In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to ...
New
In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to ...
New
In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to ...
New
Columbus, OH ยท On-site
$65K - $116K/yr
... Coder (CPC - AAPC) * Active Registered Nurse is strongly preferred. (LPNs with acute, inpatient care clinical experience will be considered in place of an RN, based on clinical experience and ...
Columbus, OH ยท On-site
$65K - $116K/yr
... Coder (CPC - AAPC) * Active Registered Nurse is strongly preferred. (LPNs with acute, inpatient care clinical experience will be considered in place of an RN, based on clinical experience and ...
Columbus, OH ยท Remote
$28 - $32/hr
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) * Diagnosis Coding and Facility Procedure Coding System (PCS) * Current Procedural Terminology (CPT)
Quick apply
Columbus, OH ยท Remote
$28 - $32/hr
International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) * Diagnosis Coding and Facility Procedure Coding System (PCS) * Current Procedural Terminology (CPT)
Columbus, OH ยท On-site
$18 - $24.25/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Provide overall coding expertise as well as administrative and technical oversight to ensure ...
Columbus, OH ยท On-site
$18 - $24.25/hr
HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical ... Provide overall coding expertise as well as administrative and technical oversight to ensure ...
Columbus, OH ยท On-site +1
$17 - $22.75/hr
Medical record abstract data is captured based on clinical documentation reviewed for accuracy within the electronic health record during the coding process. Position Summary This position is ...
Columbus, OH ยท On-site +1
$17 - $22.75/hr
Medical record abstract data is captured based on clinical documentation reviewed for accuracy within the electronic health record during the coding process. Position Summary This position is ...
Westerville, OH ยท On-site
$35.50 - $47.25/hr
Completes ICD-10 coding based on clinical documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. * Ensures that service utilization ...
Westerville, OH ยท On-site
$35.50 - $47.25/hr
Completes ICD-10 coding based on clinical documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. * Ensures that service utilization ...
Westerville, OH ยท On-site
$35.50 - $47.25/hr
Completes ICD-10 coding based on clinical documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. Ensures that service utilization ...
Westerville, OH ยท On-site
$35.50 - $47.25/hr
Completes ICD-10 coding based on clinical documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. Ensures that service utilization ...
Westerville, OH ยท On-site
$35.50 - $47.25/hr
Completes ICD-10 coding based on clinical documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. Ensures that service utilization ...
Westerville, OH ยท On-site
$35.50 - $47.25/hr
Completes ICD-10 coding based on clinical documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations. Ensures that service utilization ...
Columbus, OH ยท On-site
$17.50 - $23.25/hr
Ensure the diagnoses and procedures are sequenced in order of their clinical significance to ... Review coding for accuracy and completeness prior to submission to billing. * Abstract required ...
Columbus, OH ยท On-site
$17.50 - $23.25/hr
Ensure the diagnoses and procedures are sequenced in order of their clinical significance to ... Review coding for accuracy and completeness prior to submission to billing. * Abstract required ...
Columbus, OH ยท On-site
$25 - $26.70/hr
You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. You will: * The certified coder reviews ...
New
Columbus, OH ยท On-site
$25 - $26.70/hr
You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status. You will: * The certified coder reviews ...
New
Columbus, OH ยท On-site
$22.25 - $24.50/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Columbus, OH ยท On-site
$22.25 - $24.50/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Delaware, OH ยท On-site
$22.50 - $25/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Delaware, OH ยท On-site
$22.50 - $25/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Alexandria, OH ยท On-site
$22.25 - $24.50/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Alexandria, OH ยท On-site
$22.25 - $24.50/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Westerville, OH ยท On-site
$23 - $25.50/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Westerville, OH ยท On-site
$23 - $25.50/hr
Investing in new partnerships, clinical services and technology is not enough to create meaningful ... The Coding Manager is responsible for managing all coding staff to achieve expected productivity ...
New
Columbus, OH ยท On-site
$32 - $42/hr
Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments ... clinical and reimbursement issues What You Need to Succeed: * A minimum of 3 years of recent ...
Columbus, OH ยท On-site
$32 - $42/hr
Uphold an overall 95% coding accuracy rate and a 95% accuracy rate for MS-DRG assignments ... clinical and reimbursement issues What You Need to Succeed: * A minimum of 3 years of recent ...
Hilliard, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Hilliard, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Powell, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Powell, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Marysville, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Marysville, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Pickerington, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Pickerington, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Newark, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
Newark, OH ยท Remote
$26.44 - $52.40/hr
Demonstrates knowledge of current, compliant coder query practices when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information ...
$29K - $33.7K
4% of jobs
$33.7K - $38.4K
14% of jobs
$38.4K - $43K
4% of jobs
$46.3K is the 25th percentile. Wages below this are outliers.
$43K - $47.7K
4% of jobs
$47.7K - $52.4K
4% of jobs
$52.4K - $57.1K
12% of jobs
The median wage is $59.3K / yr.
$57.1K - $61.8K
17% of jobs
$61.8K - $66.5K
16% of jobs
$66.6K is the 75th percentile. Wages above this are outliers.
$66.5K - $71.1K
13% of jobs
$71.1K - $75.8K
6% of jobs
$75.8K - $80.5K
6% of jobs
$29K
$57.4K
$80.5K
For Clinical Coder jobs, the most frequently searched job titles are:
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Columbus, OH โข On-site
Other
Posted yesterday
New
Your Role
The Facility Compliance Review (FCR) team reviews post service prepayment facility claims for contract compliance, industry billing standards, medical necessity and hospital acquired conditions/never events. The Clinical Coding Analyst RN, Consultant will report to the Senior Manager, Facility Compliance Review. In this role you will be supporting the FCR team in addition to a small clinical coder team of 2 clinical coders who will be responsible for performing in-depth quality audits of hospital claims to support ICD-10-CM and ICD-10 PCS codes as well as EDC (Emergency Department Coding), MS-DRG and APR-DRG reviews based on clinical determination. Reviews will also be performed for medical necessity and to meet the criteria for the coding billed. You will also be responsible for reviewing outpatient coding for appropriateness of billing related to injection and infusions. This person will review medical records and perform coding analysis on all diagnoses, procedures, DRG/APC and charge codes. Ensure that the billed coding is appropriate based on reimbursement requirements, research, epidemiology, financial and strategic planning and evaluation of quality of care. In this role you will be working in a Lead capacity assisting with reviewing claims, training new hires, facilitating refresher trainings for the team as needed, and being a resource for the team to ask questions. The ideal candidate will have previous leadership experience and hold at least a CPC or CCS certification from AHIMA or AAPC, and higher-level certifications are highly desirable.
Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.
We are a CA based company and training hours for the first few months will be 8am-5pm PST. After that, this person can work 6am-3pm, 7am-4pm or 8am-5pm PST.
Your Knowledge and Experience
Associate's degree in nursing is required
Current unrestricted California RN License and/or in assigned states. If assigned an additional state, they must obtain the CA RN license (in addition to primary assigned state license) within 90 days of hire
7 years of prior relevant experience required
3 years' inpatient coding experience required
One of the following is required: Certified Coding Specialist (CCS), Certified Professional Coder (CPC-CIC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Documentation Integrity Specialist (CCDS) or Certified Documentation Integrity Practitioner (CDIP)
Utilization management (UM) experience is required
Ability to analyze claim data analytics is required
Health plan experience (managed care) preferred
Strong attention to detail
Arbitration experience preferred
Requires independent motivation, solid work ethic, and strong computer navigation skills
Familiarity with electronic health record (EHR) systems, Oracle (Cerner) and Emergency Department EM leveling experience preferred
Strong attention to detail
Hybrid Virtual Work
This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.