467 senior coder jobs found

Senior Coder Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Job Summary: The Senior Coder is responsible for documentation and coding review of medical records where services are...

Responsibilities Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent...

A leading healthcare organization in California is seeking a Senior Coder to lead coding efforts for their team. This role involves training new coders, monitoring workload, and ensuring compliance with coding standards. Ideal candidates will have a minimum of 4 years of professional coding experience and relevant certifications. The position is full-time and offers a competitive pay range of $30.55 - $44.30 per hour, along with opportunities for professional development. #J-18808-Ljbffr

Why a Great Place To Work Essential Function Proficiently navigates the patient health record and other computer systems/sources to accurately determine diagnosis and procedures codes, MS-DRGs and APCs 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 documentation, charges and physician queries) that require follow-up to facilitate coding in a timely fashion. Consistently meets or exceeds coding quality and productivity standards established by coding department. Adheres to LCMC confidentiality requirements as they relate...

Prominence Health is seeking a Senior Coder responsible for documentation and coding review of medical records at partnered medical practices. This role involves working with provider offices to ensure accurate reporting of diagnoses and service codes. The position may require occasional onsite work and travel for provider education. Qualified candidates should have 3+ years of experience in CMS coding and certification, with the ability to communicate effectively and work independently in a #J-18808-Ljbffr

Senior Outpatient Coder Position Details: Full-Time Remote Reports to Coding Operations Manager You must reside in one of these states to be eligible for this position: Arkansas California Kentucky Massachusetts Nevada New Mexico Oregon Utah Tennessee Texas Wyoming Job Summary: The Senior Coder supports assigned inpatient and/or outpatient coding operations through day-to-day workflow leadership and may provide oversight of coding quality, coding edits, auditing, and staff education. Assigned functions may include inpatient, observation, emergency department, ambulatory surgery, ancillary, clinic, and other hospital-based coding services. The position supports Revenue Cycle Operations with special projects, including denial review, appeals, discharge-not-final-billed management, regulatory and payer edit review, and process improvement efforts designed to meet organizational goals while promoting accurate, complete, and compliant coding and billing....

Prominence Health is seeking a Senior Coder to perform documentation and coding reviews for services rendered across partnered practices. You will ensure accurate diagnoses and service codes to support risk adjustment and quality measurement, with pre, post, and wraparound input. Some onsite work and occasional travel may be involved. Strong CMS coding knowledge, HCC experience, and EMR proficiency are essential. Bilingual Spanish is a plus, and CRC/AHIMA credentials are preferred. #J-18808-Ljbffr

UCSF Health is seeking a senior coder to lead the Faculty Practice Revenue Management Operations coding team. You will manage extensive ICD-10 and CPT codes, guide a centralized team, and ensure accurate coding aligned with federal and state guidelines. The role emphasizes education, audits, and high production coding to support UCSF goals for accuracy and charge lag. A CCS, CPC, or related licensure is required and a strong revenue cycle background is essential. #J-18808-Ljbffr

Nemours Children's Health in Wilmington, DE is seeking a Senior Billing Liaison/Senior Coder to ensure 100% charge capture by reviewing physician notes and operative reports and correctly coding using CPT, ICD-10-CM, and modifiers. Proficiency with EPIC Charge Review queues is essential. This role serves as a coding resource between providers and the billing office, requires CPC certification, and 5 years coding experience; high school diploma accepted. #J-18808-Ljbffr

Job Title Health Information Management Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if...

Job Title Health Information Management Job Description Performs coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Job Responsibility 1. Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment. 2. Applies understanding of basic anatomy and physiology to interpret clinical documentation and identify applicable codes. 3. Utilizes resources and reference materials to identify appropriate codes and reference code applicability, rules and guidelines. 4. Applies the Uniform Hospital Discharge Data Set definitions as well as any additional regulatory guidelines and/or coding references to select the principal diagnosis, secondary diagnoses, all significant procedures, indicating the patient's acuity, severity of illness and risk of mortality (if applicable), as...

Your job is more than a job. Join LCMC Health, and you’ll find that our everyday makes it easy to live your extraordinary. Essential Function Apply the appropriate ICD-10-CM/PCS and CPT diagnostic and procedural codes and determine the MS‑DRG and APR‑DRG assignments for inpatient records across multiple specialties (cardiology, cardiothoracic surgery, trauma, orthopedics, general medicine and surgery, pediatrics, obstetrics, newborns, etc.). Apply ICD-10 diagnostic and CPT procedure codes for ambulatory records across multiple specialties (family medicine, internal medicine, cardiology [IR], cardiothoracic surgery, interventional radiology, trauma, orthopedics, general surgery, urology, gynecology, etc.). Navigate patient health records and other computer systems accurately to determine diagnosis, procedures, MS‑DRGs, APCs, and required modifiers. Validate charges by comparing charges with health‑record documentation as necessary. Communicate effectively with clinical staff,...

Xtensys is seeking a Senior Inpatient Coder to oversee compliance and quality in clinical coding. This remote position will involve conducting audits, mentoring staff, and analyzing coding trends to ensure accuracy and regulatory compliance. The ideal candidate will have over five years of medical coding experience and significant expertise in technical coding. Join a mission-driven team that values innovation and seeks to improve healthcare outcomes across the nation. #J-18808-Ljbffr

Oracle Health is seeking a Senior German Medical Coding Specialist (Kodierfachkraft) to provide inpatient, outpatient, ED and ambulatory coding inputs for German healthcare systems. You will apply ICD-10-GM, OPS, and EBM/GOÄ knowledge to support AI model development and ensure accurate coding guidance. You will collaborate with product management, engineering, and data science to translate clinical documentation into precise codes, verify data quality, and help drive reimbursement solutions #J-18808-Ljbffr

TEEMA Solutions Group is seeking a Senior Clinical Coder for a fully remote opportunity focused on inpatient facility coding and DRG validation. You will support clinical operations teams in complex medical claims reviews and ensure coding accuracy. The ideal candidate has over 5 years of clinical coding experience and a CCS certification. This role offers long-term potential for permanent employment. #J-18808-Ljbffr

Senior Hospital Coder The Senior Hospital Coder is responsible for performing detailed inpatient coding quality audits, scheduled and random, on staff and providing thorough education and feedback, projects assigned by management, and special requests to review coding for external departments such as quality management and CDI. Responsible for monitoring and tracking trends of staff, bringing forward concerns to leadership regarding coding quality and productivity, completes duties as assigned by the Quality Manager. Demonstrate behavior that reflects integrity, shows a commitment to ethical and legal coding practices, and fosters trust in professional activities. Senior Hospital Coder may be asked to assist with denials work, including researching and writing appeal letters. These individuals are highly skilled and considered experts in medical coding. This is a remote inpatient position. Essential Duties and Responsibilities Optimize hospital reimbursement by auditing and...

Senior Medical Coder Fully Remote Windsor Mill, MD 21224 Overview Salary Range $65,000.00 - $75,000.00 Salary Position Type Full Time Education Level None Description About Us: At RELI Group, our work is grounded in purpose. We partner with government agencies to solve complex challenges, improve public health, strengthen national security, and make government services more effective and efficient. Our team of over 500 professionals brings deep expertise and a shared commitment to delivering meaningful outcomes. Behind every solution is a group of experts who care deeply about impactwhether we're supporting data-driven decisions, modernizing systems or safeguarding critical programs. We are seeking an experienced and detail-oriented Senior Medical Coder to support our Medicare Part C Risk Adjustment Data Validation (RADV) initiatives. The ideal candidate will have strong experience in ICD-9-CM/ICD-10-CM coding across various care settings, including inpatient, outpatient,...

Senior Vascular Surgery Professional Coder New Jersey's largest Vascular Surgery group dedicated solely to the diagnosis and management of diseases of the arteries and veins. The Group has been delivering care throughout New Jersey since 1963 and is home to some of the best Vascular Surgeons in the country. Consistently recognized by their peers and patients as the top group in the region, The Cardiovascular Care Group provides the highest quality care using the newest technologies in the setting of years of experience with outstanding results. Position Summary: We are seeking an experienced Senior Vascular Surgery Professional Coder with strong expertise in complex open and endovascular procedure coding, payer authorization workflows, and revenue cycle support. This role is responsible for accurate CPT, ICD-10-CM, and modifier assignment for a high-volume vascular surgery practice with extensive cardiovascular, endovascular, catheter-based, and imaging-guided procedural...

Metro Vein Centers is seeking a Senior Medical Coder to serve as a clinical coding expert and mentor for the expanding Revenue Cycle team. You’ll review records, assign ICD-10-CM, CPT, and HCPCS codes, audit coding quality, and guide colleagues through complex scenarios, ensuring HIPAA and CMS compliance. This fully remote role offers occasional travel to West Bloomfield, Michigan for training and meetings, with travel about 5-10%. #J-18808-Ljbffr

UnitedHealth Group is seeking a Senior Inpatient Medical Coder for a remote role. The position requires strong organization, self-starting abilities, and proficiency with coding guidelines and tools. A 4-week virtual training is provided. The role emphasizes accurate ICD-10-CM/PCS coding, DRG impact, and adherence to AHIMA/AAPC standards, with expectations for ongoing coding knowledge, performance, and participation in department activities. #J-18808-Ljbffr

Senior Medical Coder Optum 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 diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Senior Medical Coder performs concurrent review of FFS coding rules, ensuring all CPT and E/M codes are accurately coded and billed for maximum reimbursement and minimal denials. This position will support coding functions within charge review, claim edits, and denials and play a critical role in maintaining coding accuracy and supporting revenue cycle integrity....

Albany Medical Center is seeking a Senior Professional Coder to act as service line coding team lead, applying advanced CPT/ICD-10 coding skills and coordinating with staff to ensure timely, accurate professional coding processes. The role involves auditing codes for compliance with CMS and payor guidelines, providing education to providers and staff, supporting HCC/risk adjustment coding, denials analysis, workflow testing, and liaison with external audits; remote work with onsite education as #J-18808-Ljbffr

Senior Coding Specialist Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Registered Health Information Technician Required - Or...

RELI Group, Inc. is seeking a Senior Medical Coder to support Medicare Part C RADV initiatives. The role requires extensive ICD-9-CM/ICD-10-CM coding across inpatient, outpatient, and physician office encounters, with emphasis on documentation quality and attestation. The ideal candidate will have 5+ years of coding experience, hold CPC/CCS/RHIA/RHIT credentials, and be able to perform intake reviews, disputes, and QA activities while maintaining strict confidentiality and high accuracy in a #J-18808-Ljbffr