49 coder jobs found

Pro Fee Coder Here at Savista, we enable our clients to navigate the biggest challenges in healthcare: quality clinical care with positive patient experiences and optimal financial results. We partner with healthcare organizations to problem solve and deliver revenue cycle improvement services that enable their success, support their patients, and nurture their communities, all while living our values of Commitment, Authenticity, Respect and Excellence (CARE). The Pro Fee Coder will review clinical documentation to assign and sequence diagnostic and procedural codes for specific patient types to meet the requirements of hospital data or physician data retrieval for billing and reimbursement. Coder I may validate APC calculations to accurately capture the diagnoses/procedures documented in the clinical record for hospitals. The Coder I performs documentation review and assessment for accurate abstracting of clinical data to meet regulatory and compliance requirements. Coder I may...

Job Description Job Description The Coding Network, LLC (TCN) is the country’s premier broker of remote coding and auditing services, structured as a virtual company connecting healthcare professionals and health systems across the country with over 800 US based single specialty coders and auditors. Flexible Hours: We understand that everyone’s schedule is different and, as such, auditors enjoy the flexibility to commit to as few as 15 hours a week to however many hours work for them to render auditing services. It is one thing to have the freedom to work from home, but TCN coders possess the freedom to utilize the full 24 hour clock and choose when to work beyond the traditional 9-5. Whether you’re looking for extra income in addition to your day job or to make a more robust commitment, we are able to accommodate you. Position & Responsibilities: In order to support the growing need for E&M services and surgical divisions, there are abundant opportunities for...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Job Description Job Description Description: About e4health At e4health, our vision is to Empower Better Health for our clients, our team, and the communities we serve. We live by five core values that guide everything we do: Embrace Change, Fun, and Learning: We maintain an unrelenting focus on quality, client success, and team member growth. Our PEOPLE Make the Difference: We build trusted relationships and celebrate wins every day. WE GROW: We believe in win/win outcomes—when our customers win, we win. GSD (Get Stuff Done): We say no to politics, drama, and egos, and yes to informed, agile decisions. Respectfully Listen, Challenge, & Support Each Other: We listen intently, challenge respectfully, and support fully. Serving more than 400 hospitals and health systems nationwide for nearly two decades, e4health provides solutions to tackle the toughest problems in healthcare with unmatched technology, mid-revenue cycle, and operational expertise. Our...

Virtua Health Coding Specialist At Virtua Health, we exist for one reason to better serve you. That means being here for you in all the moments that matter, striving each day to connect you to the care you need. Whether that's wellness and prevention, experienced specialists, life-changing care, or something in-between we are your partner in health devoted to building a healthier community. If you live or work in South Jersey, exceptional care is all around. Our medical and surgical experts are among the best in the country. We assembled more than 14,000 colleagues, including over 2,850 skilled and compassionate doctors, physician assistants, and nurse practitioners equipped with the latest technologies, treatments, and techniques to provide exceptional care close to home. A Magnet-recognized health system ranked by U.S. News and World Report, we've received multiple awards for quality, safety, and outstanding work environment. In addition to five hospitals, seven emergency...

Certified Specialty Coder Three Rivers Orthopedics is seeking a Certified Specialty Coder to support 11 orthopedic surgeons specializing in areas including spine and foot/ankle at 200 Delafield Road, Suite 1040, Pittsburgh, PA 15215. This full-time position runs MondayFriday, 8:00 AM4:30 PM, with the potential for work-from-home flexibility after training Responsibilities: Utilize advanced, specialized knowledge of medical codes and coding procedures to assign and sequence appropriate diagnostic/procedure billing codes, in compliance with third party payer requirements. Monitor billing performances to ensure optimal reimbursement while adhering to regulations prohibiting unbundling and other questionable practices; prepares periodic reports for clinical staff identifying unbilled charges due to inadequate documentation. Perform all coding functions, based on staffing needs and/or department requirements. Refer problem accounts to appropriate coding or management personnel...

Outpatient Coding Position Purpose: Outpatient coding involves coding diagnosis and procedure codes ICD10 and CPT codes and charging for injections, infusions, hydrations, and observation hours. Responsibilities: Review coding for accuracy and completeness prior to submission to the billing system utilizing CCI edits. Type of coding includes reconciling NCCI edits for clinical labs, clinic visits, emergency room visits, and observation stays. Utilize standard coding guidelines, principles, and coding clinics to assign the appropriate ICD-10-CM, CPT, and DSM IV codes for all record types to ensure accurate reimbursement. Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and suggestions for operational improvements. Maintain continuing education by attending seminars, reviewing updated CPT assistant guidelines, and updated coding clinics. Make forward progress within the...

Allegheny Health Network - JobID: B7721B63734CDF4874B3915669170910 [Medical Records Clerk] As a Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Review documentation to ensure compliance with coding guidelines; Collaborate with healthcare providers to clarify diagnoses; Maintain confidentiality of patient information; Update coding knowledge through continuous education; Assist in audits to improve coding accuracy...Hiring Immediately >>

Patient Support Medical Claims Processing Representative As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies. IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field...

Inpatient Coder One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the World's Most Admired Companies by Fortune; listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Inpatient Coder for our Appeals Department. This...

Atlantic Region CBO Coder One of the nations largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $15.8 billion in 2024. UHS was again recognized as one of the Worlds Most Admired Companies by Fortune; listed in Forbes ranking of Americas Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. The Atlantic Region CBO is seeking a dynamic and talented Coder. The Coder is responsible for...

Contract Assignment Healthcare System (Epic Ehr) This is a remote position. We're seeking a Certified Professional Coder (CPC) with hands-on front-end Epic operational experience to support a health system's day-to-day coding workflows. This contractor will perform professional coding activities directly within Epic's end-user workflows (e.g., encounter completion, charge entry, charge review workqueues) to ensure accurate, timely, and compliant coding and charge capture. Responsibilities: Review clinical documentation and assign CPT/HCPCS, ICD-10-CM codes within Epic at the point of coding (front end), ensuring compliance with payer guidelines and health system policies. Work in Epic workqueues (e.g., Charge Review, Claim Edit, Coding WQs) to resolve edits, denials, and holds; clear daily queues to meet turnaround goals. Validate medical necessity and modifier usage; correct charge router/charge session issues before billing. Collaborate with revenue cycle, clinic...

Senior Coding Specialist Join us in shaping the future of healthcare as an allied health professional at Redeemer Health. We offer a dynamic environment equipped with state-of-the-art facilities and a culture that prioritizes safety. With our workforce spanning southeastern Pennsylvania and New Jersey, we celebrate diversity and inclusivity. We're committed to your long-term success, providing competitive benefits, as well as resources like educational assistance and a unique onboarding program that sets you up for long-term success while introducing you to our mission and celebrated service orientation. Join us, and let's make a difference together. The Senior Coding Specialist assigns diagnostic and procedural codes consistent with ICD-9-CM and CPT-4 guidelines, sequencing guidelines, CMS coding guidelines, Medicare and Medicaid regulations and the American Hospital Association coding guidelines and in its publication, Coding Clinic and AMAs publication CPT Assistant....

Medical Oncology Coder Opportunity UPMC Hillman Cancer Center at the Divine Providence Campus in Williamsport is currently hiring a full-time Medical Oncology Coder. This position offers a consistent day shift schedule from 8:00 AM to 4:30 PM, totaling 40 hours per week. The ideal candidate will hold a Certified Professional Coder (CPC) credential and have at least two years of experience in physician coding using Physician CPT and ICD-9. This is a great opportunity to join a dedicated oncology team and contribute to accurate, compliant coding that supports high-quality patient care. This is a hybrid position. The initial phase of employment will require on-site work at UPMC Hillman Cancer Center in Williamsport, PA for several months. After this period, mandatory attendance for monthly meetings and other required on-site sessions will continue. Ideally, the candidate will work minimum one day per week in the office at UPMC Hillman Cancer Center, with the remaining time remote....

Scheduled Hours 40 Position Summary Performs advanced coding and appeal activities; investigates payer issues; responsible for timely filing of appeals to insurance companies; handles charge corrections. Job Description Primary Duties & Responsibilities: Reviews the documentation in the record to identify all pertinent facts necessary to select the comprehensive diagnoses and procedures that fully describe the patients conditions and treatment. Codes evaluation and management to appropriate CPT code and codes diagnosis to appropriate ICD-9 code. Meets with physicians to review documentation, resolve coding and secure signature of all unsigned dates of service, tagging files for follow up. Acts as lead person and assists coders with IBC staff with medical terminology and policy interpretation as required. Assists with efforts to increase physician awareness of documentation requirements. Prepares case reports and initiates follow-up for billing process. Working...

Health Information Coding Specialist Health Information Coding is the transformation of verbal descriptions of diseases, injuries, and procedures into numeric or alphanumeric designations. The coding process reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters. Coders are responsible for translating diagnostic and procedural phrases utilized by healthcare providers into coded form procedure codes that can be utilized for submitting claims to payers for reimbursement. A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. Job Duties: Reviews the content of the medical record for hospital and professional inpatient records to identify principal diagnosis, secondary diagnoses and procedures performed that explain the reason for service being provided or the admission and patient severity and...

Coding Specialist Location Detail: 9 Farm Springs Rd Farmington (10566) Shift Detail: 100% Remote Position Work where every moment matters. Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network. The creation of the HHC System Support Office recognizes the work of a large and growing group of employees whose responsibilities are continually evolving so that we and our departments now work on behalf of the system as a whole, rather than a single member organization. With the creation of our new umbrella organization we now have our own identity with a unique payroll, benefits, performance management system, service recognition programs and other common practices across the system. Position Summary Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric...

Inpatient Coder Entry level position responsible for reviewing multidisciplinary inpatient medical records and health information in order to classify patient diagnoses and procedures by accurate ICD-10-PCS codes and DRGs. Evaluate documentation of patient care to code and abstract data used for statistics, state reporting, reimbursement and other needs. Assign ICD-10-CM codes to inpatient diagnoses, treatments and procedures according to coding guidelines. Complete coding with an error rate within the work standard and maintains standards relative to productivity and quality. Communicate verbally and in writing with physicians, medical staff and other care professionals when documentation needs clarification for accurate code assignment which may or may not impact reimbursement. Prepare workload reports and participate in department management studies, as well as data quality reviews or other documentation audits. Perform peer review of codes and DRG assignment. Keep...

Coding Specialist Reviews inpatient clinical documentation to determine the appropriate assignment of alpha numeric diagnosis/procedure codes and Medicare Severity Diagnosis Related Groups (MS-DRG). Data is classified for internal and external statistical reporting, research, regulatory compliance and reimbursement. Codes high dollar and more complex accounts including but not limited to, medical, surgical behavioral health, IP Rehabilitation and others. Position Responsibilities Key Areas of Responsibility Coding Applies strong knowledge of anatomy and physiology, clinical disease processes, pharmacology, and diagnostic and procedural terminology to determine the appropriate assignment of diagnosis and procedure codes for more complex accounts. Analyzes medical records using the Uniform Hospital Discharge Data Set (UHDDS), interprets documentation and assigns proper International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10-CM) diagnoses...

Ancillary Outpatient Coding Purpose: Codes ancillary outpatient accounts, diagnosis coding only. Codes ancillary service patient type (single visit service such as lab, x-ray, pathology specimen); requires ICD-9 diagnosis coding skills only. Coder reviews the physician script, order or chief complaint as documented in a diagnostic report to determine the appropriate ICD-9 code. Ensures diagnosis codes meet local medical necessity guidelines for ancillary tests that were ordered-- requires knowledge of billing and coding guidelines. Respond to Cirius errors identified by coder ID # on the daily report. Responsibilities: Refer problem accounts to appropriate coding or management personnel for resolution. Meet appropriate coding productivity and quality standards within the time frame established by management staff. Adhere to internal department policies and procedures to ensure efficient work processes. Actively participate in monthly coding meetings and share ideas and...

Allegheny Health Network - JobID: CEA877A795A4AF9FC8195BD0A9DFB42E [Medical Records Clerk] As a Senior Coder at Allegheny Health Network, you'll: Analyze medical records to assign accurate codes; Ensure compliance with coding guidelines and regulations; Collaborate with healthcare professionals to clarify documentation; Review and resolve coding discrepancies; Maintain up-to-date knowledge of coding standards; Provide training and support to junior coders...Hiring Immediately >>

Job Type Full-time Description Why you'll want to work at nimble! Interested in becoming a part of a dynamic Coding team? This is a great opportunity to join a well-established and market-leading brand serving a high-growth end market while gaining valuable experience working closely with Executive leadership. As an organization, we are in high-growth mode through acquisition with a laser focus on positive culture building! Who we are: nimble solutions is a leading provider of revenue cycle management solutions for ambulatory surgery centers (ASCs), surgical clinics, surgical hospitals, and anesthesia groups. Our tech-enabled solutions allow surgical organizations to streamline their revenue cycle processes, reduce administrative burden, and improve financial outcomes. Join more than 1,100 surgical organizations that trust nimble solutions and its advisors to bring deep insights and actionable intelligence to maximize their revenue cycle. On a typical day, here's what...

Coder, Hospital Outpatient It's more than a career, it's a calling MO-REMOTE Worker Type: Regular Job Highlights: $1,000 sign on bonus available (Check with recruiter for eligibility) Qualifications: Urgent Care coding experience is required. Come join us as a Coder, Hospital Outpatient at SSM Health! Your expertise in coding will ensure that our organization maintains compliance with all coding guidelines and regulations. This is a remote position, allowing you to work from the comfort of your own home while contributing to the success of SSM Health. Remote work: This position is eligible for remote work in accordance with SSM policies. Note that remote work is not permissible in some states; Human Resources should be consulted for additional information and guidance. Candidates to reside in MO, IL, OK, or WI (additional states may be considered) Job Summary: Responsible for coding and abstracting inpatient accounts in accordance with coding guidelines. Job...

Job Title Collects, reviews, retrieves and codes Evaluation & Management services, Pathology, and minor procedures based on documentation in the medical record and reports for quality assessment, audit, and billing purposes. Duties And Responsibilities Essential Functions: Performs chart audits, reviewing for accuracy and compliance. Reviews operative reports and other documentation and assigns appropriate diagnosis (ICD-10) and procedure codes (CPT) for final billing. Researches and processes invoice corrections. Reviews and analyzes coding/billing procedures. Presents training and feedback concerning medical coding, compliance, and reimbursement to physicians/providers. Coordinates and implements reimbursement improvement activities with staff and providers. Adheres to WellSpan Coding Compliance Guidelines. Common Expectations: Maintains job specific standards and expectations relative to productivity and quality. Prepares and maintains appropriate...