4 medical coder jobs found

*About the Role* Are you a newly certified medical coder looking to launch your career in a dynamic and fast-growing healthcare environment? Join a federally certified Independent Review Organization (IRO) that provides expert medical review services to government agencies, insurers, TPAs, and self-funded employers. This is a unique opportunity to be part of a team supporting a high-impact initiative driven by the *No Surprises Act*, with a mission to resolve complex claim disputes and ensure fair payment outcomes. *What You'll Do* * Review and validate claim data to determine appropriate payment outcomes. * Analyze CPT codes and supporting documentation to identify the correct party in disputed claims. * Work primarily with emergency services claims, including ambulance and air ambulance cases. * Operate within a proprietary claims management system. * Collaborate with internal teams to clear a significant backlog of cases. *Note:* This is not a coding-heavy role. You'll...

The Institute for Child Health Policy (ICHP) at the University of Florida is seeking a motivated professional to support medical record review activities for the Texas External Quality Review Organization (EQRO). This role helps ensure the accuracy and integrity of statewide Medicaid and CHIP quality assessments. Responsibilities include requesting, processing, reviewing, and validating medical records, applying technical expertise to abstract required information, and entering data into specialized systems to support national quality measure compliance.

Overview About the Role The primary purpose of the Apprentice Inpatient Coder position is to review hospital inpatient medical records and assign ICD-10 diagnosis codes and procedure codes that accurately reflect the reason for admission and patient severity. Follows established hospital inpatient coding guidelines and utilizes Coding Clinic and other resources to ensure compliance with national coding guidelines. Responsibilities What You'll Do Reviews inpatient hospital medical records to assign accurate ICD-10 diagnosis and procedure codes. Ensures coding reflects the patient's reason for admission and overall severity. Applies established inpatient coding guidelines consistently. Uses Coding Clinic and other approved coding resources to maintain compliance with national coding standards. Qualifications What You'll Bring High School Diploma or GED equivalent required. Successful completion of ICD-10 training and skill assessment as designated by...

This position is ONSITE only. Position Overview The Cardiovascular Coding Xtern is an educational externship opportunity designed to provide hands-on training and real-world exposure to cardiovascular medical coding within a clinical practice setting. Under the supervision of experienced coding and revenue cycle professionals, the Xtern will learn to review clinical documentation and assist with the assignment of ICD-10, CPT, and modifier codes in accordance with federal, state, and payer-specific regulations. This role offers practical experience in cardiology-related coding, revenue cycle processes, compliance standards, and payer guidelines. The Xtern will gain exposure to CMS, Medicare, and commercial payer policies while developing foundational skills in documentation review, coding accuracy, and denial prevention. Learning Objectives & Responsibilities Under direct supervision and guidance, the Cardiovascular Coding Xtern will:...