Inpatient-Outpatient Coder

4 weeks ago


New York, United States MetroPlus Health Plan Full time

Inpatient-Outpatient Coder Job Ref: TE0031 Category: Claims Department: CLAIMS Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: Full-Time Work Arrangement: Hybrid Salary Range: $76,000.00 - $86,661.00 Position Overview The Inpatient-Outpatient Coder is responsible for conducting coding audits and education for providers with greatest opportunity for improvement. This individual will ensure medical diagnosis and procedure codes submitted on provider claims are accurate. In addition, this person will review medical records for: physician documentation, clinical evidence that supports the diagnoses, medical necessity of procedures, appropriate setting of care and accurate use of CMS coding guidelines. Scope of Role & Responsibilities Identifies trends and inconsistencies in provider documentation and coding practices. Audits and reviews medical records to determine if the medical record is complete, accurate, and in support of individual patient risk adjustment score accuracy. Develops curriculum to improve provider coding practices. Educates providers and their practice staff in coding guidelines. Works in collaboration with other departments, develop plans and materials that support education and system changes to ensure proper coding is a standard practice for all providers. Participates in the review and analysis of summary data. Assist with data collection and report generation. Maintains the confidentiality and security of sensitive information and files. Required Education, Training & Professional Experience Associate degree required. 2-5 years of health care experience in a physician group practice or other ambulatory care setting preferred. 1+ years of medical coding experience with demonstrated sustained coding quality. In-depth knowledge of coding/classification systems appropriate for inpatient, outpatient, APR-DRG/MS-DRG and APC/APG prospective payment systems Demonstrates advanced knowledge of CPT/HCPS/Revenue Code procedure coding, ICD-9/ICD-10 coding principles and practices. Ability to research authoritative citations related to coding, compliance, and additional reporting requirements. Demonstrates overall knowledge of claims processing for various insurances both private and government Licensure and/or Certification Required Certification as a professional coder (CPC); or Certification as an inpatient coder (CIC) Professional Competencies Integrity and Trust Customer Focus Functional/Technical skills Written/Oral Communication Excellent verbal and written communication skills Excellent computer skills. Able to learn, use and toggle between multiple systems. Analytical skills and ability to create reports, charts, and graphs (e.g. Microsoft Excel) Ability to work independently or in a team setting, while handling multiple projects and adjusting to changes quickly while meeting all deadlines #LI-Hybrid #MHP50



  • New York, United States NavitsPartners Full time

    Job Title: REMOTE ROLE - Certified Medical Coder – Inpatient Department: Medical Records Location: Bronx, NY Work Arrangement: Hybrid — 1–2 weeks onsite training, then fully remote Hours: 40 hours/week | 8 hours/day | Monday–Friday Pay Rate: $33/hr (W2) Job Overview A healthcare organization in the Bronx is seeking an experienced Certified Medical...


  • New York, United States ProKatchers LLC Full time

    Job DescriptionJob Title : Remote Certified Medical Coder – Inpatient/OutpatientLocation : Bronx, NY 10467 / RemoteDuration : 3 MonthsEducation : High School Diploma / GED required.Shift Details : Mon–Fri 8:00 AM to 4:00 PMGeneral Description:We are seeking Certified Medical Coders with strong Inpatient, Outpatient, and ED coding experience. This...


  • New Orleans, United States LCMC Health Full time

    Your job is more than a job The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and...


  • New York, United States Pride Health Full time

    Job DescriptionCertified Medical Coder – Outpatient & ED (Hybrid/Remote)Location – Bronx, NYDepartment: Medical RecordsContract | 40 hrs/week | Hybrid → RemoteWhat You’ll DoPerform accurate outpatient and ED medical coding in an acute-care setting.Apply ICD-10-CM, CPT-4, federal and payer billing guidelines, and organizational standards.Use EPIC and...

  • Inpatient Coder II

    1 week ago


    New Haven, Connecticut, United States Yale New Haven Health Full time $100,000 - $120,000 per year

    Overview:To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day. The Inpatient Coder 2 performs activities involving...

  • Inpatient Coder II

    16 hours ago


    New Haven, Connecticut, United States Smilow Cancer Hospital Full time

    OverviewTo be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.The Inpatient Coder 2 performs activities involving moderate...


  • New Orleans, LA, United States LCMC Health Full time

    Your job is more than a job The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and...


  • New Orleans, LA, United States LCMC Health Full time

    Your job is more than a job The Coder Lead will code all patient types as needed; inpatient, same-day surgery, ancillary, ambulatory and provider based clinics. This individual will mentor, train and assist with cross training coding staff, includes newly hired coding staff. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and...


  • New Orleans, United States LCMC Health Corporate Full time

    JOB DESCRIPTION Your job is more than a jobThe Coding Specialist I will be responsible applying the appropriate ICD--CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics.Your EverydayProficiently navigates the patient health record and other computer...


  • New York, United States ProKatchers LLC Full time

    Job DescriptionJob Title : Certified Medical Coders - InpatientLocation : Bronx, NY 10461Duration : 3 Months Contract (with possible extension)Education : High School Diploma/GED, AHIMA, RHIA or RHIT and/or CCP, CCS.Shift Details : 8:00 AM-04:00 PM General Description:·Medical coding in an acute care setting; must possess proficient computer skills (e.g.,...