20 coder lll jobs found in Remote

Craft Health Technologies is seeking an experienced certified medical auditor to provide independent quality review of a sample of our production coding audits. You will compare clinical documentation with the audit’s coding conclusions, determine the correct result, and provide clear, evidence-based feedback. The purpose of the role is to provide external validation, monitor accuracy, and identify opportunities to improve the quality and consistency of our audits. This is a part-time, hourly independent-contractor engagement with flexible scheduling.    Responsibilities   Review a defined sample of completed coding reviews and the corresponding medical records. Independently determine the appropriate CPT, ICD-10-CM, E/M level, and modifiers, as applicable. Assess whether coding conclusions are supported by the clinical documentation and current guidelines. Identify overcoding, undercoding, unsupported conclusions, missed documentation,...

Thank you for considering Progyny! Progyny is seeking a Claims Audit Extern to join our team. This role will primarily support claims audits, quality assurance reviews, and other related audit activities. In this role, you’ll gain hands-on experience in healthcare claims auditing while working with provider clinics and cross-functional teams to support coding accuracy, compliance, and continuous improvement. What you'll do... Participate in claims audits and quality assurance reviews, including selecting and preparing patient claim samples, evaluating claims and provider documentation, validating CPT/HCPCS and ICD-10-CM coding, modifiers, billing accuracy, and adherence to applicable coding and documentation guidelines. Document audit findings and prepare audit reports, including workpapers, Executive Summaries/Management Response Forms, and other required audit documentation. Provide education to provider clinics and applicable stakeholders regarding audit...

Ovation Healthcare Is Hiring Coders! Are you a coding professional looking for your next opportunity? Ovation Healthcare is growing, and we’re hiring across a variety of coding roles! Our team is looking for talented healthcare coding professionals with experience across different specialties and levels of expertise. Whether you’re an experienced coder or looking for your next career move, we encourage you to explore our current opportunities. Why Ovation Healthcare? Opportunities to work with a variety of healthcare organizations and coding functions A collaborative team environment Opportunities for professional growth and development The chance to make an impact by supporting independent community healthcare Multiple Coding Opportunities Available! We’re hiring for a variety of coding positions, so don’t limit your search to just one job title. Visit our careers page to view all current coding openings , review the...

APS Medical Billing, located in Toledo, Ohio, is seeking certified professional coders with experience in pathology to become part of our progressive team. This position works with clients to ensure proper documentation for charge capture and remains current with industry guidelines. Requirements Demonstrated ICD-10-CM proficiency Demonstrated understanding of the CPT guidelines for separate procedures, bundling and add-on-codes Experience in abstracting medical records for accurate CPT code assignments Experience in surgical pathology preferred Experience in reviewing, resolving and preventing coding denials Understanding and application of CMS initiatives including NCCI Edits, MIPS and NCD/LCD polices Competitive wages; benefit package (Health, Health Savings Account, Dental, Vision, Personal Health Care Advisor, EAP, Life, 401k, Paid Holidays, Vacation & Earned Time Off (ETO). APS Medical Billing is an Equal Opportunity Employer....

REMOTE NATIONWIDE At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable, and equitable. Ready to make a difference? Join us to start  Caring. Connecting. Growing together. The key challenge of this role centers around your ability to work quickly, accurately, and independently. You'll be challenged with daily production goals as well as maintaining a high accuracy rate to achieve your quality goals. Extensive use of electronic medical records in an ICD-10 environment is also required. Hours : This position is full-time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 5am - 5pm. We offer 2-3 weeks of paid training. The...

JOB SUMMARY: Support the Director of Health Information Management (HIM) by conducting comprehensive claim audits and reviewing hospital outpatient and professional fee (ProFee) claims for coding accuracy, revenue integrity, and billing compliance. Utilizing proprietary software, this role evaluates coding opportunities, identifies revenue cycle improvement recommendations, and assists clients in optimizing claim quality and reimbursement outcomes. The ideal candidate is an experienced outpatient facility coding professional with strong analytical skills, extensive knowledge of revenue cycle operations, and the ability to communicate complex coding concepts clearly to both clients and internal team members. This is a remote position ESSENTIAL DUTIES AND RESPONSIBILITIES:  Note: The essential duties and responsibilities below are intended to describe the general duties and responsibilities of this position and are not intended to be an exhaustive statement of...

JTS is hiring a Level 3 Remote Coder (Outpatient Coders with 3+ years of experience wiiling to train to become Inpatient Coders)   ***This remote role offers a unique career growth opportunity: current outpatient coders will receive hands-on training and one-on-one mentoring to build inpatient coding expertise over a 9-month development period.  Upon successful completion, candidates transition into a permanent Inpatient Coder position — a clear, supported pathway to advance your coding career with JTS.  All candidates must possess and maintain certification through either the American Health Information Management Association (AHIMA) or the American Academy of Professional Coders (AAPC.)***   Level 3 coding candidates must have 3+ years outpatient coding experience with expertise in Same Day (Outpatient Surgery) and Observation encounters. Ancillary encounter coding may also be expected.   Encoder experience required, preferably 3M, Codify or Optum but will also...

At this time, we are prioritizing candidates with at least one year of professional coding experience due to current training capacity.   Position Summary We are seeking detail-oriented Clinical Coding Specialists at all experience levels (entry, intermediate, and senior) to join our team. This role is designed as a unified opportunity for candidates with varying levels of coding expertise. Based on experience and qualifications, candidates will be aligned to the appropriate level within our coding structure. Clinical Coding Specialists are responsible for assigning accurate, compliant diagnosis and procedure codes across inpatient and outpatient services. This role works collaboratively with Health Information Management (HIM), Revenue Cycle, and clinical teams to ensure timely, high-quality coding that supports organizational, regulatory, and reimbursement requirements. Key Responsibilities Assign compliant, complete, and accurate codes based on clinical...

Full-time    8-5 M-F Remote - must live in Texas Requirements Education:   High school diploma or equivalent  Certification :  Medical Coding certification through AAPC, AHIMA, RHIA or RHIT required Skills:   Computer literate, detailed oriented, demonstrates initiative, time management, able to multi-task, strong knowledge of medical terminology and anatomy, familiar with current insurance guidelines, understands payer coding denials, highly organized to work effectively and efficiently, goal driven, ability to multi-task, uses comprehensive and critical thinking for problem solving, effective verbal and written communication skills Experience:   Radiology coding required 2+ years current coding; 2+ years in medical office or related setting Job Description: CPT and ICD coding Radiology Procedures Assign “Merit-based Incentive Payment System” codes (MIPs) Maintain quality assurance standards for department Report any discrepancies...