banner Health,...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) We are currently seeking an experienced RN with strong interpersonal skills to join our team. The chosen Clinical Appeals & Coding RN would be responsible for reviewing appeals and grievances to determine if the appropriate care was given. In providing Medicaid Community and State provider post service appeals. Our goal is to create higher quality care, lower costs and greater access to health care. Join us, and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. You'll enjoy the flexibility to telecommute* from anywhere...

Description Is your passion to work in the Healthcare, Hospitals, Social Assistance industry? Are you a self-starter who wants to build a career as a Medical Billing Specialist? Do have experience in home health and Medicaid Billing? Robert Half currently has an opening for a Medical Billing Specialist with ambition, strong technical skills, and an eye for detail. The medical billing specialist will verify insurance, collections and resolve billing issues between client and insurance companies. The medical billing specialist must have outstanding customer service and problem solving skills. Apply for this exceptional opportunity today. The role is based in the Owosso, Michigan area and is a contract / contract to full-time position. Key responsibilities - Band together with other effective units to uphold quality of data and consistency - Send notices to insurance companies and patients for request for payment - Supervise aspects of particular patient accounts,...

Position: Medical Billing Account Manager-Remote FLSA Status: Full time, Non-Exempt Reports to: Senior Account Manager Summary/Objective: The Medical Billing Account Manager will be responsible for daily communication with the Global Team Billing Representatives on data entry/payment posting/account receivables. Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. * Charge entry daily (Oversee or train global team) * Posting insurance and patient payments via paper checks and ERA's daily (Oversee or train global team) * Working correspondence daily, sending out appeals, making sure claims getting paid timely (Oversee or train global team) * Working claim status denials from ERA's daily (oversee or train global team) * Working AR Insurance and patient daily (oversee or train global team) * Submitting secondary claims paper daily (oversee or train global team) * eBridge daily review *...