28 outpatient complex coder jobs found

Emory Healthcare Be inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide: Comprehensive health benefits that start day 1 Student Loan Repayment Assistance & Reimbursement Programs Family-focused benefits Wellness incentives Ongoing mentorship, development, leadership programs And more Job Description This position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention, and go to contact for special projects in order to optimize the revenue...

Multi-Specialty Profee and/or Facility Medical Coder Artificial Intelligence. Automation. Cloud Engineering. Advanced Analytics. For Enterprises, these are key factors of success. For us, they're our core expertise. We work with global iconic brands. We bring them a unique value proposition through market-leading technologies and business process excellence. At the heart of it all is Digital Engineering - the foundation that powers rapid innovation and scalable business transformation. We've created 363 unique and independent inventions, 250 of which are AI-based and rolled up under several patent grants in critical technologies. Leveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. With...

Emory HealthcareBe inspired. Be valued. Belong. At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:Comprehensive health benefits that start day 1Student Loan Repayment Assistance & Reimbursement ProgramsFamily-focused benefitsWellness incentivesOngoing mentorship, development, leadership programsAnd moreJob DescriptionThis position is accountable for reviewing physician documentation, CPT, HCPCS & ICD10-CM coding. FRONT END CODER: The primary focus of this position will be Advanced Surgical and Interventional Procedures. This position is accountable for the performance of charge capture, including TES edit maintenance and resolution, denial prevention, and go to contact for special projects in order to optimize the revenue potential for the...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.Job Summary The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory...

Location: Atlanta, Georgia, United StatesCompany: SutherlandPosted: 2026-08-19Multi-Specialty Profee and/or Facility Medical CoderArtificial Intelligence. Automation. Cloud Engineering. Advanced Analytics. For Enterprises, these are key factors of success. For us, they're our core expertise. We work with global iconic brands. We bring them a unique value proposition through market-leading technologies and business process excellence. At the heart of it all is Digital Engineering - the foundation that powers rapid innovation and scalable business transformation. We've created 363 unique and independent inventions, 250 of which are AI-based and rolled up under several patent grants in critical technologies. Leveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. For each company, we provide new keys for their...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Grady Health System in Atlanta is seeking a Coder III to review physician services, interpret documentation, and assign codes using ICD-10-CM and CPT-4/HCPCS. You will handle complex surgical, inpatient, observation, and outpatient records within productivity and accuracy guidelines.In this role, you will extract information from clinical notes and reports, determine accurate code assignments for ER, inpatient, outpatient and other services, and support denial management and claim edits with#J-18808-Ljbffr

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex...

Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups. CODER III The Multispecialty Coder must possess a strong surgical specialty background in some of the following specialties: Neurosurgery, Trauma, Ortho, Plastic Surgery, etc....

Grady Health System in Atlanta is seeking a Coder III to review physician services, interpret documentation, and assign codes using ICD-10-CM and CPT-4/HCPCS. You will handle complex surgical, inpatient, observation, and outpatient records within productivity and accuracy guidelines. In this role, you will extract information from clinical notes and reports, determine accurate code assignments for ER, inpatient, outpatient and other services, and support denial management and claim edits with #J-18808-Ljbffr

Multi-Specialty Profee and/or Facility Medical CoderArtificial Intelligence. Automation. Cloud Engineering. Advanced Analytics. For Enterprises, these are key factors of success. For us, they're our core expertise. We work with global iconic brands. We bring them a unique value proposition through market-leading technologies and business process excellence. At the heart of it all is Digital Engineering - the foundation that powers rapid innovation and scalable business transformation. We've created 363 unique and independent inventions, 250 of which are AI-based and rolled up under several patent grants in critical technologies. Leveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. With...

Grady Health SystemWhatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.Job SummaryThe Coder is responsible for reviewing outpatient clinical documentation via Epic and 3M CAC for assignment of ICD-10-CM diagnoses and CPT-4/HCPCS procedure coding systems. Through knowledge of coding conventions and guidelines. Ability to address commonly applied modifiers for hospital outpatient accounts. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to emergency visits and diagnostic workups.Coder IIIThe Multispecialty Coder must possess a strong surgical specialty background in some of the following specialties: Neurosurgery, Trauma, Ortho, Plastic...

Job Description You will analyze and interpret complex records in order to identify and accurately bill for services with the appropriate ICD-10 and CPT/HCPCS codes. This will include assigning/sequencing billing codes in compliance with third party payor requirements and obtaining clarification when presented with conflicting or non-specific documentation, when necessary. In addition, you may be involved in reviewing coding-related denials from payors and making recommendations to resolve claims based on payer guidelines. Qualifications: Qualifications To qualify you must possess: At least 2+ years of inpatient and outpatient professional medical coding experience required; with a background coding for multi-specialty practices. AND/OR At least 2+ years of relevant facility coding experience, specifically in Clinics (mandatory), Lab/Radiology (mandatory), ED, OBS, SDS, and/or Inpatient (strong preference for injection/infusion experience). CPC, CCS, or...

Join Grady: Coder III Opportunity Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you. Job Summary The Coder III is responsible for reviewing for physician services and interpreting physician documentation, CPT and diagnosis coding, coding claim edit, and coding denial management utilizing ICD-10-CM and CPT-4/HCPCS coding systems. Codes highly complex surgical, special procedures, observation records, inpatient records, medical, diagnostic, procedural, and/or recurring records within established productivity and coding accuracy guidelines. Highly complex surgeries may require research and reference checking to ensure accuracy of problematic coding. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records,...

Company Description: Artificial Intelligence. Automation. Cloud Engineering. Advanced Analytics. For Enterprises, these are key factors of success. For us, they're our core expertise. We work with global iconic brands. We bring them a unique value proposition through market-leading technologies and business process excellence. At the heart of it all is Digital Engineering - the foundation that powers rapid innovation and scalable business transformation. We've created 363 unique and independent inventions, 250 of which are AI-based and rolled up under several patent grants in critical technologies. Leveraging our advanced products and platforms, we drive digital transformation at scale, optimize critical business operations, reinvent experiences, and pioneer new solutions, all provided through a seamless "as-a-service" model. For each company, we provide new keys for their businesses, the people they work with, and the customers they serve. With proven strategies and agile...

Coding SpecialistOptum 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 inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.Primary Responsibilities:Assigns accurate diagnostic and procedure codes according to clinical documentation and official coding guidelines for outpatient hospital professional accountsAssigns CPT and ICD-10 codesMonitors assigned work queues to ensure all records are...

Lead Medical Coder and Auditor [PR0001D] Full‑time ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast‑paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit www.ProSidian.com or follow the company on Twitter at www.twitter.com/prosidian for more information. ProSidian Seeks a Lead...

Location: Atlanta, Georgia, United StatesCompany: Grady Health SystemPosted: 2026-08-19Whatever the role, everyone at Grady is part of something bigger. Choosing a career at Grady is choosing to be part of a legacy of service and commitment to our communities. If you want to make a difference, we want to hear from you.Job SummaryResponsible for coding and abstracting procedural (CPT) and diagnosis codes (ICD-10) for physician services, reviewing physician documentation in the electronic medical record for completeness and accuracy to ensure proper code assignment, providing physician feedback of discrepancies/trends, resolving edits and denials, and releasing encounters for billing. Utilizes intermediate problem‑solving skills to address coding related tasks of detailed, medium complexity. Duties include procedural (CPT) and diagnosis (ICD-10) coding for all places of service, including, but not limited to ER, observation, inpatient, outpatient, ambulatory surgery, and other...

Job Description Job Description Certified Coder Specialist (FT) POSITION SUMMARY • Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. • Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. • Abstracts required data into hospital abstracting system. • The outcome of information gathered is used to determine the hospital databse and reimbursement of hospital claims. • Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. OVERVIEW • The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very...

Certified Coder Specialist (FT) Under general supervision and according to established procedures, assigns diagnostic codes to medical record information. Codes charts under the ICD-10-CM and ICD-10-PCS (HCPCS) System for statistical and DRG assignment purposes. Abstracts required data into hospital abstracting system. The outcome of information gathered is used to determine the hospital database and reimbursement of hospital claims. Responsible for timely review of patient records in order to identify an appropriate selection of codes which will accurately reflect the reason for admission, extent of care received, and level of severity of illness. The evaluation is to assure individual performance, departmental goals and organizational goals are aligned. It is designed to support communication between the manager and the employee. Employee perception of their own performance is very important. To maximize the benefit of this process, both the manager and the employee...

Lead Medical Coder and Auditor ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian Seeks a Lead Medical Coder and Auditor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on the medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military...

Medical Coder and Abstractor ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. ProSidian Seeks a Medical Coder and Abstractor (Full-Time) in CONUS - Fort Stewart, GA to support an engagement for a branch of the United States Armed Forces' Regional Health Command who's mission is to provide a proactive and patient-centered system of health with the focus on athe medical readiness of all Soldiers and for those entrusted to the care for a medically-ready force. The Armed Forces' overall mission is "to fight and win our Nation's wars, by providing prompt, sustained, land dominance, across the full range of military...

Lifeguard Pediatrics – Warner Robins, GA About Us Lifeguard Pediatrics is a trusted, physician-owned pediatric clinic serving families across Middle Georgia. We are dedicated to providing comprehensive, compassionate, and community-centered care. With a growing need for developmental and behavioral health services in our region, we are expanding our care team to include in-house autism diagnostic services. Position and Responsibilities The biller and coder is responsible for the accurate and timely submission of medical claims to insurance companies and other payors. The medical biller posts payments or adjudications as appropriate. Using knowledge of billing practices and standards including third party payor requirements, the medical biller will investigate denials to process appeals and collect payment. In addition, this position is responsible for reviewing coding for outpatient services for reimbursement and research compliance. Medical Billing: Performs claim...

Job TitleHospital Inpatient Coder IIIJob DescriptionThe Hospital Inpatient Coder III uses clinical coding knowledge based on the Official Coding Conventions guidelines and AHA Coding Clinic, to assign ICD-9 and/or ICD-10 codes to the highest level of accuracy for each inpatient encounter. Works closely with physicians, clinical documentation improvement specialist, quality, and patient finance staff. Plays a key role in billing, research, internal and external reporting, and regulatory compliance.Ensures accuracy of DRGs and appropriate extraction of core data into HIM abstracting system to data warehouse repository. Facilitates accurate data for patient acuity, severity of illness, and quality outcomes.Minimum QualificationsHigh School diploma or equivalent. 5 years inpatient and outpatient coding experience in an acute care environment.Must complete coding proficiency evaluation. Extensive knowledge and understanding of MS-DRGs, disease process, clinical pharmacology, anatomy and...

Grady Health System is seeking a skilled Coder III to review outpatient clinical documentation via Epic and 3M CAC for ICD-10-CM and CPT coding. The role requires strong surgical/ancillary coding experience and the ability to query physicians for clarifications. You will work to optimize reimbursements, compile documentation, and ensure compliance with Medical Necessity requirements, while collaborating with physicians and staff across departments. #J-18808-Ljbffr