31 coder i jobs found

At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary Responsible for reviewing clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-10-CM/CPT4 codes and modifiers for billing, internal and external reporting, research, and regulatory compliance. Accurately code conditions and procedures as documented in the ICD-10-CM Official Guidelines for Coding and Reporting. Typically...

JOB SUMMARY Responsible for accurately interpreting patient records to learn to assign ICD-9 and/or ICD-10 diagnostic and CPT procedural codes patient records under the direction of the Coding Supervisor. JOB REQUIREMENTS Minimum Education High school diploma or equivalent Minimum Work Experience Required Licenses/Certifications Required Skills, Knowledge, and Abilities Knowledge of customer service principles and techniques Requires excellent written and verbal communication skills and strong customer service skills Requires proficiency in working with a PC, the Internet, and MS Windows Ability to gather and interpret clinical data Ability to establish/maintain cooperative working relationships with staff and providers Ability to communicate effectively and in a professional manner with all staff, managers, and physicians Ability to prioritize and multi-task

Ceris Certified Coder III Ceris is seeking a certified coder. The Ceris certified coder reverse codes previously coded medical bills to determine coding accuracy. This is a remote position. Essential functions and responsibilities: Receives claim and processes based on state rules and regulations Determines validity and compensability of the claim using CorVel proprietary programs Makes recommendations to referring office Communicates claim status with referring office Reads and comprehends all medical reports Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Complies with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (IIPP), as well as, maintains HIPAA compliance Knowledge and skills: Ability to learn rapidly to develop knowledge and understanding of...

CERIS is seeking a Certified Coder. The CERIS Certified Coder reverse code previously coded medical bills to determine coding accuracy. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim and processes based on state rules and regulations Determine validity and compensability of the claim using CorVel proprietary programs Make recommendations to referring office Communicate claim status with referring office Read and comprehend all medical reports Adhere to client and carrier guidelines and participate in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties/responsibilities as assigned Comply with all safety rules/regulations, in conjunction with the Injury and Illness Prevention Program (“IIPP”), as well as, maintain HIPAA compliance KNOWLEDGE & SKILLS: Ability to learn rapidly to develop knowledge and understanding of claims practice...

Inpatient Coder Position Insight Global is seeking an experienced Inpatient Coder to support a Level I Trauma hospital system overseeing 12 acute care facilities. In this role, coders will be responsible for accurately assigning ICD-10-CM/PCS codes for complex inpatient cases, ensuring compliance with official coding guidelines, regulatory requirements, and internal policies. The ideal candidate has strong trauma coding experience, a solid understanding of anatomy and medical terminology, and the ability to work independently in a high-acuity, fast-paced environment. Responsibilities: Assign accurate ICD-10-CM and ICD-10-PCS codes through full inpatient record review, ensuring correct DRG assignment and compliance. Code inpatient cases across multiple facilities while meeting established quality and productivity standards. Utilize coding tools, including Streamline Health Evaluator, to review system-identified flags and resolve documentation or coding issues. Validate all...

Hours of Work : 8 AM -4:30 PM Days Of Week : M-F Work Shift : Job Description : Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 3 performs pre-bill (secondary) audits on inpatient, ambulatory care and observation records to ensure accurate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement and provide data and clinical information to management, medical STAFFnd various hospital departments. The reviewer also codes and abstracts inpatient, ambulatory and observation records for diagnosis and procedures to determine optimal reimbursement. Your Job Requirements: • Associate's degree in Health Information Management or Certification as a Coding Specialist; Bachelor's degree in Health Information Management preferred • RHIA, RHIT, or CCS preferred • Minimum of 3 years of DRG-based coding experience in an acute care hospital...

Coder 3 Hours of Work: 8 AM - 4:30 PM Days Of Week: M-F Work Shift: Job Description: Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 3 performs pre-bill (secondary) audits on inpatient, ambulatory care and observation records to ensure accurate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement and provide data and clinical information to management, medical staff and various hospital departments. The reviewer also codes and abstracts inpatient, ambulatory and observation records for diagnosis and procedures to determine optimal reimbursement. Your Job Requirements: Associate's degree in Health Information Management or Certification as a Coding Specialist; Bachelor's degree in Health Information Management preferred RHIA, RHIT, or CCS preferred Minimum of 3 years of DRG-based coding experience in an acute care hospital with...

Job Description Job Description About Legent Health At Legent Health , our mission is simple yet profound: “To provide first-class health care that puts YOU first.” Our vision reflects our commitment to excellence: “Through robust physician partnerships, become a nationwide leader in compassionate, quality healthcare focused on the patient and available to everyone.” Our values, also known as our brand pillars, define how we stay true to our identity in the healthcare industry and the communities we serve. These values are central to everything we do: Respect: We honor the time and trust of both patients and physicians by delivering organized, efficient services that ensure a seamless healthcare experience. Service: We are committed to highly personalized care for patients, their families, and the physicians who serve them, driving optimal outcomes for all. Leadership: We strive to be a trusted leader through innovation, clear communication, and unwavering...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Inpatient coder reviews and analyzes documentation in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes. Coder finalizes the coding and abstracting of the medical record according to ICD-10-CM/PCS, CPT, and HCPCS coding conventions and guidelines supported by the clinical documentation in the medical record. Coder analyzes diagnosis and procedure codes concurrently assigned by Clinical Documentation Specialists. The Inpatient Coder assumes primary responsibility for DRG validation/accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation. Sequence the diagnoses and procedures using official coding guidelines. Abstract and compile data from medical records for appropriate optimal reimbursement for hospital and/or professional charges. Resolve Inpatient billing edits. Abide by the Standards of Ethical Coding as set...

DHR Health - US:TX:Edinburg - Days Summary: MISSION STATEMENT: Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. VISION: Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. POSITION SUMMARY: Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second level review of codes assigned to medical diagnoses and clinical...

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Medicaid Modernization Certified Clinical Coder - Program Specialist V (PS V) Job Title: Program Specialist V Agency: Health & Human Services Comm Department: Medical&Dental Benefits Policy Posting Number: 13598 Closing Date: 02/24/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-21 Salary Range: $4,523.16 -...

Hours of Work : 10-20 Days Of Week : Flexible Work Shift : PRN (United States of America) Job Description : Your Job: In this highly technical, fast-paced, and challenging position, you'll collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder II classifies and abstracts inpatient/outpatient diagnoses and procedures which are assigned appropriate ICD-10 CM, ICD-10 PCS and/or CPT codes for optimal reimbursement. Establishes an accurate database for case mix indices and for statistical reporting and trend analysis. The Coder II is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High School Diploma or Equivalent - Required • Minimum of 2 years DRG based coding experience in an acute care hospital, • Experience using coding encoder • Accredited coding courses from an institution of higher learning, Medical Terminology and Anatomy and Physiology • CCS - strongly...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: The Program Integrity Coder- FWA Auditor is responsible for verifying the accuracy of itemized, complex claim review for payment, coding, and billing guidelines in accordance with...

Coding Specialist I Your job is more than a job The Coding Specialist I will be responsible applying the appropriate ICD-10-CM/PCS and CPT (charging) diagnostic and procedural codes for outpatient and/or inpatient encounters, ancillary encounters ambulatory/ provider-based clinics. Your Everyday Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs, APCs, CPT/HCPCs assignment and all required modifiers. Validates charges by comparing charges with health record documentation as necessary. Communicates effectively with clinical staff, physicians and office staff and Clinical Documentation Improvement Specialist regarding documentation issues or needs related to Inpatient, Outpatient, or Ambulatory coding. Identifies concerns and notifies appropriate leadership for resolution. Responsible for providing resolution to moderate to complex problems. Tracks issues (i.e. missing...

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate...

DHR Health - US:TX:McAllen - Days Summary: POSITION SUMMARY: The Outpatient coder is responsible for timely review of the medical record for correct coding and sequencing of diagnoses and procedures using ICD-10-CM/PCS and CPT/HCPCS classification systems for hospital and/or professional services in accordance with coding rules and regulations. Resolves billing edits according to NCCI and/or payer specific guidelines. Identifies and reports error patterns. Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA). POSITION EDUCATION/ QUALIFICATIONS : • Coding credential from an accredited coding organization required • Credentials from AHIMA, AAPC preferred • Good written and verbal communication skills required. JOB KNOWLEDGE/EXPERIENCE : • Extensive experience in medical coding, medical terminology, and anatomy and physiology required; • 3 year of coding experience preferred • Proficiency in...

Hours of Work : 8:00 am - 4:30 pm Days Of Week : Monday - Friday Work Shift : Job Description : Your Job: In this highly technical and fast-paced position, you will collaborate with multidisciplinary team members to provide the very best care for our patients. The Coder 2 classifies and abstracts inpatient and outpatient diagnoses and procedures, which are assigned appropriate ICD10-CM, ICD10 PCS and/or CPT codes for optimal reimbursement. They establish an accurate database for case mix indices which provide statistical reporting and trend analysis. The Coder 2 is proficient in coding DRG based records as well as all other payers. Your Job Requirements: • High school graduate or its equivalent • Minimum of 2 years of DRG based coding experience in an acute care hospital with experience using an encoder • Proficient in detailed work • Maintain a professional image in handling confidential patient information • Excellent written and oral communication skills...

Submission Requirements AAPC certificate required; MUST be CPC, CPC-H and/or COC - REQUIRED Must have graduated from an approved coding program or health information management program - REQUIRED Proficiency in AT LEAST 3 of the following: Specialty Clinics (Med Spec Inject, Anticoag Management, Nutrition/Oncology Nutrition, Newborn/Lactation, OP Orthotic Prosth, Urology, Apheresis, Cardiac Rehab, General Surgery, Int Pain Healing, Non Inv Cardiology, Outpatient General Surgery, Proctology, Plastic Surgery, Endocrine, Benign Gyn, Infectious Disease, Neurosurgery, Oral & Facial Surgery, Ortho Total Joint, RAD CT, RAD MRI, RAD MRI, Trauma, Amputation Clinic, Burn Clinic, Dermatology, Endocrine Surgery, ENT Clinic, GI and Liver Disease, Gyn Dysplasia, Internal Medicine, Mineral Metabolism, Ortho Foot & Ankle, Pain, Burn Outpatient, Hand Surgery, Cardiology, Comprehensive Wound, Neurology, Pulmonology Clinic, Rheumatology, Eye Clinic, Access Clinic) - REQUIRED...

Coder II The posted compensation range of $21.23 - $29.20 /hour is a reasonable estimate that extends from the lowest to the highest pay CommonSpirit in good faith believes it might pay for this particular job, based on the circumstances at the time of posting. CommonSpirit may ultimately pay more or less than the posted range as permitted by law. The Coder II is responsible for abstracting and assigning valid CPT, ICD-9/10, and HCPCS codes to ensure appropriate reimbursement in accordance with federal, state, and private health plans as well as organization and regulatory guidance. This position is responsible for identifying compliance concerns, trends, and educational opportunities to ensure proper coding, documentation, and accuracy of billing within their areas of responsibility/specialty. The Coder II is able to work independently with limited oversight and may require direction from supervisor or more senior co-workers on complex cases. Accurately abstracts information...

Medical 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). Medical Coders are responsible for review and submission of 64 encounters per day or 8 per hour related to evaluation & management, procedures, testing, monitoring and hospital services daily. Must be comfortable with discussing coding and guidelines with providers in a collaborative and professional manner. This position will assist with work que evaluation and update of pending encounter status and service lines. Will work with leadership on projects for coding as needed to assist with workflows. Medical coding of...

Coding Specialist Your Job: Responsible for assignment of accurate E/M, CPT/HCPCS, ICD-10-CM, and appropriate modifiers from medical record documentation (paper or electronic) for both outpatient and inpatient professional encounters. Assist in auditing E&M services against documentation (paper or electronic) within the medical record. Aid in training and educating providers and staff on coding issues by sending coding queries. Your Job Requirements: A minimum of 2 years recent experience in the profee coding setting Minor procedural coding in any specialty preferred Recent experience and knowledge regarding the new E/M guidelines required Must hold Certified Professional Coder (CPC) or Certified Coding Specialist Physician (CCS-P) with the appropriate level of experience Your Job Responsibilities: Communicate clearly and openly Build relationships to promote a collaborative environment Be accountable for your performance Always look for ways to improve the...

Coding Specialist This position is responsible for accurately coding at least one main outpatient work type accounts (Observation, Same Day Surgery, and/or ER) as well as assisting with the coding of other outpatient work types as needed. All accounts should be completed within 5 days following discharge. Position Requirements Minimum Education Required: Completion of college level course work in Medical Terminology and Anatomy and Physiology. Preferred: Minimum education level of Associates Degree. Minimum Work Experience Required: A minimum of two (2) years coding experience in an acute care hospital. Required Licenses/Certifications Required: CCA credentials (Certified Coding Associate) or CPC credentials (Certified Professional Coder) Required Skills, Knowledge, and Abilities Required: A thorough working knowledge of Medicare billing rules, regulations and local medical review policies as they impact reimbursement under APCs and DRGs. Preferred Qualification Preferred:...

Description About Us Inform Diagnostics, a Fulgent Genetics Company , is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology, dermatopathology, urologic pathology, hematopathology, and breast pathology. Founded in 2011, our parent entity, Fulgent Genetics, has evolved into a premier, full-service genomic testing company built around a foundational technology platform. Through our diverse testing menu, Fulgent is focused on transforming patient care in oncology, anatomic pathology, infectious and rare diseases, and reproductive health. We believe that by providing a wide range of effective, flexible testing options in conjunction with best-in-class service and support, we can redefine the way medicine is managed for patients and clinicians alike. Since integrating with our therapeutic development business, Fulgent is also developing drug candidates for treating a broad range of cancers using a...

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Assign ICD and CPT/Surgery codes and abstracting to all outpatient medical record types including Surgery, procedures, clinic and hospital visits, Urgent Care, and Ancillary from a part-time remote location in accordance with the department's established accuracy and productivity requirements. Pediatric physician coding a plus and multi-specialty coding experience a plus. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be...