24 certified coder jobs found

Certified Coder- Physician Billing The incumbent performs highly technical and specialized functions. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Minimum Education Completion of high school, or equivalent. Minimum Work Experience Completion of high school, or equivalent. Two years of coding experience using ICD-10-CM or equivalency. CCS, CCS-P or CPC certification is required Screening Requirements: Drug...

Medical Records Certified Coder Opportunity Full Time, Dayshift Monday-Friday, Inperson As the only free-standing psychiatric hospital in the Central Kentucky area, we are here to help. Please join our team as we expand our services to meet the needs of our community. The Ridge Behavioral Health System is a 110-bed hospital located in the heart of the Bluegrass, Lexington, KY. The Ridge provides psychiatric and substance use disorder treatment for children, adolescents, and adults. The Ridge offers Partial Hospitalization, Intensive Outpatient Programs, Individual Counseling, as well as Medication Management for all ages. We have provided behavioral health services to over 92 Kentucky counties for more than 39 years. Job Duties Include: Meets coding quality score of 95% accuracy in assignment of diagnoses and procedure codes as measured by the quarterly coding audit performed by Corporate. Coordinate treatment through treatment planning, the treatment team process, and...

Job Description Job Description The incumbent performs highly technical and specialized functions. The employee reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-10-CM, CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines. Minimum Education Completion of high school, or equivalent. Minimum Work Experience Completion of high school, or equivalent. Two years of coding experience using ICD-10-CM or equivalency. CCS, CCS-P or CPC certification is required Screening Requirements: Drug...

Medical Coder We've learned that what is best for patients is also best for employees. Learn more about why we are one of the Best Companies to Work for in Texas. Job Summary The Medical Coder is responsible for ICD-10 coding of diagnoses and procedures of inpatient/outpatient Emergency Room discharged patient records. Job Specific Responsibilities Apply diagnoses codes to in-patient, out-patient, and emergency services Maintain knowledge of current laws and regulations related to insurance, Medicare, Medicaid, and DRG coding, sequencing, and CPT coding Perform quality improvement reviews as assigned All other assigned duties related to Health Information Management Education and Experience High School Diploma or GED Completion of Medical Record Technology program + 2 years of experience in Health Information Management Coding Hospital coding experience preferred Required Licensures/Certifications/Registrations RHIT, RHIA, CCS, or coding certificate Skills and...

Job Title : RN Clinical Coder Location : New York, NY 10004 Duration : 3+ Months / 13 Weeks Education : Bachelor’s in Nursing (BA/BSN) required Shift Details : 9:00 AM – 5:00 PM / Hybrid — Onsite & Remote Specific Skills : Review medical charts for accuracy, completeness, and proper diagnosis sequencing. Validate clinical and coding assessments in alignment with regulations. Conduct audits of high-risk claims and billing patterns to identify discrepancies and potential FWA. Prepare detailed clinical review reports, including rationale, research, and corrective action recommendations. Assist with documentation for audits, compliance reviews, recoupments, and regulatory inquiries. Active New York State RN License (Primary Source Verified) Minimum 2 years of clinical experience 5+ years of Healthcare Experience required

Senior Medical Coder The Senior Medical Coder plays a critical role in supporting clinical trials by ensuring the accurate, consistent, and timely coding of medical terms using standardized dictionaries (e.g., MedDRA, WHO Drug). This individual brings advanced knowledge of medical terminology, clinical trial processes, regulatory requirements, and coding best practices. The Senior Medical Coder serves as a subject matter expert and collaborates cross-functionally with clinical operations, data management, safety/pharmacovigilance, biostatistics, and medical writing teams to maintain high-quality data that meet global regulatory standards. Medical Coding Perform complex medical coding for adverse events, medical history, procedures, and concomitant medications using MedDRA and WHODrug dictionaries. Review and validate coding performed by other coders to ensure consistency and accuracy. Identify ambiguous or unclear terms and query clinical sites or data management for...

Senior Inpatient HIM Coder We are seeking a highly skilled and experienced Senior Inpatient HIM Coder to join our dynamic healthcare information management team. This role is crucial in bridging the gap between clinical data and technology, as we aim to develop cutting-edge AI solutions for medical coding and billing processes. The successful candidate will play a pivotal role in providing valuable insights and expertise to enhance our product development efforts. Requirements and Qualifications: A minimum of 3 years of hands-on experience as an acute HIM inpatient medical coder in a hospital environment. Proficiency in identifying and extracting ICD-10-CM, ICD-10-PCS, HCPCS/CPT codes, and associated modifiers from patient records. In-depth understanding of supporting evidence requirements for accurate coding. Practical experience using grouper software for MS-DRG and APR-DRG assignment. Strong communication skills to interact effectively with the billing department...

Allegheny Health Network Job Posting General Overview: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD coding systems and assists in decreasing the average accounts receivable days. Essential Responsibilities: Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD codes for diagnoses and procedures. Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. Keeps informed of the changes/updates in ICD guidelines by attending appropriate training, reviewing coding clinics and other resources and implementing these updates in daily work. Performs other duties as assigned or required....

Coder Specialty Office The Coder Specialty Office assures the integrity of the Norton Medical Group billing, insurance, coding, and accounting and referral functions. The incumbent serves as a liaison between the practice and the billing office as well as the accounting department of Norton Healthcare. In performing job functions, utilizes age appropriate principles of growth and development for patients of all ages according to the practice specialty. This position offers a fully remote work opportunity. Employees in this role must reside in one of the following states to be considered for fully remote positions: Kentucky, Indiana, Missouri, Ohio, Tennessee, Alabama, Virginia, Mississippi, North Carolina, or South Carolina. Qualifications Required: One year medical coding in a specialty office One of: CCA or CCS or CIC-ICD or COC or CPC or RHIA or RHIT Desired: Diploma Certified Coding Associate OR Certified Coding Specialist OR Certified Inpatient Coder ICD-10 OR...

Inpatient Drg Medical Coder Delivering Digital Outcomes. Driving Real Impact. Sutherland is the preferred digital transformation partner for iconic brands worldwide, unlocking new value for their business, people, and customers. Job Description In this role, we will look to you to analyze and interpret complex records in order to identify and accurately bill for Trauma 1 facility Inpatient services. Specifically, you will assign and sequence correct diagnostic and procedure codes in compliance with third party payor requirements, and when necessary, obtain clarification when presented with conflicting, ambiguous, or non-specific documentation. Qualifications At least 2 years of inpatient coding experience in a trauma 1 setting. RHIA, RHIT, and/or CCS, CIC certification Strong communication, analytical and research skills with a keen attention to detail Additionally, your background must include demonstrated knowledge of: Coding concepts for facility diagnosis and...

Outpatient Facility-Clinic Medical Coder (Multi-Specialty) Part-Time We are seeking a detail-oriented and analytical Outpatient Facility-Clinic Medical Coder (Multi-Specialty) to join our remote US-based coding team. In this role, you will be responsible for accurately assigning diagnostic and procedural codes for various medical specialties in an outpatient setting. The ideal candidate will have a strong understanding of medical coding principles and healthcare regulations. Schedule & Compensation This is a part-time position (2030 hours per week) with a pay range of $30$40 per hour. Initial training will be conducted during standard business hours (MondayFriday, 8 a.m.5 p.m.) for approximately 2030 hours per week. Following training, work hours can transition to a flexible schedule. Job Description Analyze patient medical records and assign appropriate ICD-10-CM, CPT, and HCPCS codes for outpatient services across multiple specialties Ensure coding accuracy and...

remote type Remote locations Greenville, SC time type Full time posted on Posted 13 Days Ago job requisition id...

Coder II Position The Coder II reviews, analyzes, and codes diagnostic and procedural information using ICD-10-CM diagnosis and procedures and CPT coding for reimbursement. Assign and sequence ICD-10-CM/CPT codes by applying regulatory coding guidelines. Apply advanced knowledge of disease processes to assign codes for conditions and procedures not listed in the indexes of coding books. Follow appropriate guidelines and policies to code accurately from physician documentation within the medical record. Queries physicians for diagnoses or missing/ambiguous information for accurate coding. Apply organizational documentation policies and procedures in conjunction with official coding guidelines. Applies knowledge of coding and DRG assignment for ethical and optimal reimbursement. Competent to accurately code and abstract all inpatient, 23-hour observations, same day surgery, emergency room and/or clinic records in a consistent, accurate and timely manner. Ensures the final diagnosis...

Medical Coder At Sprinter Health, our mission is reimagining how people access care by bringing it directly into their homes. Nearly 30% of patients in the U.S. skip preventive or chronic care simply because they can't get to a doctor's office. For many, the ER becomes their first touchpoint with the healthcare systemdriving over $300B in avoidable costs every year. By using the same technologies that power leading marketplace and last-mile platforms, we deliver care where people are, especially those who need it most. So far, we've supported more than 2 million patients across 22 states, completed over 130,000 in-home visits, and maintained a 92 NPS. Our team of clinicians, technologists, and operators have raised over $125M to date from investors like a16z, General Catalyst, GV, and Accel and enjoy multi-year runway. As a Medical Coder, you will be responsible for reviewing and abstracting professional medical records to ensure accurate code assignment. You'll play a critical...

Clinical Coder The Clinical Coder is responsible and accountable for reviewing medical record documentation and assigning codes for reimbursement and statistical purposes. Responsibilities Dependent upon level of expertise defined in the Education/Training section: Maintains a working knowledge of coding fundamentals: ICD-9-CM coding for inpatient, outpatient, and/or physician services; HCPCS coding, namely CPT-4 for surgical procedures, for outpatient and/or physician services; and/or HCPCS coding, namely Evaluation and Management, for physician services. Maintains a working knowledge of coding guidelines: Official Guidelines for Coding and Reporting, American Hospital Association's Coding Clinics, and/or American Medical Association's CPT Assistant. Maintains a working knowledge of reimbursement as it relates to coding: the government prospective payment systems for inpatient, outpatient, and/or home health agencies, skilled nursing facilities, inpatient rehabilitation as...

Join to apply for the Profee Coder Surgical Urology role at Banner Health 1 week ago Be among the first 25 applicants Estimated Pay Range: $23.16 - $34.74 / hour, based on location, education, & experience. Department Name: Coding Ambulatory Work Shift: Day Job Category: Revenue Cycle In accordance with State Pay Transparency Rules. Innovation and highly trained staff. Banner Health recently earned Great Place To Work® Certification™. This recognition reflects our investment in workplace excellence and the happiness, satisfaction, wellbeing and fulfilment of our team members. Find out how we’re constantly improving to make Banner Health the best place to work and receive care. We are looking for a motivated, experienced Profee Coder with at least 1 year of Urology coding experience to join our talented team. Preferred experience in Surgical Urology and Gynecology Oncology and coding, knowledge and experience with academic coding/guidelines. Ideal Candidate...

A leading healthcare organization is seeking a Profee Coder Surgical Urology to evaluate medical records and accurately code surgical diagnoses and procedures. This fully remote position requires at least 1 year of E/M Urology coding experience and relevant certification. Ideal candidates will work flexible hours in a supportive team environment while ensuring compliance with coding standards. Excellent opportunity for experienced coders to advance their careers while working from home. #J-18808-Ljbffr

Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder , you will provide coding and coding auditing services directly to providers. You'll play a key part in healing the health system by making sure our high standards for documentation processes are being met. As a part of...

A healthcare system is seeking a skilled coding professional for a remote position. The ideal candidate will review and analyze medical records to determine proper coding for insurance reimbursement. This role requires certification and in-depth knowledge of coding guidelines. Join a team that is dedicated to improving patient care and community health! Full-time employment with competitive standards. #J-18808-Ljbffr

Join to apply for the Profee Cardiology Medical Coder role at Optum 2 weeks ago Be among the first 25 applicants Join to apply for the Profee Cardiology Medical Coder role at Optum Optum is a global organization that delivers care, aided by technology, to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We're focused on improving the health of our members, enhancing our operational effectiveness, and reinforcing our reputation for high-quality health services. As a Medical Coder , you will provide coding and...

Address Home Office Remote, KY 40601 Shift First Shift (United States of America) Job Description Summary TBD Job Description WE ARE HIRING! Location: 100% Remote About Us UofL Physicians is one of the largest, multi-specialty physician practices in the Kentuckiana region. With over 700 providers, 200 practice locations and 78 specialties, UofL Physicians’ academic and community physicians care for all ages and stages of life, from pediatrics to geriatrics with compassion and expertise. UofL Physicians academic providers are professors and researchers at the UofL School of Medicine, teaching tomorrow’s physicians, leading research in medical advancements and bringing the most progressive, state‑of‑the‑art health care to every patient. With more than 13,000 team members – physicians, surgeons, nurses, pharmacists and other highly‑skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate,...

A leading healthcare organization is seeking a Medical Coder to ensure coding accuracy and completeness of clinical records. This full-time role offers remote flexibility and involves assigning diagnostic and procedure codes, monitoring work queues, and staying updated on coding standards. Candidates should possess a high school diploma and relevant professional coding certifications, with experience in ICD-10 and cardiology coding preferred. Competitive pay ranging from $20.00 to $35.72 per hour is offered. #J-18808-Ljbffr

A healthcare organization is seeking a remote Medical Coder to perform specialized coding functions for reimbursement. Applicants should have an active CPC certification and at least three years of coding experience. Responsibilities include coding medical records, ensuring compliance with guidelines, and collaborating with healthcare providers. Strong attention to detail and knowledge of medical terminology are essential. This role offers the flexibility of working from home. #J-18808-Ljbffr

# **Primary Location:**Work From Home - KY - ULP - AMG# **Address:**Home OfficeRemote, KY 40601# **Shift:**First Shift (United States of America)# **Job Description Summary:**TBD# **Job Description:****WE ARE HIRING!**Location: 100% Remote**JOB SUMMARY**The team member performs highly technical and specialized functions for the Central Business Office. The team member reviews, analyzes, and codes diagnostic and procedural information that determines Medicare, Medicaid and private insurance payments. The primary function of this position is to perform ICD-9-CM (soon to be ICD-10), CPT and HCPCS coding for reimbursement. The coding function is a primary source for data and information used in health care today, and promotes provider/patient continuity, accurate database information, and the ability to optimize reimbursement. The coding function also ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation...