31 coder 3 jobs found

Cook Children's Health Care System is seeking an HIM Coder Analyst I to assign ICD-10-CM/PCS and CPT-4 codes with precision for emergency and outpatient settings, based on physician documentation. The role emphasizes timely coding and collaboration with clinicians. The candidate should have 1 year of coding experience, proficiency with EHR systems, Excel and Word, and be capable of working independently. Certifications (RHIA/RHIT/CCS/CPC) are preferred or obtainable through education within 3–12 #J-18808-Ljbffr

Job Title Employees in this position code inpatient records. Minimum Education Required High School or Equivalent (GED) Associates Degree in HIT preferred Minimum Experience Required 1-3 years Coding experience preferred Licenses / Certifications Required RHIA (Registered Health Information Administrator) or RHIT (Registered Health Information Technician) certified. Knowledge, Skills & Abilities Required Ability to read, write, hear, speak, and comprehend the English language. Ability to re-organize work, re-prioritize tasks, and perform multi-tasks in a changing environment. Ability to pay attention to detail. Ability to work independently as well as part of a team. Ability to accurately relay information and communicate in a tactful and courteous manner with co-workers, clinical staff, non-clinical staff, patients, and visitors. Proficient computer and keyboarding skills and experience using Microsoft Office products. Strong knowledge of medical terminology,...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Summary The HIM Coder Analyst I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic as the major responsibility and may assist with ambulatory surgery designated as simple cases. The HIM Coder Analyst I abstracts specified information from the patient medical record, enters the data into the electronic health record system for billing and use in all types of company reporting. Minimum expected accuracy rate for all coding is 95% or above. The HIM Coder Analyst I communicates with physicians and other providers regarding documentation...

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment. General Description Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit...

Remote Eligibility: Candidates must reside and work full-time in AR, KS, MO, OK, or TX before their first day of employment. Join a forward-thinking team where your expertise drives quality patient care! We are looking for a detail-oriented Professional Medical Coder to help streamline our charge review coding workflow for Adult and Pediatric Evaluation and Management services and Minor Procedures, resolve denials and work with leadership to put processes in place to reduce denials. Enjoy flexible remote / hybrid options, continuous career development, and competitive compensation in a supportive environment. General Description Independently performs complex professional coding across multiple specialties and settings, including office/clinic, hospital outpatient, ED/urgent care, ASC, SNF/nursing home, and telehealth. Applies advanced coding judgment, payer policy interpretation, and documentation standards to support compliant reimbursement, wRVU integrity, and audit...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Position Summary J2 Integrity Solutions is seeking a Professional Coder/Auditor to support client engagements through a blended role that pivots between coding production and coding audit responsibilities. This position is ideal for a high-performing professional coder who is equally confident performing accurate and timely coding while also evaluating documentation and coding quality through structured audit reviews. The Professional Coder & Auditor will serve as a subject matter expert in ICD-10-CM, CPT, HCPCS, modifiers, and applicable CMS and payer-specific requirements. This role plays a key part in ensuring accurate billing, supporting revenue integrity, reducing compliance risk, and identifying education opportunities that strengthen documentation and coding performance. In addition to day-to-day coding and auditing work, this position will contribute to the development of educational tools and training materials to promote coding best practices and continuous...

CVS Health is seeking a Certified Professional Coder (CPC) to perform medical claim reviews for the Special Investigations Unit (SIU). The CPC will audit medical records for proper CPT/HCPCS coding and documentation, ensuring compliance with state, federal, and company guidelines. Strong communication and analytical skills are essential to articulate findings to investigators and regulators. The role requires 3+ years of coding experience, CPC certification, and knowledge of CPT/HCPCS, ICD-10, #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Coder II Red Lodge, MT, US 6 days ago Requisition ID: 1064 Salary Range: $20.83 To $28.63 Hourly Medical Coder II Status: Part Time (20 hours/week) | Non-Exempt Reports to: Health Information and Technology Manager Purpose and Scope of Position Responsible for reviewing and interpreting medical records, documents, and other patient data to assign appropriate codes for healthcare procedures, diagnoses, and services provided. These codes are used for insurance reimbursement, statistical purposes, and maintaining accurate patient records. Medical coders work closely with healthcare providers, insurance companies, and billing departments. Job Requirements Required Qualifications Education: High school diploma or equivalent. Certification: Certification from a recognized body such as the American Academy of...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Beartooth Billings Clinic is seeking a Medical Coder II in Red Lodge, MT for 20 hours per week as a part-time, non-exempt role. The coder will review medical records to assign codes for procedures, diagnoses, and services used for insurance reimbursement and statistics. The position requires 3+ years of coding experience, HS diploma or equivalent, and relevant certifications (AAPC or AHIMA). Preferred qualifications include an Associate’s degree and advanced coding credentials. #J-18808-Ljbffr

Join UnitedHealthcareAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required.Hours: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm.We offer 2-3 weeks of paid training. The hours during training...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

At Suvida Healthcare, we are not just caregivers; we're compassionate advocates dedicated to enriching the lives of our cherished seniors. As a Team Member with us, you will embark on a fulfilling journey where your skills and empathy converge to make a meaningful impact on the well-being of an underserved community and their families. Our multi-disciplinary primary care program is built to address the physical, behavioral, social, and cultural needs of Medicare-eligible Hispanic seniors. Celebrate diversity and inclusivity in a workplace that attracts, engages, values, rewards, and recognizes the unique needs and backgrounds of both, our patients and our team. We believe that a rich tapestry of experiences, shared interests, and perspectives enhances the care we provide, making us a stronger, service-centered, and more compassionate healthcare family and Employer of Choice! Will you join us Suvidanos , to help achieve our Higher Purpose? What Makes Us Unique We are an empowered...

We are currently hiring a fully remote Inpatient Facility Coder for a great healthcare organization! Equipment is provided Schedule: M- F 8am-5pm Day to day responsibilities: Reviews medical records to identify pertinent diagnoses and procedures relative to the patient's health care encounter Selects the principal diagnosis and principal procedure, along with other diagnoses and procedures using UHDDS definition Ensures appropriate DRG assignment Abstracts appropriate information from the medical record based on the guidelines provided by the client and after a thorough review of the medical record Consistently meet productivity and quality performance requirements Responsible for utilizing applications to enter charts coded in real-time throughout the scheduled shift As an experienced coder, you will be responsible for providing coding and abstracting services for clients' inpatient charts You will use established coding principles and your knowledge and experience to...

ThedaCare Coder (Clinic - III)The Coder (Clinic - III) performs coding review for surgical specialties for ThedaCare Physician Services to accurately reflect services rendered. Reviews and processes charges using industry standard methodologies (CPT, ICD-10-CM, HCPCS), abides by Standards of Ethical Coding (AAPC/AHIMA), and complies with official coding guidelines and other regulatory requirements. Audits medical record documentation and educates providers on documentation improvement opportunities and risks. Educates and trains new team members to department standards. Mentors and observes team members in department responsibilities. Upholds and demonstrates department expectations and accuracy in regards to coding responsibilities including payer denials and claim edits.Job Description:Schedule:Full time, benefit eligible40 hrs/weekBusiness hours (i.e 8:00am-5:00pm)Remote PositionPreferred skill set and experience strong in surgical coding; Urology primarily to start.Key...

Join UnitedHealthcareAt UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required.Hours: This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm.We offer 2-3 weeks of paid training. The hours during training...

Job Summary The Coding Specialist will provide CPT, HCPCS, and ICD‑10‑CM coding for Outpatient Facility Same‑Day Surgeries. The position requires 2-3 years of experience and observations experience. The role is remote; the employee must work from home and be independent in coding skills. Essential Duties and Responsibilities Provide various components of coding services to support clients. Calculate ProFee and/or Facility E/M levels using the company’s algorithm. Recognize critical care cases by patient acuity. Code surgical procedures typical of an ER setting to capture additional revenue when appropriate. Apply ICD‑10‑CM diagnosis codes at the highest level of specificity available. Accurately assign diagnosis and procedure codes using ICD‑10‑CM, ICD‑10‑PCS, CPT®, and HCPCS. Interpret coding guidelines for accurate code assignment. Assess the impact of documentation on code assignment and reimbursement. Act in accordance with AHIMA’s Standards of Ethical Coding and the Company’s...

A leading healthcare organization is seeking a fully remote Inpatient Facility Coder. This role involves reviewing medical records to ensure correct coding and DRG assignment while maintaining coding credentials. Candidates must have at least 3 years of experience, including knowledge of ICD-10-CM and CPT coding. The position allows for flexibility across multiple clients and supports coding education within the team. A proficiency test is required for candidates. Equipment is provided, with a standard schedule of Monday to Friday, 8 AM to 5 PM. #J-18808-Ljbffr

Summary The HIM Coder Analyst I requires knowledge of and skill in applying International Classification of Diseases and Procedures (ICD), and Current Procedural Terminology (CPT) code sets and associated Medicare/Medicaid rules and guidelines. Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CMPCS and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for emergency department, outpatient clinic as the major responsibility and may assist with ambulatory surgery designated as simple cases. The HIM Coder Analyst I abstracts specified information from the patient medical record, enters the data into the electronic health record system for billing and use in all types of company reporting. Minimum expected accuracy rate for all coding is 95% or above. The HIM Coder Analyst I communicates with physicians and other providers regarding documentation...

Cook Children's Health Care System is seeking an HIM Coder Analyst I to assign ICD-10-CM/PCS and CPT-4 codes with precision for emergency and outpatient settings, based on physician documentation. The role emphasizes timely coding and collaboration with clinicians. The candidate should have 1 year of coding experience, proficiency with EHR systems, Excel and Word, and be capable of working independently. Certifications (RHIA/RHIT/CCS/CPC) are preferred or obtainable through education within 3–12 #J-18808-Ljbffr

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Froedtert Health is looking for a remote Inpatient Coder responsible for accurately coding inpatient medical records in a complex academic environment. The ideal candidate will have at least 3 years of experience in inpatient coding and hold a relevant certification. This role emphasizes attention to detail and effective communication and offers competitive pay between $25.82 - $44.16 per hour, along with a sign-on bonus and comprehensive benefits. #J-18808-Ljbffr