11 diagnostic coder jobs found in Albany

Coding Specialist 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 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 accounts Assigns CPT and ICD-10 codes Monitors assigned work queues to ensure all records...

Hospital Coder The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, CPT4, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting of healthcare data elements (e.g. diagnoses and...

Job Summary Reviews medical record documentation and diagnostic results to assign appropriate ICD-10-CM/PCS and HCPCS codes for billing, internal and external reporting, and compliance with the Official Coding Guidelines for Coding and Reporting, payer regulations, and hospital policy. Responsible for coding and abstracting outpatient medical records, to include but not limited to, simple ambulatory surgery, endoscopic, emergency center, clinic, and diagnostic medical records. Queries physicians to resolve incomplete or conflicting information to ensure compliant coding and billing practices. Abides by the Standards of Ethical Coding as set forth by AHIMA. Qualifications Associate Degree in Health Information Management or related medical degree or High School Diploma or GED and 4 years directly related (Required) Work Experience 1 or more years experience with ICD-9, ICD-10, and HCPCS coding preferably in a hospital setting. (Required) 1 or more years experience calculating APC...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71 The Hospital Coder applies skills and knowledge of currently mandated inpatient coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (PCS), and other codes representing healthcare services. This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. This is a remote position. Essential Duties And Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the ICD-10-CM/PCS, Uniform Hospital Discharge Data Set (UHDDS), Medicare, Medicaid and other fiscal intermediary guidelines. Support the reporting...

Department/Unit: Health Information Services Work Shift: Day (United States of America) Salary Range: $55,895.80 - $83,843.71Hospital Coder, Albany Health Information Management The Hospital Coder applies skills and knowledge of currently mandated coding and classification systems, and official resources to select the appropriate diagnostic and procedural codes (including applicable modifiers), and other codes representing healthcare services (including substances, equipment, supplies, or other items used in the provision of healthcare services). This position is responsible for selecting and sequencing the codes such that the organization receives the optimal reimbursement to which the facility is legally entitled, remembering that it is unethical and illegal to increase reimbursement by means that contradict requirements. Essential Duties and Responsibilities Use a computerized encoding system to facilitate accurate coding. Sequence diagnoses and procedures by following the...

Senior Professional Coder The Senior Professional Coder 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 Responsibilities Review, analyze, and validate CPT and ICD-10 diagnosis codes and charges applied by providers to assure compliance with federal and state regulations and insurance carrier guidelines. Ensuring...

Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health Information Management (Preferred) Work Experience 2-3 years Diagnosis and CPT coding in a clinic, business, or revenue cycle environment or any combination thereof. (Preferred) 2-3 years Broad knowledge of medical terminology and anatomy. (Preferred) Licenses and Certifications Required Certifications/Licensures: Coding Certification (CPC or CCS) Preferred Certifications/Licensures: CPMA Essential Functions CODING SKILLS Review medical records to assign ICD-10-CM, CPT, and HCPCS Level II codes and modifiers for accurate primary and multi-specialty billing. Provides analysis and education on coding trends and changes in payer policies to providers and staff. CODING REVENUE CYCLE SKILLS Review claim denials for coding issues, interpret payer guidelines, and assist insurance collectors with resolution for proper reimbursement. Prepare or...

Job Information Job Number: 32909 Location: Phoebe North Campus, 2000 Palmyra Rd, Albany, Georgia 31701 Department: PPG CBO; Shift: –; Job Type: Full time; Posted Date: 2025-10-30 Job Description Summary Classify medical data from patient records to assign ICD-10-CM and CPT codes for primary and multi-specialty physician billing. Reviews clinical billing for coding and billing accuracy. Review claim denials for coding-related issues and assist CBO collectors with resolution. Demonstrate knowledge of reimbursement guidelines and changes in payer policy. Provide guidance to clinical staff and providers where necessary. Serves as a resource for clinics on coding issues and questions as needed. May supervise an individual billing team of non-certified billers and collectors. Performs research on coding changes and payer policies on an ongoing basis. Qualifications High School Diploma or GED (Required) Vocational / Technical Degree (Preferred) 2 year / Associate Degree in Health...

Become a part of our caring community Humana, a Fortune 100 Company, is looking for an experienced and Certified medical coding auditor to review inpatient hospital claims for proper reimbursement and resolve provider disputes. Your expertise will directly contribute to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, ensuring correct claims payment and appropriate diagnosis related group assignments. The Certified Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The goal is to ensure the accuracy and integrity of hospital claim payments. Responsibilities include the following: Review inpatient medical records and claims to ensure accurate coding and reimbursement Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes Audit coding quality and...

Become a part of our caring community The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Where you Come In Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of...

About the role As an Inpatient Medical Coding Auditor, you will make an impact by auditing consultant inpatient records. You will be a valued member of the Cognizant team and work collaboratively with stakeholders and teams. In this role, you will: Review inpatient records for diagnostic and procedural coding accuracy and compliance Review physician documentation to verify diagnoses and procedures Identify accurate ICD-10-CM and ICD-10-PCS codes utilizing Solventum (3M) in accordance with practice policy and regulatory guidelines Complete reports as requested Provide ICD-10-CM and ICD-10-PCS education and mentoring to clients in coding, billing and compliance Perform peer reviews of company health information management coding auditors and coders Assure that services provided to clients of company are current and up to date with industry standards Conduct other reviews, audits and tasks at the direction of company for which employee has skills and knowledge Maintain...