32 clinical coder jobs found in Springfield

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Sutter Health System Office-Valley Position Overview: This position conducts review of outpatient medical records using International Classification of Disease Coding ICD-10-CM and Current Procedural Terminology (CPT), Medicare Advantage, ICD-10-CM, and Centers for Medicare and Medicaid Services (CMS) coding and reporting guidelines. Performs medical record reviews to ensure accurate assignment of medical diagnoses and procedures. Responsible for pre-appointment review of each encounter in scope, including Medicare Advantage encounters, to ensure accurate reporting of diagnoses and to alert the physician of potential clinical conditions that may require review. This position will support risk adjustment code validation for CMS and HHS Risk Adjustment models Job Description : EDUCATION: HS Diploma or General Education Diploma (GED) CERTIFICATION & LICENSURE: CRC-Certified...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator 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. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Our Mission Quality, compassionate care for all. Our Vision Reimagine health care through connection, service and innovation. Our Core Values Be Kind | Trust and Be Trusted | Work Together | Strive for Excellence Join Our Professional Coding Team! Logan Health, a growing health system located in Northwest Montana, is looking for an experienced Certified Professional Coder to be part of their team! Location Remote (see approved states list) Schedule Day Shift – 8 Hours | Full Time – 40 Hours Pay details Pay for this position ranges from $26.25 per hour to $35.50 per hour depending on prior related work experience. Who you are Our ideal candidate will have at least one year of professional coding work experience, and you must hold a nationally recognized coding certificate. What you'll be doing This position accurately assigns appropriate ICD-10-CM and CPT-4 codes to outpatient records. It involves abstracting essential data elements for...

Springfield Clinic is seeking an experienced medical coder to review clinical documentation and assign CPT, HCPCS, E/M levels, and ICD-10-CM codes for professional, facility, and hospital services. The role ensures documentation supports billed services, remains compliant with CMS/CPT guidelines, and involves collaboration with physicians to obtain necessary information. Opportunities include training colleagues and supporting coding initiatives. #J-18808-Ljbffr

McKenzie-Willamette Medical Center Job PostingMcKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family – our community.Position Details:Hourly Base Rate: $30.43 - $38.73Shift Hours Per Week: 40 hoursSEIU Local 49 represented positionDate Posted: 8/18/2026Job Summary:Abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-10 and/or CPT-4 codes to patient records according to established procedures.Works with coding databases and confirms DRG assignments.Relies on limited experience and judgment to plan and accomplish goals.Performs a variety of tasks. Works under general supervision.Reports to the Director of Health Information Management.Qualifications:Minimum, high school diploma or equivalent,...

Coder OP McKenzie-Willamette Medical Center is your community medical provider, serving the Willamette Valley and its residents. Our 113-bed hospital offers inpatient, outpatient, diagnostic, medical, surgical and emergency care. We are a family of caregivers offering care to our larger family — our community. Position Details: Hourly Base Rate: $18.28 - $26.37 Shift: Days Hours Per Week: 40 hours Job Summary: Certified Coder required. Working knowledge of basic medical terminology, ICD-10, CPT and HCPCS codes. Preferred experience in multiple specialties including: Cardiology, Cardiology diagnostic testing, Cardiothoracic Surgery, Critical Care, General Surgery, Gastroenterology, Pulmonology, Vascular Surgery and Vascular Imaging services. Ability to assign codes to diagnoses, procedures, E&M visits, and diagnostic testing. Ability to research and analyze clinical documentation as well as produce reports from a variety of sources. Ability to work...

Springfield Clinic is seeking a professional Medical Coder to review clinical documentation and assign CPT/HCPCS and ICD-10-CM codes for in-office and hospital-based services. The role ensures documentation supports billed services and compliance with CMS guidelines, CPT coding guidance, and provider documentation standards. The ideal candidate has AHIMA or AAPC certification eligibility or current credentials, strong analytical skills, and experience with encoder tools. #J-18808-Ljbffr

Job TitleClinical Documentation SpecialistJob DescriptionThis position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines.Principal ResponsibilitiesResponsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services.Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record.Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities, complications, therapeutic and...

Location John H. Stroger, Jr. Hospital Department Health Information Management Shift 7:00 AM - 3:00 PM Pay Range $37.658 hourly Job Summary Under the supervision of a Coding Supervisor, the Health Information Management (HIM) Coder abstracts relevant clinical and demographic information from the medical record to identify the care rendered to the patient for the purpose of reimbursement, research and compliance. The HIM Coder ensures that the medical record reflects accurate attending physician documentation for coding of physician and facility encounters. Assigns ICD-10-CM and PCS codes, CPT-4, and HCPCS Level II codes in accordance with coding and reimbursement guidelines for physician and facility encounters. Abstracts into a group and assigns Diagnosis Related Group (DRG) on inpatient accounts and applies Ambulatory Payment Classifications (APC) to outpatient accounts. With minimal errors, identifies principal and secondary diagnosis and procedures based upon federally...

Job Title Clinical Documentation Specialist Job Description This position is responsible for reviewing clinical documentation and applying the correct coding and modifiers for clinical services performed in office and/or hospital setting an may include surgical and non-surgical procedural services. This position ensures that the documentation supports the levels or types of service billed, ensures the documentation is compliant with regulatory regulations, provider documentation guidelines, and CPT documentation and CMS coding guidelines. Principal Responsibilities Responsible for reviewing and analyzing documentation present in the medical record for professional services related to clinic, inpatient and/or outpatient services. Verifying and coding of the diagnosis, evaluation and management, procedures or other codes required for the completeness and accuracy of the record. Codes and/or reviews encounters to identify first-listed diagnosis, co-morbidities,...

Facility CoderThe Facility Coder is a Certified Coder that has knowledge and training on coding facility based services. These services could include inpatient, outpatient or claims coding edits related to facility based coding. The Facility Coder is responsible for timely and accurate coding of the medical record, which includes assignment of ICD 10, CPT, HCPCS, PCS and DRG. They are expected to have expert knowledge on all coding guidelines and abides by the standards of ethical coding and maintain 95% of greater quarterly quality score.Education:Required: High School Diploma or EquivalentRequired: Completion of Coding CourseExperience:Preferred: 1-2 years related experienceSkills:Must have the analytical ability to interpret data contained in medical records and assign appropriate codes for accurate billingExpert knowledge in CPT, HCPCS, ICD 10, PCS and DRG classification systemsExcellent written and verbal communication skills, including the ability to communicate with clinical...

Facility Coder The Facility Coder is a Certified Coder that has knowledge and training on coding facility based services. These services could include inpatient, outpatient or claims coding edits related to facility based coding. The Facility Coder is responsible for timely and accurate coding of the medical record, which includes assignment of ICD 10, CPT, HCPCS, PCS and DRG. They are expected to have expert knowledge on all coding guidelines and abides by the standards of ethical coding and maintain 95% of greater quarterly quality score. Education: Required: High School Diploma or Equivalent Required: Completion of Coding Course Experience: Preferred: 1-2 years related experience Skills: Must have the analytical ability to interpret data contained in medical records and assign appropriate codes for accurate billing Expert knowledge in CPT, HCPCS, ICD 10, PCS and DRG classification systems Excellent written and verbal communication skills, including...

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

QA Nurse / Coder (RN)As a QA Nurse / Coder, you will ensure the accuracy, completeness, and regulatory compliance of Home Health documentation—particularly OASIS assessments, the Home Health Plan of Care (485), and face-to-face encounter notes—while properly sequencing diagnoses according to federal/state standards and agency policy.Core responsibilities include:Review OASIS forms and Plans of Care for appropriateness, completeness, and compliance.Assign and sequence ICD?10 codes in line with current home health coding guidelines.Ensure consistency and compliance of face-to-face encounter documentation with OASIS and care plans.Conduct additional clinical record audits and OASIS reviews as assigned.Stay current on Medicare reimbursement policies, home health regulations, and compliance requirements.Maintain relevant certifications (HCS?D, HCS?O or COS?C).Participate in quality assurance and performance-improvement efforts.Coordinate with physicians, facilities, and clinical staff...

Department 10407 Enterprise Revenue Cycle - Coding Production Operations: Inpatient Coding Operations Status Full time Benefits Eligible Yes Hours per Week 40 Schedule Details / Additional Information Will support :A mix of inpatient community and academic coding. Includes service lines such as cardiology, neurology, and oncology.Schedule :Full-time, Monday-Friday 40hrs with a standard schedule of Monday through Friday, 8 hours per day, totaling 40 hours each week. Certification Required Coding Certification issued by one of the following certifying bodies: American Academy of Coders (AAPC), or American Health Information Management Association (AHIMA). Remote Opportunity Advocate Health may approve those who wish to work out of the following registered states: AL, AK, AR, AZ, DE, FL, GA, IA, ID, IL, IN, LA, KS, KY, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, PA, SC, SD, TN, TX, UT, VA, WI, WV, WY Pay Range $33.05 - $49.60 Major...

Cook County Health is seeking a Health Information Management Coder to abstract clinical information accurately for reimbursement and compliance. The role requires coding using ICD-10-CM, CPT-4, and ensuring quality standards are met. Candidates should possess a high school diploma or G.E.D. and have coding experience, with preferred certifications such as RHIA or CCS. The position offers a comprehensive benefits package including medical coverage and paid time off. #J-18808-Ljbffr

Description: Investigates complex healthcare claims flagged by third-party referrals, tips, or external allegations prior to payment. This role combines advanced clinical coding expertise (ICD-10, CPT, HCPCS) with investigative scrutiny. The auditor reviews medical records to verify that documented services match the billed codes, adhere to medical necessity guidelines, and comply with state, federal, and contractual coding regulations. Key responsibilities: Allegation Triaging & Investigation: Analyze incoming third-party referrals, compliance tips, and external fraud allegations to identify specific billing patterns, suspect providers, or unbundled services. Identify potential fraud, waste, abuse, billing irregularities, and patterns of non-compliance through medical record review and claims analysis. Pre-Payment Clinical Review: Perform comprehensive clinical and technical reviews of high-dollar or highly complex medical records before a claim is finalized for payment....

Company Description At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better health care, no matter where you work within the Northwestern Medicine system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for better? Job Description Required:3-4 years of coding experience in an acute healthcare settingRHIT, RHIA or CCS credentialed The Outpatient Coder II reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation...

About the role As a Medical Coding Quality Auditor, you will play a critical role in ensuring coding accuracy, compliance, and quality across healthcare records. You will collaborate with coding professionals and physicians to support accurate clinical documentation, regulatory compliance, and operational excellence while maintaining high quality and productivity standards in a remote work environment. In this role, you will: Review medical documentation to accurately assign diagnosis and procedure codes. Communicate with physicians and other healthcare providers to obtain or clarify diagnoses and procedures through the coding query process. Assign accurate codes using electronic encoder applications in accordance with company policies, coding guidelines, and regulatory requirements. Perform peer reviews and quality audits of Health Information Management coding auditors and coders. Prepare and complete reports, audit findings, and other deliverables as requested. Monitor...

Job Summary We are seeking an experienced and certified Medical Coder - Inpatient & Outpatient to join our Health Information Management/Revenue Cycle team.The Medical Coder is responsible for accurately reviewing and coding inpatient and outpatient hospital medical records in accordance with official coding guidelines, CMS requirements, payer regulations, and hospital policies.This position plays an essential role in ensuring coding accuracy, regulatory compliance, timely reimbursement, and the integrity of clinical and financial data.The successful candidate will demonstrate strong knowledge of hospital coding, medical terminology, anatomy and physiology, reimbursement methodologies, and regulatory requirements.Essential Duties and Responsibilities Review inpatient and outpatient medical records and accurately assign ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes based on assigned account type. Assign and validate appropriate MS-DRG/APR-DRG, APC, Present on Admission (POA),...

Medical Biller Reporting to the Revenue Cycle Manager, the Medical Biller will be responsible for the accurate and timely posting of insurance and patient payments, reconciliation of remittances, and aggressive follow-up of outstanding insurance balances. The ideal candidate will possess extensive experience with Explanation of Benefits (EOB) and Electronic Remittance Advice (ERA) posting, insurance denial management, and payer-specific reimbursement methodologies. Location is on-site five days a week in the office. This position requires a strong working knowledge of UnitedHealthcare, Aetna, Horizon Blue Cross Blue Shield, Medicare, and other commercial payers, with demonstrated success in filing reconsiderations, appeals, and overturning claim denials. Prior experience in a surgical practice environment is required, with vascular surgery experience strongly preferred. Medical Claims, Posting and AR Specialist Essential Responsibilities Accurately post insurance and...

Actively hiring \"Certified Medical Coder (Remote) – Outpnt & ED\" at Remote for position at a hospital. pay rate is $36-$38/hour Certified Medical Coder (Remote) – Outpnt & ED Location: Remote 100% Duration: Extendable contract Pay Rate: $36-$38/hour Schedule Notes: Scheduled: 8:00 AM-4:00 PM. Candidate must be comfortable working one weekend (Saturday or Sunday). - 3 Years of outpatient coding and must have experience as Emergency room coder. We are seeking experienced Certified Medical Coders with strong outpatient acute care coding experience for a remote contract opportunity. Responsibilities Perform accurate outpatient, and ED medical coding Review and assign ICD-10, CPT-4, and related codes Ensure compliance with payer, federal, and coding guidelines Research and resolve coding-related issues Utilize EPIC and 3M/HDS coding applications effectively Required Qualifications CCS or RHIA, RHIT, CCP certification required Minimum 3 years...

## Coder - ProfessionalApply: On-Site or Remote: Remote Office - IL: Full time: Posted Today: JR105181**Internal Employees: Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding.**Coder - Professional**Job Description**Coder – Professionals are responsible for professional coding includes the assignment of ICD-CM, CPT, and HCPCS codes, modifiers, and evaluation and management (E/M codes) provider audits. Interacts with medical staff, nursing, ancillary departments, provider offices, and outside organizations.Accepting remote workers in the following states:* Alabama, Arkansas, Arizona, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, North Carolina, New Mexico, Ohio, Oklahoma, South Carolina, Tennessee, TexasDepartment: Physician CodingHours: Full time, 40 hours/weekShift: 1stLocation: Remote or On-siteRequired: High School Diploma, CCA, CCS, CPC, RHIT, or RHIA upon hire; CPC...