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4 coder credentialed jobs found

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Full Time coder credentialed Intermediate Level
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MS
Full Time
 
Certified Medical Coder II CPC
Mount Sinai Medical Center Hybrid (FL)
Summary: Florida residency required Applies expert knowledge of ICD‑10‑CM, CPT, and HCPCS coding to accurately code inpatient and outpatient encounters in compliance with AMA and CMS guidelines. Reviews clinical documentation for medical necessity, resolves coding and billing issues, supports charge capture and denial prevention, and collaborates with providers to ensure accurate, compliant reimbursement. Position Responsibilities Knowledge of medical coding rules, regulations and compliance allowing to better handle issues such as medical necessity, claims denials, bundling issues and charge capture. Knowledge of medical terminoogy, abbreviations, techniques and surgical procedures; anatomy and physiology; major disease processes and identify specific clinical findings, to support existing diagnoses, or substantiate listing additional diagnoses in the medical record. Knowledge of official coding conventions and rules established by the...

Oct 12, 2026
Optum
Full Time
 
Special Investigations Unit Pre Pay Coding Consultant - 2380700
Optum Remote
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. High Level Overview of the Role: Coding Consultant is responsible for investigating and resolving instances of healthcare fraud and abuse of medical providers. Coding Consultant uses information from a tip, member benefits, and medical records to document relevant findings. This position will achieve applicable targets and metrics as determined.This individual will provide mentoring,...

Oct 07, 2026
Healthcare Coding & Consulting Services (HCCS)
Full Time
 
Pro Clinic Coder
Healthcare Coding & Consulting Services (HCCS) Remote
Healthcare Coding and Consulting Services (HCCS) is a family-owned, U.S.-based medical coding company currently hiring experienced, certified Pro Clinic coders for fully remote, full-time positions supporting specialties in Rural Health Clinics (RHC), Family Medicine, Internal Medicine, Orthopedic, Behavioral Health, and Oncology . At HCCS, we are committed to long-term employment and career stability. We do not offer short-term, contract, or project-based work. All team members are direct-hire W-2 employees with consistent workloads and full benefits. We also do not offshore any coding services — all HCCS coders are U.S.-based, ensuring strong compliance, communication, and provider support. We intentionally match coders to specialties they are experienced in, allowing them to work confidently and consistently within familiar chart types. Our Coding and Scheduling Managers actively support coders with workflow, quality, and productivity, creating a collaborative...

Aug 14, 2026
Kodiak Solutions
Full Time
 
DRG Validator
Kodiak Solutions Remote
At Kodiak Solutions, we’re dedicated to transforming the healthcare industry through cutting-edge, technology-driven solutions. We specialize in healthcare finance, unclaimed property, risk management, and revenue cycle management, helping healthcare organizations streamline complex financial operations. Our mission is to simplify and optimize processes, so healthcare providers can focus on delivering excellent patient care . Position Summary The  DRG Validator plays an integral role within Kodiak’s Revenue Integrity Optimization team, helping healthcare organizations improve coding accuracy, compliance, quality, and reimbursement. Working alongside an experienced, U.S.-based team, Validators perform comprehensive inpatient coding and clinical validation reviews across both MS-DRG and APR-DRG methodologies . DRG validation at Kodiak goes beyond traditional inpatient coding review , incorporating broader clinical and quality considerations such as Hospital-Acquired...

Oct 19, 2026
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