25 hcc coder jobs found

Job DescriptionJob DescriptionAbout Optima Medical :Optima Medical is an Arizona-based medical group consisting of 30 locations and 130medical providers, who care for more than 200,000 patients statewide.Our mission is to improve the quality of life throughout Arizona by helping communities Live Better, Live Longer through personalized healthcare, with a focus on preventing the nation's top leading causes of death.We go beyond primary care with a full spectrum of services including cardiovascular health services, behavioral health, allergy testing and immunotherapy, in-house lab testing, imaging, chronic disease management and other specialty health services.We aspire to aid the growth of our company by welcoming the most qualified and deserving candidates aboard.Optima is currently seeking a HCC Risk Coder Specialist to join our team.As the Risk Adjustment Coder you will perform medical record diagnosis code abstraction based upon clinical documentation, ICD-10-CM official...

POSITION DESCRIPTION :The Compliance Auditor / Educator serves as the subject matter expert and as a point of contact for IHA offices and Revenue Department for proper coding procedures and workflow for existing medical services.Provides professional expertise and education in CPT, ICD and HCC coding.The Compliance Auditor / Educator is responsible for professional development of educational materials, clinical case studies, guidelines and job aides to provide direction and guidance across IHA departments and offices for coding and documentation regulations.This role is also responsible for responding to compliance-related coding and documentation issues via the event reporting system and managing them to proper resolution.Performs medical record integrity audits and conducts one-on-one meetings with Providers for corrective educational guidance.ESSENTIAL JOB FUNCTIONS :Develops and leads audit projects for medical record integrity, service line or issues-related audits, identifies...

Join CommunityThe Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health system.Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system.Make a DifferenceReporting to the Clinical Documentation Integrity Manager this role performs patient chart reviews to ensure the appropriateness andcompleteness of diagnostic coding with evidence based on CMS HCC standards.The Risk Adjustment Coder is responsible for :Timely accurate and complete review of patient charts following patient encounters utilizing a variety of technical platforms to completeworkflowsValidating diagnosis codes representing patient conditions along with necessary MEAT documentationEnsuring coding is consistent with guidelines from regulatory entitiesConducting audits to meet compliance with ACA standardsCreating post-visit queries with follow upCollaborating with...

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 impact-whether 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, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality assurance efforts....

Overview Description 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 impact—whether 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, and physician office encounters. The candidate will perform diagnosis coding, support intake reviews, conduct appeal responses, and contribute to quality...

Department / Unit :Health Information ManagementWork Shift :Day (United States of America)Salary Range :$60,367.47 - $90,551.20This position is Fully RemoteProfessional Coding Auditor will apply an advanced professional coding skill set to act as a service line coding team lead expert, working collaboratively to support all workflows related to professional fee coding / charging / denials follow-up.Coordinates with others as needed to ensure comprehensive and timely completion of professional coding processes.Audit CPT and ICD-10 diagnosis coding applied by providers and coding staff to assure compliance with federal and state regulations and insurance carrier guidelines.Provide education, instruction and training to providers and coding staff.Act as an expert for the HCC / Risk adjustment coding.This position is remote but does require onsite education to providers as needed.Essential Duties and ResponsibilitiesReview, analyze, and validate CPT and ICD-10 diagnosis codes and...

At Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Code all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the HealthQuest system for facility coding in a timely manner.Adhere to compliance regulations set by the government, state, & the Cooper...

CODER II PRN REMOTECamden, NJJob ID 52970 Job Type Per DiemShift DaySpecialty Clerical / AdministrativeApplySaveAbout usAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionCode all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the...

About UsAt Cooper University Health Care , our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short DescriptionCode all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the HealthQuest system for facility coding in a timely manner.Adhere to compliance regulations set by government,...

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short Description Code all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the HealthQuest system for facility coding in a timely manner.Adhere to compliance regulations set by the...

About Us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team.Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols.We have a commitment to our employees to provide competitive rates and compensation programs.Cooper offers full and part-time employees a comprehensive benefits program, including health, dental, vision, life, disability, and retirement.We also provide attractive working conditions and opportunities for career growth through professional development.Discover why Cooper University Health Care is the employer of choice in South Jersey.Short Description Code all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the HealthQuest system for facility coding in a timely manner.Adhere to compliance regulations set by the...

Job DescriptionThe Hospital Inpatient Coding Specialist reviews inpatient medical records and assigns International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10 CM) diagnosis and International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) procedure codes that derives an All Patient Refined Diagnosis Related Group (APR-DRG) or Medical Severity Diagnosis Related Group (MS-DRG) for optimal reimbursement.The Hospital Inpatient Coding Specialist will work in collaboration with the Clinical Documentation Integrity Specialist at times to ensure accuracy consistent with Centra's coding policies.The Hospital Inpatient Coding Specialist will abstract pertinent information according to established guidelines for the organization and will formulate provider queries to clarify information.ResponsibilitiesAssigns diagnosis and procedure codes.Verifies accuracy of DRGAccurately abstracts required information.Initiates provider coding...

Job Overview Are you an experienced inpatient coder looking to work fully remotely, with a team that values accuracy, continuous learning, and work-life balance? Fairview is hiring-you'll work Monday through Friday, handling 80 hours per pay period.What You'll Do Review and code inpatient clinical records using ICD-10-CM and ICD-10-PCS in alignment with coding guidelines, MS-DRG / APR-DRG reimbursement rules, and Fairview protocols.Validate computer-assisted coding (CAC) output and ensure thorough, accurate coding.Analyze clinical documentation and drill down on severity of illness (SOI), risk of mortality (ROM), HAC, and POA indicators.Collaborate with CDI (Clinical Documentation Integrity) staff to drive provider education and documentation quality.Assist in provider queries to improve documentation specificity.Partner with revenue cycle teams to support prompt claim submissions and optimize financial performance.Required Qualifications (must be met to be considered) :Certificate...

OverviewTalent Sourcing Specialist at Memorial Healthcare SystemSummaryReviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.ResponsibilitiesReviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM)...

Join OBHGJoin the forefront of women's healthcare with OB Hospitalist Group (OBHG), the nation's largest and only dedicated provider of customized obstetric hospitalist programs.Celebrating over 19 years of pioneering excellence, OBHG has transformed the landscape of maternal health.Our mission-driven company offers a unique opportunity to elevate the standard of women's healthcare, providing 24 / 7 real-time triage and hospital-based obstetric coverage across the United States.If you are driven to join a team that makes a real difference in the lives of women and newborns and thrive in a collaborative environment that fosters innovation and excellence, OBHG is your next career destination!LocationSC Upstate area strongly preferred (Remote).Open to exceptional remote candidates in SC, NC, GA (must be located in these states to be eligible).The Good Stuff We OfferHourly Compensation Range :$21.00 - $24.00 per hour eligible for RCM bonusA mission based company with an amazing company...

Remote Op CoderThe Op Coder works outpatient coding related alerts / edits for Same Day Surgery, Observation, and Wound Care, accounts, predominately post initial / final coding.The CARS-II performs the alert / edit resolution activities in the applicable systems.The alerts / edits shall be worked and corrected according to the established procedures and thresholds, and communicated as appropriate.Position Duties :Compiles daily work list from eRequest, CRT and / or other alert / edit systemsTakes action and resolves alerts / edits for the following patient types following established procedures and thresholds :Same Day Surgery (SDC)Observation (OBV)Wound CareOutpatient Cardiac CathProvides back up / coverage as needed for :Emergency Dept (ED)Recurring (RCR)Clinical (CLI)Provider Office Visit (POV), as applicableEnters detailed notes to update eRequest to provide details if the alert / edit cannot be resolved or must be rerouted to another responsible party for research /...

UCSD Layoff from Career Appointment :Apply by 08 / 12 / 25 for consideration with preference for rehire.All layoff applicants should contact their Employment Advisor.Special Selection Applicants :Apply by 08 / 22 / 25.Eligible Special Selection clients should contact their Disability Counselor for assistance.Candidates hired into this position may have the ability to work remotely.DESCRIPTIONUC San Diego Health's Revenue Cycle department supports the organization's mission to deliver outstanding patient care and to create a healthier world - one life at a time.We are a diverse, patient-focused, high-performing team with a commitment to quality, collaboration, and continuous improvement that enables us to deliver the maximum standard of care to our patients.We offer challenging career opportunities in a fast-paced and innovative environment and we embrace individuals who demonstrate a deep passion for problem-solving and customer service.Under general supervision performs in depth...

Summary :Reviews medical record documentation to assign ICD-10 CM codes to complex diagnoses and CPT codes and modifiers to procedures for outpatient encounters to ensure proper coding, billing, and compliance.Responsibilities :Reviews encounters to assign and sequence appropriate diagnoses (including HCC Coding Hierarchical Condition Category) and CPT procedure codes as well as modifiers to complex diagnostic and surgical encounters in accordance with Official Coding Guidelines, CMS regulations, Local Medical Review Policy (LMRP), guidance in encoder software and HIM coding policies and procedures.Seeks clarification from healthcare providers or other designated resources to ensure accurate and complete coding.Create electronic physicians queries within allowed scope for hospital outpatient coder.Reviews all appropriate work queues daily to address edits and make corrections following Health Information Management (HIM) coding policies and procedures.Conducts, audits and / or...

Job DescriptionJob DescriptionWe are currently seeking a full time Remote Certified Coder-AHIMA / AAPCDuties / Responsibilities include but are not limited to :Uses ICD-10 standards, codes and abstracts medical recordsReviews individual medical records to verify / substantiate diagnosis and proceduresAssigns CPT and ICD-10 codes to all billable encountersQueries physicians to determine the principal diagnosis and appropriate sequencing of other diagnosis and proceduresEnsures that all records are coded in an accurate and timely manner based on customer established timelines.Preferred Experience :Coding Certification required - AHIMA / AAPC (CPC, CPC-H, CCS, CCS-P)AthenaOne, ECW, EPIC, and Intergy experience preferredOB, FQHC, or CHC coding experienceOBGYN experience preferredCoding Evaluation and Management services.Demonstrated understanding of the medical billing and coding lifecycle.Excellent interpersonal, time management, and organizational skills.Proficiency in Microsoft...

Quadris Team, LLC - A Revenue Cycle Management Group, is searching for a dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Medical Coding Auditor & Educator.We are a 100% remote team supporting our clients across the United States! See us at.The ideal applicant will be a subject matter expert in both Facility and Profee medical coding auditing.Job Focus :The Senior Coding Auditor may be responsible for a variety of duties and obligations, depending on the client and assignment.These responsibilities may include inpatient / outpatient / professional fee facility auditing, denial management, coding, implementation specialist, job aid creation, training, and specialty coding.The position may also be responsible for management of the audit team and project management.All coding and auditing are performed within the scope of regulatory and compliance law expectations.Auditing Responsibilities :May include conducting inpatient,...

Job TitleCode all diagnoses and procedures documented in the medical record for the current encounter.Enter all code information in the HealthQuest system for facility coding in a timely manner.Adhere to compliance regulations set by the government, state, & the Cooper Health System to ensure guidelines are met.Experience Required0-2 years' experience required.3-5 years' experience preferred.Education RequirementsHigh School / GED required.Vocational / Technical School preferred.Health Information Management / Coding / Billing.License / Certification RequirementsOne or more of the following :RHIA, RHIT, CCS, CIC, COC, CPC, CCA, CCC, CIRCC, CCVTC and / or any of the Core Credentials or specialty credential of AAPC or AHIMA required.Special RequirementsApplicant must have demonstrated proficiency in coding multiple outpatient services including, but not limited to :ObservationMulti-specialty OncologySame Day SurgeryEndoscopyEmergency Department, etc.Knowledge of NCCI, OCE and...

We are seeking experienced and highly accurate Value-Based Coders to join a project dedicated to in-home health assessments for Medicare Advantage and other value-based programs.This role is 100% remote and ideal for coders who are confident working independently, detail-oriented, and committed to quality and compliance.As a contractor, you'll have the independence to manage your own schedule while contributing to meaningful work that truly makes a difference.As part of the coding team, you will review clinical documentation from in-home visits and assign complete and compliant ICD-10-CM diagnosis codes that reflect the full spectrum of each patient's health.This includes :Risk adjustment (HCC) diagnoses aligned with CMS-HCC and HHS-HCC models.Social Determinants of Health (SDOH) codes.Medication-related Z codes, such as long-term drug therapy and treatment monitoring.All other clinically relevant diagnoses supported by documentation.Your accuracy directly supports the integrity of...

TITLE :Medical Billing Specialist on site in Kenai AlaskaREPORTS TO :CFOWORK WEEK :Hours not to exceed 40 per weekWAGE CLASSIFICATION :Non-exempt $21.00 per hourOSHA RISK CLASSIFICATION :LowSUMMARY POSITION STATEMENTThis position exists to ensure the financial well-being of the PCHS organization through timely and accurate filing of insurance claims and collection of patient accounts and ensure proper posting of payments into existing PCHS systems for medical dental optometry and / or behavioral health.This position may be responsible for any or all the essential functions listed below in the electronic health record systems.ESSENTIAL FUNCTIONS / ROLES & RESPONSIBILITIES OF THE POSITIONCollaborate with staff providers team members patients and insurance companies to get all claims processed and paid.Capable of performing all aspects of medical billing independently including but not limited to charge entry posting insurance payments rejections and follow-up.Assign correct...

Job Title : Home Health & Hospice Coder - Contractor / ConsultantReports To : Administrator / Clinical DirectorLocation : RemoteEmployment Type : Independent Contractor / ConsultantOverview :The Home Health & Hospice Coder (Contractor / Consultant) is responsible for reviewing clinical documentation and assigning accurate ICD-10 codes to ensure proper reimbursement and compliance with CMS regulations.This role supports agencies in maintaining compliant, efficient, and accurate coding processes for both Home Health and Hospice claims.Key Responsibilities :Review OASIS, clinical notes, and plans of care to ensure accurate ICD-10 coding.Assign appropriate diagnosis codes based on documentation and CMS guidelines.Collaborate with clinicians and QA staff to clarify documentation when needed.Verify alignment between codes, clinical documentation, and billed services.Maintain knowledge of Medicare, Medicaid, and commercial payor coding requirements.Identify documentation...