209 regulatory analyst coder jobs found

Overview Ivyhill has an immediate need for a Regulatory Analyst Coder to support their Publication Surveillance project. The position will mostly be remote, but may require travel to the Hyattsville, MD location. This is an excellent opportunity for a detail-oriented professional with strong analytical skills to join a dynamic team focused on regulatory compliance and data evaluation. Note: This position does not involve IT or programming coding. It entails inputting, organizing, and classifying data to identify themes and relationships within regulatory content. Base pay range $43,680.00/yr - $44,720.00/yr Responsibilities Apply analytical methodologies and regulatory principles to support compliance initiatives Evaluate industry data and advertising materials to identify trends and implement strategic response Collect, code, and model data to create performance measurements aligned with project goals Organize and classify regulatory data to identify key themes, issues, and...

Job Description Job Description Coder Analyst II Job ID:156893 Location: Fort Worth, TX 76102 Pay: $36.00/hour Schedule: Mon - Fri , 8am -5pm Duration: Temp 26 week contract Job Summary We are seeking an experienced HIM Coder Analyst II to join a healthcare team in Fort Worth. This position is ideal for a certified medical coding professional with strong ICD-10-CM and CPT-4 hospital outpatient coding experience , particularly with ambulatory surgery and observation cases. The HIM Coder Analyst II will review medical record documentation, accurately assign diagnosis and procedure codes, abstract required information, and ensure coding meets applicable Medicare/Medicaid rules and guidelines. Key Responsibilities Review and interpret patient medical records to identify diagnoses and procedures. Assign ICD-10-CM and CPT-4 codes accurately and to the highest level of specificity. Primarily code complex ambulatory...

Job Description HIM Coder Analyst II LOCATION Fort Worth, Texas | Onsite COMPENSATION & SCHEDULE Pay: $35.00-$40.00/hour Schedule: Full-time Employment Type: W2 ROLE IMPACT Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards. KEY RESPONSIBILITIES Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%. Abstract required clinical and demographic information into the electronic health record to support...

Work Shift: Day Shift Time Type: Full time Department: CC807200 PSO Professional Coding Summary: Monday to Friday, full-time - Hybrid Salary: Most new hires start between $20.50-$25.60 per hour, depending on experience and qualifications. Additional Information: The Clinical Coder is responsible for reviewing patient medical records and accurately assigning standardized codes using ICD and CPT/HCPCS classification systems. The primary goal is to ensure timely and accurate coding for billing, reimbursement, research, and statistical reporting purposes, while maintaining compliance with established coding guidelines and regulations. Required Education: Recommended Education: No education requirements Required Work Experience: Recommended Work Experience: Required Certifications: 1 certification from AAPC or AHIMA - American Academy of Professional Coders (AAPC) or American Health Information Management Association (AHIMA)...

Job Description HIM Coder Analyst II LOCATION Fort Worth, Texas | Onsite COMPENSATION & SCHEDULE Pay: $35.00-$40.00/hour Schedule: Full-time Employment Type: W2 ROLE IMPACT Support accurate reimbursement, regulatory compliance, and quality reporting by reviewing outpatient medical records and assigning accurate ICD-10-CM and CPT-4 codes. Success in this role is measured by coding accuracy, productivity, effective provider communication, and adherence to coding guidelines and documentation standards. KEY RESPONSIBILITIES Review and interpret outpatient medical records to assign ICD-10-CM and CPT-4 codes with the highest level of specificity for ambulatory surgery, observation, special procedures, emergency department, ancillary, and clinic encounters. Code primarily complex ambulatory surgery and observation cases while maintaining a minimum coding accuracy rate of 95%. Abstract required clinical and demographic information into the electronic health record to support...

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: Ensures that coding compliance initiatives are met with all record types. Reviews and analyzes medical records and abstracted data submitted by the coding staff to determine the accuracy of code assignment and adequacy of clinical documentation according to regulatory requirements. Performs frequent internal reviews and education maintenance long-term to ensure accuracy in the ever-changing environment of coding, documentation, quality initiatives, and impact to reimbursement. Can code, train, and educate on all types of outpatient medical records to provide timely coverage in all coding areas helping to ensure accuracy, stability, and efficiency in our revenue cycle. Code several different specialties, help train new coders, review records for provider audits, assist with...

Job Overview: Search Solution Group is seeking a Coder Analyst - Inpatient on behalf of our client, a non-profit healthcare system, located in Buffalo, NY. This position is responsible for accurately coding acute inpatient hospital, skilled nursing facility (SNF), and rehabilitation medical records to support appropriate reimbursement, regulatory compliance, quality reporting, and clinical research. The Coder Analyst - Inpatient will review complex medical documentation, assign ICD-10-CM, ICD-10-PCS, and CPT codes, collaborate with physicians and Clinical Documentation Improvement (CDI) teams, and ensure coding accuracy in accordance with federal regulations and industry standards. Key Responsibilities: Review and assign accurate ICD-10-CM, ICD-10-PCS, and CPT codes for acute inpatient, skilled nursing facility (SNF), and rehabilitation medical records Code ambulatory, emergency department, urgent care, interventional radiology, and same-day surgery records as needed...

We are seeking an experienced Remote Inpatient Facility Medical Coder to join our team and ensure accurate and compliant coding of inpatient facility records. The ideal candidate will have recent hands‑on experience in inpatient facility coding. This role requires precision, attention to detail, and familiarity with industry‑standard coding tools and guidelines. Responsibilities Review and analyze inpatient medical records to assign accurate ICD‑10‑CM/PCS codes. Ensure compliance with official coding guidelines and payer‑specific requirements. Maintain a high level of accuracy and consistency in coding to support proper billing and reimbursement. Communicate effectively with team members and leadership regarding documentation clarification and coding issues. Stay current with coding updates, regulatory changes, and organizational policies. Qualifications Minimum 3 years of recent inpatient facility coding experience (within the last 6 months). Extensive knowledge of...

Medical Biller & Coder 4 (Team B) Argentina (Remote) Remote LATAM role. Compensation listed in USD with local currency equivalent. This particular role is an Argentina-based independent contractor engagement. Freedom Health Systems, Inc. is a mission-driven healthcare advisory and management consulting firm that partners with behavioral health and human services organizations to improve access, equity, and operational excellence. We specialize in guiding providers through program development, accreditation, compliance, and clinical best practices. While Freedom Health Systems does not provide direct clinical services, the organization delivers critical operational support through revenue cycle management, prior authorization, medical billing and coding, compliance consulting, and administrative services to outpatient behavioral health providers. This document defines the scope of work and service expectations for an independent contractor engagement and does not...

Overview Join to apply for the Facility Coding Inpatient Complex Coder role at Banner Health This is a fully remote position and available if you live in the following states only: AK, AR, AZ, CA, CO, FL, GA, IA, ID, IN, KS, KY, MD, MI, MN, MO, MS, NC, ND, NE, NM, NV, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WV, WA, WI & WY. The hours are flexible as we have remote Coders across the Nation. Generally any 8-hour period between 7am – 7pm can work, with production being the greatest emphasis. A Coding Assessment will be given after a successful interview to be completed within 48 hours. Banner Health provides your equipment when hired. You will be fully supported during initial training by the Banner Coding Education team and your hiring manager, with continued support throughout your career here. Responsibilities Provides coding and abstracting for mid-tiered complexity range of acute care services at all Banner hospitals. Reviews diagnosis and diagnostic information and...

Department Name: Coding-Acute Care Hospital Work Shift: Day Job Category: Revenue Cycle Estimated Pay Range: $26.40 - $44.00 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. 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’re looking for a motivated, experienced Inpatient Facility Acute Care Remote Medical Complex Coder to join our talented Inpatient Facility‑coding team. Candidate should have experience coding all service lines including, but not limited to: Trauma, ICU, Cardiac, Transplant, Orthopedics, High‑Risk OB, NICU, and more . This is a facility‑based coding position requiring strong PCS coding experience as well as ability to code a wide...

Experience preferred. Certified Coder with 5+ years experience coding professional and facility fees for surgical cases and office visits. Specialties include Obstetrics/Women's Health, Orthopedics, Podiatry, Cardiology, Urology & General Surgery. JOB SUMMARY The Coder is responsible for reviewing discharge abstracts and patient charts in order to assign the appropriate ICD-CM/CPT codes to diagnoses and procedures. Reviews charts for potential liability risk and documents specific information as necessary. Performs studies as requested by physicians or administration. Maintains State reporting documentation for certain procedures in compliance with regulations. The Coder encounters the mission of providing quality healthcare to the patients of WhidbeyHealth to ensure medical records are charged and coded accurately and efficiently. This position may be responsible for applying the appropriate codes for ICD-10, CPT / HCPCS, evaluation and management, and/ or modifiers to...

Remote Certified Coder Altegra Health is a total solutions partner for healthcare data auditing and analytics. Altegra provides end-to-end solutions to help improve payment integrity data, to support accreditation programs, and to meet regulatory requirements. Altegra's nationwide network of registered nurses and certified coders professionally acquire, audit, and analyze healthcare data for healthcare organizations. Altegra Health specializes in: CMS HCC Risk Adjustment HEDIS Medical Record Reviews (Accreditation) And more These are remote/home based temporary positions forecast to run through the end of 2015 and Coders will be paid by the chart. Remote Certified Coders review medical records and apply appropriate ICD-9-CM diagnostic codes and Altegra Health Flagged Event. Codes must meet Altegra Health QA standards (following both Official Coding Guidelines and Risk Adjustment Guidelines). Responsibilities: Abstract pertinent information from patient medical records....

HIM Coder III Job Category: Clerical Schedule: Full time Shift: 1 - Day Shift SUMMARY Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current...

Summary/Objective Under limited supervision the Coder Inpatient reviews medical records and performs coding on all diagnoses, procedures, and DRG.The Coder Inpatient uses the most accurate codes for reimbursement purposes, research, epidemiology, statistical analysis outcomes, financial and strategic planning, evaluation of quality of care, and communication to support the patient’s treatment. The Coder Inpatient will be charged with maintaining the confidentiality of patient records and procedures. Essential Job Functions Responsible for abstracting, coding, sequencing and interpreting the clinical information from inpatient, outpatient, emergency department, pro fee and clinical medical records. Responsible for the assignment of correct principal diagnoses, secondary diagnoses and principal procedure and secondary procedure codes with attention to accurate sequencing. Utilizes technical coding principals and DRG/APC reimbursement expertise to assign appropriate codes. Abstracts...

HIM Coder III Job Category: Clerical Schedule: Full time Shift: 1 - Day Shift SUMMARY Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital’s policies and procedures. Supports TMCH’s management planning process and ensures appropriate reimbursement for services. ESSENTIAL FUNCTIONS Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets. Responsible for accurately coding inpatient or outpatient record types. For outpatient, must be able to code a minimum of four of the following independently: emergency, same day surgery, observation, pain clinic, wound clinic, diagnostics and recurring accounts. Follows departmental and current...

Medical Records Technician Coder IV-Lead Koniag Advisory Business Solutions, LLC, a Koniag Government Services company, is seeking a Medical Records Technician Coder IV-Lead to support KABS and our government customer in Oklahoma, OKC. This position requires the candidate to be able to obtain a Public Trust. This position is covered under the Service Contract Act. We offer competitive compensation and an extraordinary benefits package including health, dental and vision insurance, 401K with company matching, paid holidays, paid vacation, paid sick leave and more. Join Our Team Where Precision, Integrity, and Expertise Matter. Koniag Advisory Business Solutions (KABS) is seeking highly skilled, self-directed Medical Records Coder IV (Lead) professionals to support a large-scale healthcare mission serving hospitals and clinics. This is an opportunity to bring your expertise to a team responsible for coding and billing more than 300,000 patient visits, where accuracy, compliance,...

Job Type Full-time Description Description: The Coder I is responsible to lead our billing team to obtain accurate reimbursement for our providers' claims. This is done through thoroughly reviewing, analyzing, and coding both diagnostic and procedural documentation used in the billing of charges for physician services. Responsibilities: Performs initial charge review to determine appropriate CPT and ICD-10 codes to be used in reporting physician services to third party payers. Interprets progress notes, operative reports, and charge documents to determine services provided and accurately assigns CPT and ICD-10 codes to these services. Provides coding education to client as required. Performs a comprehensive review of the record to assure all vital information such as patient identification, signatures, and dates are all present in the record. Evaluates the records for documentation consistency and adequacy. Ensures that the diagnosis(es) accurately reflects...

Job Type Full-time Description Riverland Community Health is a Federally Qualified Health Center in St. Paul, where patients receive community-based Family Practice medical care in addition to mental health, dentistry, social work and other integrated services. When joining RCH, you become part of a diverse, inclusive, and welcoming team who are dedicated to serving our patients and pursuing our mission to deliver excellent healthcare for all and training for the providers of tomorrow. JOB SUMMARY: The Medical Coding Specialist / Provider Educator is responsible for the review of medical records, notes, dictation and other related documentation to ensure the accurate and timely submission of charges for professional services provided by physicians and other providers as well as diagnoses for clinic services. The Medical Coding Specialist / Provider Educator is also responsible for conducting coding audits, providing education and communication of process improvements...