Full Time facility coding inpatient complex coder jobs

Full Time

Senior Consultant, Healthcare Compliance

Berrydunn Remote

Overview: BerryDunn is seeking a Senior Consultant to join our Healthcare Group as a member of the Healthcare Compliance Practice Area. You will join a core team tasked with assisting the firm’s clients with clinical documentation improvement, revenue integrity efforts, regulatory research, and general coding and billing compliance in a multitude of healthcare settings. This role involves complex audit reviews , provider education , and data-driven analysis to identify trends, mitigate risk, and optimize revenue integrity. This position is planned to sit remotely. The ideal candidate for this position will possess both a clinical and compliance background with experience coding/auditing a diverse array of professional services and specialties, including behavioral health. You Will: Perform comprehensive audits of facility and outpatient/professional claims for coding accuracy (i.e. CPT, HCPCS, ICD-10-CM/PCS, DRG, APC, and E/M levels) Review clinical...

Full Time

Observation Coder III

University of Utah Health Remote (Salt Lake City, UT, USA)

As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for providing care to patients. Corporate Overview: The University of Utah is a...

Full Time

Professional Coding Auditor and Educator

WellStreet Urgent Care Remote (Alabama, Arkansas, Arizona, Connecticut, Florida, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Missouri, Mississippi, North Carolina, Nebraska, New Jersey, New Mexico, New York, Ohio, Pennsylvania, South Carolina, Tenessee, Te)

The Provider Education Auditor works collaboratively with physicians, other healthcare professionals and coding staff to ensure that clinical information in the medical record is present and accurate so that the appropriate utilization, clinical severity, outcomes and quality is captured for the level of service rendered to all patients, as well as ensuring compliant reimbursement of patient care services. Responsibilities: Responsible for reviewing and analyzing all aspects of the department clinical documentation and care to ensure timely, accurate, and compliant charge capture and submission Works as an educational resource to inform and educate departments on the latest government regulation and requirements, including CMS, the State, and payer regulations related to these charges Collaborates with Coding Supervisor to ensure clinical documentation in high-risk areas is consistent and complete Identifies inconsistencies in medical reports and works with healthcare...

Full Time

Clinical DRG Auditor – Remote

Gainwell Technologies Remote (USA)

It takes great medical minds to create powerful solutions that solve some of healthcare’s most complex challenges. Join us and put your expertise to work in ways you never imagined possible. We know you’ve honed your career in a fast-moving medical environment. While Gainwell operates with a sense of urgency, you’ll have the opportunity to work more flexible hours. And working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work-life balance, continuous learning, and career development. Summary: We are seeking a talented individual for a Clinical DRG Auditor who is responsible for performing DRG validation (clinical/coding) reviews of medical records and/or other documentation to validate the conditions that were documented in the medical record, the ICD-10-CM/PCS code assignments and determine the accuracy of DRG assignment that is clinically supported as defined by review methodologies specific to the...

Full Time

DRG (Coding) Reviewer/Auditor

MedReview Remote

Position Summary At MedReview, our mission is to bring accuracy, accountability, and clinical excellence to healthcare. As such, we are a leading authority in payment integrity solutions including DRG Validation, Cost Outlier and Readmission reviews. Under the direction of the DRG Operations Department leaders, the DRG Reviewer will conduct reviews of inpatient claims for both coding accuracy as well as perform screening referrals for clinical support of coded diagnoses. Responsibilities: Analyze and review inpatient claims following the Official Coding and Reporting Guidelines to validate the reported ICD-10-CM/PCS codes to ensure proper DRG assignment for accurate billing. Demonstrates the ability to perform a comprehensive initial review as outlined in the standard operating procedures and departmental guides. Collaborates with physician reviewers, as needed. Ability to prioritize and organize workload and complete tasks independently....

Full Time

Quality Analyst / Coding Auditor I

Physicians Choice LLC Remote

Physicians' Choice is currently seeking a highly proficient and seasoned Medical Coding Auditor specializing in Evaluation and Management (E/M) services, with a comprehensive understanding of Emergency Medicine, to join our esteemed team. If you possess extensive expertise in current E/M coding guidelines and have a strong background in auditing, we invite you to apply for this exceptional opportunity. Job Description: As a Medical Coding Auditor you will play a vital role in ensuring accurate and compliant coding practices within our organization. You will be responsible for conducting detailed audits of medical records, coding documentation, and related billing processes to verify compliance with established coding guidelines, regulatory requirements, and internal policies. Responsibilities: Perform comprehensive audits of medical records, coding documentation, and billing processes. Evaluate the accuracy, completeness, and appropriateness of medical...

Full Time

Outpatient/Provider Coder III

University of Utah Health Remote

Overview Top candidates will have experience with Oncology Coding. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA This position is responsible for abstracting, coding, and interpreting of outpatient clinic and provider services for professional and/or facility billing. This position uses coding knowledge to abstract and record data from medical records and provides support to areas related to documentation and coding. This position codes and charges complex or specialty services and may serve as a resource for other coders. This position is not responsible for...

Full Time

Revenue Cycle Director (Remote) – ENT / eClinicalWorks (eCW)

Revmax Medical Billing Remote

Revenue Cycle Director (Remote) – ENT / eClinicalWorks (eCW) RevMax Medical Billing | Los Angeles, CA (Remote) RevMax Medical Billing is a rapidly growing, family-owned medical billing company based in Los Angeles. We partner with private practices across multiple specialties including ENT, surgery, internal medicine, PT, and ophthalmology. We are seeking a Revenue Cycle Director to lead revenue cycle performance, team oversight, and financial outcomes across assigned accounts, with a primary focus on a high-volume ENT surgical practice. This is a hands-on leadership role within a growth-stage company, combining strategic oversight with direct execution. Compensation $80,000 – $90,000 annually (commensurate with experience) Position available immediately Role Overview The Revenue Cycle Director is responsible for the end-to-end performance of the revenue cycle , including optimization of workflows, oversight of billing...

Full Time

Outpatient/Professional Vascular Coder - REMOTE

Centra Remote

Centra is seeking a detail-oriented and motivated Vascular Outpatient Coder to join our dynamic healthcare team. In this vital role, you will be responsible for accurately translating clinical documentation into precise medical codes to ensure proper billing, reimbursement, and compliance. Your expertise will support our commitment to delivering exceptional vascular outpatient care while maintaining the highest standards of medical coding integrity. This position offers an exciting opportunity to contribute to a fast-paced environment where your skills directly impact patient outcomes and organizational success. This is a fully remote - Monday-Friday, day shift role. The Outpatient Specialty Medical Coder is responsible for coding outpatient records, Facility, and/or Professional, for the purpose of reimbursement in compliance with federal, state, and regulatory agencies’ guidelines using the most current taxonomic and classification systems. Performs coding, charge entry, and...

FM

Full Time

Medical Coder

Fuel Medical Group Remote (Boise, ID, USA)

Southwest Idaho Ear, Nose & Throat is hiring a Senior Medical Coder with ENT-specific experience and a strong background in appeals and denial resolution . This is an established, single-specialty ENT practice offering a stable schedule, collaborative team environment, and meaningful ownership over complex coding work. This role is ideal for an experienced coder who understands ENT surgical coding, payer guidelines, and how to successfully manage appeals from start to finish. Key Responsibilities Code ENT surgeries, procedures, office visits, and consults using CPT, ICD‑10, and modifiers Review physician documentation to ensure accurate, compliant coding Manage and resolve coding-related denials, appeals, reconsiderations, and adjustments Work directly with insurance carriers to ensure timely and complete reimbursement Identify trends and root causes of denials and recommend process improvements Serve as a coding resource for...

Full Time

Medical Billing Specialist

Concord OB/GYN Associates, PC Hybrid (Concord, MA, USA)

Overview: The Billing Specialist works collaboratively with the Billing Manager to support all functions of the billing department, ensuring the maximization of receivables and maintaining optimal cash flow. This role requires advanced knowledge of OB/GYN coding and billing practices. The Billing Specialist is responsible for maintaining compliance with office policies, procedures, and all applicable regulatory requirements. The ideal candidate demonstrates a friendly and professional demeanor, strong interpersonal skills, and the ability to remain composed during high-pressure situations. This role requires the ability to work independently, apply critical thinking to resolve complex billing issues, and manage sensitive financial conversations with patients in a respectful and understanding manner. Key Responsibilities: Support the daily operations of the billing department, including medical and surgical coding and billing for both hospital and office...

LT

Full Time

In-house Medical Biller & Coder (Houston, TX - Fannin St. Texas Medical Center

LUNA THERAPEUTICS Houston, TX, USA

About the Clinic Luna Therapeutics is a rapidly expanding gynecological practice with a new clinic located just south of Houston’s Texas Medical Center. Our new specialty clinic focuses exclusively on chronic and recurrent urinary tract infections and complex gynecological care. After three years of significant growth, we are opening this second location to meet increasing patient demand. Our original Luna OBGYN location will continue to provide Obstetrics-only care. Across both sites, three providers rotate on assigned days within the Luna network. Position Summary We are seeking an experienced In‑House Medical Biller & Coder to manage coding accuracy, claims submission, reimbursement workflows, and compliance for a high‑volume gynecological practice. The ideal candidate has strong Medicare experience and is comfortable supporting audit processes. Responsibilities Assign accurate ICD‑10, CPT, and HCPCS codes for gynecological services and procedures....

Full Time

Rev Cycle Customer Success Manager - RCM

Flagler Health Remote

What You'll Be Doing As Flagler continues to grow, there is a unique opportunity to strengthen customer relationships and leverage deep revenue cycle expertise to help our provider partners maximize financial performance. This is where you come in - to design and own customer success processes with a specific focus on RCM operations for MSK practices. Note: this role is not responsible for direct claim submission or coding production, but requires the ability to diagnose revenue cycle issues and guide execution across billing vendors, clinical staff, and practice leadership. Work directly with the CEO, Head of Business Operations, and Head of Clinical Operations to own dozens of relationships with provider groups, ensuring customer satisfaction and retention. Serve as the primary point of contact and subject matter expert for all RCM-related questions, issues, and escalations from provider partners. Onboard new customers, ensuring fast, smooth...

SH

Full Time

Director - Hospital Coding (Remote)

Stanford Health Care Remote

This is a Stanford Health Care job. A Brief Overview The Director - Hospital Coding oversees, directs, and provides leadership of the facility coding function across the enterprise, acting within the Mid-Revenue Cycle Department, Revenue Cycle Division reporting to the VP, Mid-Revenue Cycle. Responsible for the management of hospital coding operations including ICD, DRG, and CPT code assignment, case abstracting, occasional charge capture, pre-bill quality reviews and other billing edit work queues. The Director participates in the formulation of objectives and strategies for integrating clinical information to support the goals of patient care, teaching, research, and optimizing management of resources. The Director provides leadership in driving key outcomes for hospital/facility coding, including key partnerships with Compliance, CDI, Quality, & other clinical improvement groups. Through a combination of data analytics, and process improvement techniques, this leader...

14 facility coding inpatient complex coder jobs found