11 jobs found in Dover

Client i s seeking experienced Profee Coders to support the Client, which includes physician practices across multiple specialties. The ideal candidates will be versatile in coding for orthopedics, cardiology, ENT, primary care, and podiatry — including surgery-related coding. Key Responsibilities Pe rform accurate and timely coding of professional services across multiple specialties. Code E/M services, surgeries, injections, and infusions. Maintain productivity of 120–150 charts per day. Adapt quickly to varying specialties as needed. Review documentation using EPIC. Utilize personal coding books or encoder tools (not provided by client). Required Qualifications CP C or CCS certification. Strong proficiency in Profee coding. Experience with E/M leveling, surgical coding, and multiple specialties. Access to personal coding tools or encoder. Experience with EPIC system. Ability to work independently and meet productivity goals. Preferred Qualifications 2–3 years of...

Datavant is seeking experienced outpatient coders to join our team focused on transforming healthcare through data solutions. This fully remote position offers flexible scheduling, allowing you to work from your own space while ensuring accurate medical coding for various healthcare records. The ideal candidate will have AHIMA or AAPC certifications and at least 2 years of coding experience in healthcare settings. We offer competitive benefits and continuous education opportunities. #J-18808-Ljbffr

Compunnel, Inc. is looking for experienced Profee Coders to support physician practices across various specialties in Dover, Delaware. The ideal candidates will be adept in coding for orthopedics, cardiology, and other areas, ensuring accuracy and timeliness in their work. Essential qualifications include CPC or CCS certification and proficiency in Profee coding, coupled with experience using the EPIC system. Candidates should be able to independently meet productivity targets while adapting quickly to the varying specialties involved. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world’s health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient’s request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you’re stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. We’re looking for experienced and credentialed outpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing you to help shape the...

Become a part of our caring community The Senior Market Consultation / Partnership Professional (Nurse Medical Coder) supports Clinical Support Team (CST) initiatives by promoting accurate, compliant, and complete documentation and coding practices that enhance the quality and measurement of programs across risk adjustment. Work assignments involve moderately complex to complex issues where analysis of clinical documentation, coding accuracy, and risk adjustment data requires evaluation of multiple variable factors. Key Responsibilities Perform detailed medical record reviews to ensure accurate ICD-10-CM coding, risk adjustment capture, and alignment with CMS-HCC (e.g., V24/V28) models Validate diagnosis coding and ensure documentation meets compliance standards Identify and escalate coding trends and documentation gaps Serve as a coding subject matter expert supporting CST workflows, including PDV, chart review prioritization, and provider outreach...

Highmark Health is hiring for a Medical Coder position in Dover, Delaware. The role involves reviewing medical information and coding diagnoses and procedures while collaborating with healthcare teams. Ideal candidates must have a GED, coding certification, and experience in hospital coding. The position offers a competitive pay range of $23.73 to $37.14 per hour. This role also includes a sign-on bonus of $10,000 with a two-year commitment. Join Highmark Health to contribute to effective medical information management. #J-18808-Ljbffr

Humana Inc is seeking a Senior Market Consultation / Partnership Professional to support Clinical Support Team initiatives. This role involves promoting accurate documentation and coding practices to enhance program quality. Responsibilities include conducting medical record reviews, coding validation, and partnering with various teams to improve accuracy. Candidates should possess an active RN license and coding certifications. The position offers a competitive salary range of $86,300 - $118,700 annually, with additional bonus opportunities. This is a remote position with occasional travel for training. #J-18808-Ljbffr

Become a part of our caring community The Medical Coding Auditor reviews medical claims submitted against medical records provided, to ensure correct coding guidelines are met (e.g., ICD-10-CM, CPT, HCPCS). The Medical Coding Auditor's work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment for appropriate CPT/ HCPCS code assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed....

Dover Behavioral in Dover, Delaware, is seeking a Medical Records Technician to ensure accurate coding and maintain patient health records. Responsibilities include analyzing patient charts, entering ICD-10 codes, and collaborating with the Business Office for documentation. Candidates should have a High School Diploma and be either certified or pursuing certification in medical coding. An Associate's Degree is preferred. Join our team in a supportive environment committed to equal opportunity. #J-18808-Ljbffr

Datavant is seeking an Inpatient Auditing Specialist to conduct audits and provide educational support in coding quality and compliance. The role is fully remote, allowing you to contribute from your home workspace. The ideal candidate has 5+ years of coding experience, with expertise in inpatient auditing, and is proficient in tools such as Epic and Cerner. This position offers a collaborative environment focused on transforming healthcare. Join us in improving health outcomes through effective data solutions! #J-18808-Ljbffr

Become a part of our caring community The Inpatient Medical Coding Auditor - PPI Coding Disputes reporting to the Manager reviews the appropriate DRG and ICD-10-CM/ PCS coding assignments for accuracy within the coding disputes team from a variety of medical records. The Disputes Auditor - MSDRG Inpatient Coding on the Disputes Team consults and collaborates with coding professionals within and across departments to ensure high accountability of coding disputes outcomes for timeliness, compliance and quality. Will be an experienced medical coding auditor with in-depth experience in inpatient coding audits (MSDRG/APDRG) Ensures overall accuracy and compliance of coding disputes reviews by adhering to all appropriate coding guidelines and communicates disputes outcomes to providers in a professional and concise manner. Leverages advanced auditing expertise to make coding decisions based on standard industry guidelines and best practices Manages multiple...