We have other current jobs related to this field that you can find below

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    7 days ago


    Maywood, IL, United States Loyola University Health System Full time

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  • Coder II

    2 months ago


    Weymouth, MA, United States South Shore Health Full time

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  • Columbus, OH, United States The Ohio State University Wexner Medical Center Full time

    Scope of PositionCoding services assigns diagnosis and procedural codes to inpatient and outpatient medical records to facilitate the reimbursement and data collection for the individual business units of the OSU Health System.ICD-10-CM/PCS diagnoses and procedure codes are applied to inpatients and CPT-4 procedure codes are applied to all outpatients...

  • Medical Coder

    1 month ago


    Baltimore, MD, United States MEDSTAR HEALTH Full time

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  • Medical Coder

    1 month ago


    Baltimore, MD, United States MEDSTAR HEALTH Full time

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  • East Syracuse, United States COLON RECTAL ASSOCIATES OF CEN Full time $20 - $26

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  • Medical Coder ONSITE

    1 month ago


    Groton, CT, United States Standard Technology Full time

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  • Albany, NY, United States Palm Careers LLC Full time

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  • Fort Worth, TX, United States Cook Children's Health Care System Full time

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  • Columbia, MD, United States MEDSTAR HEALTH Full time

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  • Aberdeen, SD, United States The Medicus Firm Full time

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  • Lead Coder

    3 months ago


    Corpus Christi, TX, United States Driscoll Health Full time

    Where compassion meets innovation and technology and our employees are family.Thank you for your interest in joining our team! Please review the job information below.General Purpose of Job:Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to...


  • Fort Worth, TX, United States Cook Children's Health Care System Full time

    Location:Medical Center - Fort WorthDepartment:HIM-CodingShift:First Shift (United States of America)Standard Weekly Hours:40Summary:The HIM Coder Analyst II requires advanced knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid...


  • New York, NY, United States TeedCo. Healthcare Recruiting Full time

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  • Medical Coder

    7 days ago


    Norfolk, VA, United States TEKsystems Full time

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  • Columbus, OH, United States The Ohio State University Wexner Medical Center Full time

    HYBRID ROLEScope of PositionThe Manager of Inpatient Coding & Clinical Documentation Integrity Services is responsible for managing systems and operations for efficient coding of inpatient medical record information from University Hospital. East Hospital, Brain and Spine Hospital, James Hospital, Ross Heart Hospital, Harding Hospital, Talbot Hall, and Dodd...


  • Troy, NY, United States BAS Healthcare Full time

    Location: City in New York, situated on the eastern bank of the Hudson River, approximately 6 miles north of Albany, the capital of New York State. This city is apart of the Capital District region of New York. Facility: A 277-bed community hospital offering inpatient and outpatient including emergency services, critical care and ambulatory surgery, cancer...

  • Certified Coder

    1 day ago


    Providence, RI, United States Care New England Full time

    This position can be fully remote based on the work activity.A certification as a Certified Coding Specialist (CCS) is required for this position.Job Summary:Responsible for accurate coding of all outpatient services, procedures, diagnoses and conditions, working from the appropriate documentation in the medical record.- Classification systems include...

Inpatient/Outpatient Coder

2 months ago


East Elmhurst NY United States MetroPlusHealth Full time
Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

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.

Job Description
  • 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.
Minimum Qualifications
  • Associate degree required.
  • 3-5 years 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/MSDRG 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)

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

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